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AE/HR/POL /004/12/R-0/07

                           Loan / Salary Advance Application Form

    SECTION-I TO BE FILLED BY THE EMPLOYEE

•   Employee Name: _______________________________Employee Code : __________________

•   Designation: ___________________________________ Date of Joining: __________________

•   Advance salary for the month of : __________________ loan applied for(Rs) : ______________

•   Purpose of Personal Loan
    o Education-self /family
    o Holidays/Travel
    o Medical expenses
    o Consumer durable purchases
    o Marriage- self / family
    o Home improvement/Renovation of home
    o Loan payment
    o If any other, Please specify:
       __________________________________________________________________________


•   Do you have any outstanding loan prior to this loan? If so please provide the following details

    1. Type of loan:________________________________________________________________
    2. 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.

    ______________________                                                 Approved by

    Employee Signature & Date                                              Signature of the authority



SECTION-II TO BE FILLED BY Finance/HR Department

•   Amount of Loan eligible for /Approved :_______________ First installment due: ______________

•   Approval Received on: ___________________ Amount of loan/advance given: _____________

•   No of installments to payoff loan: ___________

•   Details of transfer

    Cheque No.__________________ Dated_______________ Bank Name _________________


    Authorized signatory

    Date: ____________________
AE/HR/POL /004/12/R-0/07

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Loan form

  • 1. AE/HR/POL /004/12/R-0/07 Loan / Salary Advance Application Form SECTION-I TO BE FILLED BY THE EMPLOYEE • Employee Name: _______________________________Employee Code : __________________ • Designation: ___________________________________ Date of Joining: __________________ • Advance salary for the month of : __________________ loan applied for(Rs) : ______________ • Purpose of Personal Loan o Education-self /family o Holidays/Travel o Medical expenses o Consumer durable purchases o Marriage- self / family o Home improvement/Renovation of home o Loan payment o If any other, Please specify: __________________________________________________________________________ • Do you have any outstanding loan prior to this loan? If so please provide the following details 1. Type of loan:________________________________________________________________ 2. 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. ______________________ Approved by Employee Signature & Date Signature of the authority SECTION-II TO BE FILLED BY Finance/HR Department • Amount of Loan eligible for /Approved :_______________ First installment due: ______________ • Approval Received on: ___________________ Amount of loan/advance given: _____________ • No of installments to payoff loan: ___________ • Details of transfer Cheque No.__________________ Dated_______________ Bank Name _________________ Authorized signatory Date: ____________________