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Salary Recommendation Form

Employee Name

Taxation Identification No:

Location

Department

Current

Proposed

Title

Salary Grade

Base Rate

Merit Amount

Promotion Amount

Other Amount

Bonus

Effective Date

Type of Proposed Increase:

[ ] New Hire [ ] Merit [ ] Promotion [ ] Other

Date of Last Increase

Type of Last Increase:

[ ] New Hire [ ] Merit [ ] Promotion [ ] Other

Explanation for Proposed Salary Increase

Date

Approvals:

Supervisor:

Manager:

Div. Man. Director:

Personnel Department: