XXX PVT LTD

SALARY ADVANCE REQUEST FORM

I. Employee details: Date:

1. Employee Name & No :

2. Dept./ Branch / Unit :
3. Amount applied :
4. Purpose :
5. Repayment Schedule:
6. Any previous salary advance pending :

(Signature of Employee)
_______________________________________________________________________

II. To: HOD & Sanctioning Authority.

1. Amount Sanctioned with recovery terms:

(Signature of HOD) (Signature of Sanctioning Authority)

III.HR Dept:

1. Any outstanding amount against :

Salary advance if, so how much?

2. Details of last salary advance availed :

(Signature of HR)
_______________________________________________________________________

To: Accounts dept: for necessary action:

Note: Salary Advances will be deducted in current month salary only