Advance Salary Request

Name:

Position:

Address:
Dept:
Amount of advance requested:

Approved Amount:

Reason for Advance:

Repayment Terms:
All advances must be paid in full within 24 weeks. Only one advance will be issued in a six
month-period or monthly. Amount request on informal basis should be return back within 15days
to 30 days period.

Deduction per month:

Beginning Date:

Approved By:
Undertaking:
I, hereby authorize GEI Pakistan (Pvt) Limited my employer to deduct from my pay through
payroll deduction to repay above stated advance/loan in accordance with above mentioned
repayment schedule. In the event my employment at GEI Pakistan (Pvt) Limited is terminated
before the last payment is deducted, I understand that my outstanding balances will be due
immediately and will be deducted from my final paycheck or I will make a payment in full if the
balance owned is greater than my final pay.

Employees Signature:

Date:

Date of Last Advance:

Amount:

Verification by Accounts Department: