Subject: Request For Salary Advance: For Office Use Only If Any)

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To

HumanResourcesDepartment,

Subject:RequestforSalaryAdvance
IwouldliketoavailSalaryAdvanceandIamawareofthefollowingconditions:

On Separation of Services for any reasons, I need to repay balance amount to the
companyoritwillberecoveredfrommyFull&FinalSettlement.
NextSalaryAdvancewillbemadesubjecttorepaymentofexistingadvance.

AdvanceAmount
Requested(Rs.)

AmounttoberecoveredinEquated
MonthlyInstallments(EMI)Nos.of
Months(10to12)

Reasons

Kindlyapprovethesameaspermyeligibility.
Date

EmployeeCode

EmployeeName

CompanyName

Signature

Forofficeuseonly
TotalEntitlement(Rs.)

LastLoanDate(ifany)

LastLoanAmount(Rs.)

LastLoanClosureDate

ForHRDepartment
Particulars
CheckedBy

Recommended
by

Signature

Approvedby

Particulars
Checkedby

ForF&ADepartment

Recommended
by

Approvedby

Signature

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