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Revised Advance Request Form

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0% found this document useful (0 votes)
22 views

Revised Advance Request Form

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Date: ____________

The Director
International Institute for Population Sciences,
Deonar, Mumbai – 400088.

TEMPORARY ADVANCE REQUEST FORM

Name of Employee : _____________________________________________________________

Designation of employee : _____________________________________________________________

Department / Section : _____________________________________________________________

Advance Amount Required : Rs. __________ (In word: _______________________________________)

Purpose of Advance : ____________________________________________________________

Any previous Advance is unsettled: Yes / No

If Yes, Provide details : ______________________________________________________________

______________________________________________________________

DECLARATION
I hereby declare that I shall settle the advance paid amount within the next Fifteen days from date of advance receipt by
producing the vouchers, cash memos etc. In case, I could not utilize the advance amount for the purpose mentioned above,
I shall return the amount immediately. I also declare that If I fail to settle the advance within Fifteen days, the Advance paid
amount to me can be recovered from my forthcoming salary or from the any payment which is payable to me with interest
@2% over the interest rate allowed on Provident Fund.

_____________________________
Signature & Date of Applicant
__________________________________
Signature & Date of Head of Department

_____________________
Director & Sr. Professor

Advance Approved for Rs. :___________ (Rupees ______________________________________________)

Mode of Payment: Cash / Bank Transfer / Cheque / NEFT (or) RTGS

______________________
Assistant Finance Officer
Advance Received

______________________
Sign and Date of Receiver

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