PUNJAB INDUSTRIAL ESTATES

(Administration & HR Department)

PIE FORM-11(HR & Admin)
Date: _____________
LOAN APPLICATION
NAME: JOB TITLE:

DATE OF JOINING: TOTAL SERVICE:

DEPARTMENT: EMPLOYEE ID:

PRESENT PAY: /- AMOUNT REQUIRED:
ADDRESS:
PURPOSE:

SINGNATURES
DATE : OF APPLICANT
RECOMMENDATION BY THE HOD
RECOMMENDED AMOUNT OF LOAN
NAME SIGNATURES
TO BE FILLED BY ACCOUNTANT PIEDMC STAFF GRATUITY FUND TRUST
TOTAL AMOUNT OF GRATUITY (AVAILABLE)
NAME SIGNATURE
TO BE FILLED BY HR & ADMIN DEPARTMENT
DATE OF JOINING TOTAL SERVICE
TOTAL AMOUNT OF GRATUITY DUE
RECOMMENDED AMOUNT OF LOAN
NAME DESIGNATION
SIGNATURES DATE
NAME DESIGNATION
SIGNATURES DATE
TO BE FILLED BY FINANCE / ACCOUNT DEPARTMENT
BALANCE OFAMOUNT PREVIOUSLY AVAILED
AMOUNT RECOMMENDED
NO OF INSTALLMENTS IN WHICH THE AMOUNT IS TO BE DEDUCTED

SIGNATURES
NAME DESIGNATION DATE

APPROVED BY CEO