The Advance Salary Application Form Format is provided below. This Advance Salary form can be customized to fit your needs.
Date: _________
The Departmental Head
Company Name
Address
Subject: Application for Advance Salary
Dear Sir / Madam,
I would be grateful if you could advance Rs. ________ to me from my salary for the month of _____________.
Please
deduct a sum of Rs. _________ from my salary of the scheduled month as I have already received it in
advance.
Thank you.
Signatures: _____________
Name: ________________
Department: ______________
Designation: ______________
Place of Duty: _____________
The advance is recommended / not recommended.
Signatures of Departmental Head: __________
Date: ________
Advance sanctioned / not sanctioned.
Executive Director: ________
Date: _______
Date: _________
The Departmental Head
Company Name
Address
Subject: Application for Emergency Medical Advance Salary
Dear Sir / Madam,
Due to an unforeseen medical emergency, I request an advance of Rs. ________ from my salary for the month of
_____________. I will appreciate it if this amount can be deducted from my salary for the respective month.
Thank you for your understanding.
Signatures: _____________
Name: _______________
Department: ______________
Designation: ______________
Place of Duty: _____________
The advance is recommended / not recommended.
Signatures of Departmental Head: __________
Date: ________
Advance sanctioned / not sanctioned.
Executive Director: ________
Date: _______
Date: _________
The Departmental Head
Company Name
Address
Subject: Application for Personal Emergency Advance Salary
Dear Sir / Madam,
I am requesting an advance of Rs. ________ from my salary for the month of _____________ due to a personal
emergency. I request that this amount be deducted from my salary in the upcoming month.
Thank you for your consideration.
Signatures: _____________
Name: ________________
Department: ______________
Designation: ______________
Place of Duty: _____________
The advance is recommended / not recommended.
Signatures of Departmental Head: __________
Date: ________
Advance sanctioned / not sanctioned.
Executive Director: ________
Date: _______
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