807 Richards Drive,
Halfway House,
Building 1,
Midrand
South Africa
O +2710 3125027
F +27 86 528 3332
E info@24solutions.co.za
www.24solutions.co.za
Salary Advance Request Form
Employee Information:
Name: ____________________________________________________________
Employee ID:
_______________________________________________________
Department:
________________________________________________________
Position:
___________________________________________________________
Date of Request: ____________________________________________________
Amount Requested (in local currency): ____________________________________
Reason for Advance Request: ____________________________________________
Repayment Plan:
Proposed Repayment Amount (per pay period): _______________________________
Proposed Repayment Schedule (number of pay periods): ______________________
Start Date of Repayment: ____________________________
Acknowledgment:
I, _________________________________________, acknowledge that by signing this
form, I understand the terms of the salary advance request and agree to repay the advanced
amount according to the proposed repayment plan outlined above.
24 Solutions Reg No 2012/088289/07 Members: J Da Silva (CEO) V.Naiker (CTO), D.Da Silva (M.D.), A Da Silva (Director)
807 Richards Drive,
Halfway House,
Building 1,
Midrand
South Africa
O +2710 3125027
F +27 86 528 3332
E info@24solutions.co.za
www.24solutions.co.za
Employee Signature: _______________________________ Date: ______________
Approval:
I, _____________________________________, approve this salary advance request,
subject to company policies and procedures.
Manager Signature: _______________________________ Date:
______________
HR Approval:
I,_________________________________, confirm the approval of this salary advance
request and will facilitate the necessary payroll adjustments.
HR Signature: _______________________________ Date: ________________________
Please submit this completed form to the HR department for processing.
24 Solutions Reg No 2012/088289/07 Members: J Da Silva (CEO) V.Naiker (CTO), D.Da Silva (M.D.), A Da Silva (Director)
