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LTCform Advance Forms

This document is an application form for a leave travel concession advance from the Ministry of Communications Department of Posts in India. It requests information such as the applicant's name, designation, date of entry into government service, current basic pay, home town, whether the applicant's spouse is employed and if so if they are entitled to LTC. It also asks for details of the proposed travel such as if it is to the home town or another place in India, the travel block, estimated single rail or bus fare, proposed travel date, type of leave applied for or granted, names and details of family members the concession is proposed to be availed for, and the amount of advance requested. The applicant declares the information provided is true and

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Ahmad Ali Shaik
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
23 views

LTCform Advance Forms

This document is an application form for a leave travel concession advance from the Ministry of Communications Department of Posts in India. It requests information such as the applicant's name, designation, date of entry into government service, current basic pay, home town, whether the applicant's spouse is employed and if so if they are entitled to LTC. It also asks for details of the proposed travel such as if it is to the home town or another place in India, the travel block, estimated single rail or bus fare, proposed travel date, type of leave applied for or granted, names and details of family members the concession is proposed to be availed for, and the amount of advance requested. The applicant declares the information provided is true and

Uploaded by

Ahmad Ali Shaik
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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MINISTRY OF COMMUNICATIONS Department of Posts India APPLICATION FOR LEAVE TRAVEL CONCESSION ADVANCE

1. 2. 3. 4. 5. 6. 7. (a) Name of the Government Servant


(in CAPITAL letters):

Designation: Date of entry in Central Government service: Present Basic Pay: Whether permanent or temporary:
(Tick Appropriate Box)

DD MM Rupees
Permanent

YYYY

Temporary

Home Town as recorded in the Service Book: Whether wife / husband is employed:
Yes Yes No No

(b) And, if so, whether entitled to LTC: 8. 9. (a) Whether the concession is to be availed for visiting Home Town: If the concession is to visit anywhere in India, the place to be visited

Yes

No

(b) Block for which to be availed: 10. (a) Single rail fare / bus fare from headquarters to Home Town/ Place of visit by shortest route:

Rupees DD MM YYYY

(b) Date of Journey: (c) 11. Nature of Leave applied for / granted for the said journey:

Persons in respect of whom LTC is proposed to be availed:

S. No. 1. 2. 3. 4. 5.
12. Amount of Advance required:

Name

Age

Relationship

I declare that the particulars furnished above are true and correct to the best of my knowledge. I undertake to produce the tickets for the outward journey within ten days of receipt of advance. In the event of cancellation of the journey if I fail to produce the tickets within ten days of receipt of advance I undertake to refund the entire advance in one lump sum.

Dated:

DD MM

YYYY

Signature

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