Ref. No.

_________
CASH ADVANCE LOAN FORM
Employee Name: ______________________ Date: ____________
Company:____________________________ ID No.:____________

I, __________________________, request cash advance loan in the amount of:

___________________________________________(Php________________);
to be paid from my wages/salary as permitted by company policy in the manner
indicated hereafter due to the following reason(s)/purpose:
________________________________________________________________
________________________________________________________________
_______________________________________________________________.
I agree to repay this advance as follows (select one):
____ lump-sum salary deduction immediately following the next pay days (s);
____ 3 mos ____6 mos ____ 12 mos ____ 18 mos ____24 mos
Others, specify:___________________________________________________
I also agree that if I terminate employment prior to total repayment of this
advance, I authorize the company to deduct any unpaid advance amount from the
wages/salary owed to me at the time of termination of employment.

Employee signature: ________________________ Date: ____________

Approved by:
Supervisor signature: ________________________ Date: _____________

Human resources signature: ___________________ Date: _____________

Cc: 201 File, Accounting Dept

Ref. No. _________

CASH ADVANCE LOAN FORM
Employee Name: ______________________ Date: ____________
Company:____________________________ ID No.:____________

I, __________________________, request cash advance loan in the amount of:

___________________________________________(Php________________);
to be paid from my wages/salary as permitted by company policy in the manner
indicated hereafter due to the following reason(s)/purpose:
________________________________________________________________
________________________________________________________________
_______________________________________________________________.
I agree to repay this advance as follows (select one):
____ lump-sum salary deduction immediately following the next pay days (s);
____ 3 mos ____6 mos ____ 12 mos ____ 18 mos ____24 mos
Others, specify:___________________________________________________
I also agree that if I terminate employment prior to total repayment of this
advance, I authorize the company to deduct any unpaid advance amount from the
wages/salary owed to me at the time of termination of employment.

Employee signature: ________________________ Date: _____________

Approved by:
Supervisor signature: ________________________ Date: _____________

Human resources signature: ___________________ Date: _____________

Cc: 201 File, Accounting Dept