Loan / Salary Advance Application Form: Section I-To Be Filled by The Employee

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Loan / Salary Advance Application Form

SECTION I- TO BE FILLED BY THE EMPLOYEE

Employee Name: _________________________________ Employee Code : _______________

Designation: _______________________Date of Joining: ____________Location: _______________

Loan / Advance Details ( Kindly provide the relevant details)


Types of loan/advance requested

Amount applied for

No. of installments( for payment)

Purpose of Personal Loan


o Education ,Childrens education, Holidays/Travel ,Medical expenses, Investments ,Consumer durable
purchases, Marriage in family ,Home improvement/Renovation of home or office, Loan transfer
,Purchase of equipment, If any other, Please specify:
__________________________________________________________________________
List of documents attached with the application
__________________________________________________________________________
Do you have any outstanding loan prior to this loan? If so please provide the following details

1.
2.

Type of loan:________________________________________________________________
Amount Outstanding : _______________________ Date on which availed : _____________

I have read all the provisions of Company Policy on Loans/Advances and undertake to comply by them. I
authorize the company to recover any outstanding amount under this policy from my salary / full and final
settlement as the case may be.
__________________________

Recommended / Not recommended

Employee Signature & Date

Managers name, signature and date

Guarantor Signature

SECTION II- TO BE FILLED BY HR Department

Amount of Loan/advance approved:_____________________________


Date: __________________ Authorized Signatory ________________

GMD APPROVAL

SECTION III- TO BE FILLED BY FINANCE


Approval Received on: __________________________________________________________
Previous loan outstanding checked on _______________ by ____________________________
The amount of loan/advance given: _________________________________________________
First installment due: ___________No of installments to payoff loan/advance: ______________
The source of transfer is

Check
Bank Transfer

Authorized signatory
Date: ____________________

Cheque No.__________

Dated

____________

Account No. __________________Bank Name _______

Loan / Salary Advance Application Form

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