DOCUMENT NO

ADVANCE APPLICATION RELEASE DATE

REVISION NO

-----------------------------------------------To be filled by Employee-----------------------------------------------

Date: ____________________

Employee Name :
Designation :
Date of Joining :
Site :

Requested Advance Amount No. of Installment (Against Salary)

Purpose for Request of Advance Against Salary: _________________________________________

_____________________________________________________________________________________

Sign of Applicant:
--------------------------------------- To be filled by Account Department ---------------------------------------
Outstanding Balance
1. Advance Against Salary Rs. :
2. Advance Against Expenses Rs. :
Total

Sign of Account Head

----------------------------------- To be filled by HR / Admin Department -------------------------------------

Amount Approved: ___________________ Approved By: __________________________

Name: _______________________________