Revision No Page No
ID No Req. Date
Designation Department
Approved
Form No IMS/TC/034 1.0
Date of Joining
SALARY ADVANCE REQUEST FORM
Employee Name
Salary Advance AED /- (in words - ) Purpose
The Amount can be deducted in month’s installment. (no of months to be deducted) Amount Pending to be paid AED. /- (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. Employee's
Declaration
Employee's
Signature
Date
Office use only
Advance Request: Not Approved
Recommended by Designation Signature
Comments
Reason if Not
Approved
Approved by Signature Date
Verified by Signature Date
Accounts Department use only
The Salary Advance amount AED sanctioned will be deducted from the monthly salary of the above employee with effect from month. Authorized by
(Accounts Dept)
Signature Date
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