Salary Advance Request Form printable pdf download

Salary Advance Request Form

Advance Type………………………………..

SALARY ADVANCE REQUEST FORM

DIVISION/INSTIUTION

EMPLOYEE NAME

EMPLOYEE NO

DATE OF JOINING

DESIGNATION

DEPARTMENT

LAST SALARY DRAWN

SALARY ADVANCE

Rs. ………....../- in words( Rupees

)

PURPOSE

The Amount can be deducted in ……………. month’s installment. (no of months to be deducted)

Amount Pending to be paid Rs. ______________ /-(if availed already)

I declare that I have not availed any Salary advance during this year and also confirm that there are no dues

standing to my credit towards balance of advance drawn by me during last year.

Employee Signature

Date :

Comments if any:

Remark if any :

Date :

HR Dept

Authorized By : HOD / Principal

Office use only

Approved

Not Approved

Reason if Not Approved:

Date:

Authorized Signature.

Accounts Department

The Salary Advance amount Rs______________ Sanctioned will be deducted from the monthly salary of the

employee with effect from _______ month.

Date:_______________

Signature

(Accounts Department)

Salary Advance Request Form