COMPANY NAME

REQUEST FOR CASH ADVANCE

To whom it may concern:

I am requesting the company to advance the payment for the

following item(s):

Item (s) Amount

______________________________ P______________

______________________________ ______________

______________________________ ______________

______________________________ ______________

______________________________ ______________

TOTAL AMOUNT P______________

I understand that the above mentioned item(s) is/are NOT

required by either the Company nor the principal, and that I am
requesting the same in addition to the uniform(s) provided to
me by the Company. As such, I fully understand that any cash
advance made by the Company may be reimbursed to the latter
through salary deduction.

Name: __________________________
(Signature over printed name)
Post: ___________________________
Date: __________ I.D.# ____________

Noted by: _______________________