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Advances to Staff:Against Security of LIC Policies,National Savings Certificates, Term Deposit Receipts
Name Designation Section/Region Service Total Salary & Allowances Amount of advance required Nature of Advance Purpose of advance Security offered i) Value of Security ii) Margin iii) Advance value Repayment arrangements
: : : : : :
: : : : : : : :
Particulars of other deductions from salary. Branch at which advance is to be availed of Place : Date :
:
Signature of Applicant
( For Office use )
Amount of Advance Sanctioned by Date of Sanction Monthly instalments
: : : :
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