Grant of Festival Advance

1.

Name in full (in block letters) :

2.

Designation:

3.

Emp. Code No. :

4.

Intercom/Telephone No. :

5.

E-Mail Address:

6.

Present Pay (Basic only) :

7.

Amount of advance required:

8.

Number of installments in which you would like to repay it. (Not exceeding 10 months):

9.

Festival for which advance is required and the date on which the festival falls:

10.

Whether permanent, Quasi-permanent or temporary If permanent state name of post:

11.

If temporary, state name of the surety with his designation. (Also enclose the surety bond):

12.

Did you take a similar advance, previously, if so state the month and year in which it was taken:

13.

If answer to 11 above is `yes' please state when the  advance has been fully repaid:

I certify that the facts stated above are true and correct to the best of my knowledge and belief.

Date:

(Signature of applicant)