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Annexure C'

The document is an application for leave fare concession from an employee of Punjab National Bank. It provides details of the employee's upcoming privilege leave, intended travel plans to their place of domicile, and a declaration that the journey will be undertaken according to bank policy. It requests confirmation of travel expenses incurred upon return from the trip.

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Rahul Sharma
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282 views

Annexure C'

The document is an application for leave fare concession from an employee of Punjab National Bank. It provides details of the employee's upcoming privilege leave, intended travel plans to their place of domicile, and a declaration that the journey will be undertaken according to bank policy. It requests confirmation of travel expenses incurred upon return from the trip.

Uploaded by

Rahul Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE ‘C’

The Manager
Punjab National Bank
_________________

Application for Leave Fare Concession

I have been granted privilege leave for _____ days from ____________ to ______________,
both inclusive, as per your letter No.______________ dated ________________.

I intend to visit __________________________, which is my place of domicile.

I intend to visit __________________________ for rest.

The details of the journey I intend to make for visiting ___________________ are as follows:

a. ____________________ is __________ km. from _____________ the shortest possible route.


b. In the outward journey, I shall be accompanied by the following members of my family, who
are wholly dependent on me:

Name Age (Last Occupation Relationship


Birth day)

c. On the return journey, I shall be accompanied by the following members of my family.


d. I declare that I shall undertake the journey by the shortest possible route, directly to the
place to be visited and complete the journey, if possible only between 5 AM to 7 PM.

e. Details of the outward journey are:

f. Details of the inward journey are:

With reference to my above letter of ______________, I confirm that I have completed the journey as
declared in all respects and incurred fares amounting to Rs.____________________ as stated above.
I produce the following in substantiation of my claim.

Span: 2 Years / 4 Years

Dated: _____________ Signature


NAME OF THE BRANCH______________________________

ANNEXURE-I
Dated: ____________________
The Senior Manager-HRD
Punjab National Bank
Circle Office: ____________

REG: LEAVE FARE CONCESSION

1. Name of employee: ________________________________ PF No.___________


2. Designation: _____________________
3. Leave sanctioned: _______ days from __________________ to ____________
4. Leave encashment: ___________ days allowed once in 2/4 years
5. Purpose of Journey: Recuperation/visit to native place
6. Address of native place as per History Sheet:
_____________________________________________________________
7. Date of appointment in Bank: _______________
8. Date of promotion as Officer: _______________
9. Last availment of LFC as per details below:

First time on _____________ in the span from ____________ to _____________


Second time on __________ in the span from ___________ to _____________
Third time on ____________ in the span from ___________ _to _____________

10. Current span / Block: ____________________

11. Detail of dependents:


Name Date of Occupation & Status – Married/ Relation with
Birth Income (Rs.) Unmarried the employee
1.
2.
3.
4.

12. Date of Marriage: ____________________________


13. Spouse has not claimed the amount of T.A. Bill from his/her organisation
where he/she is working for the above journey. (Certificate from employer of
spouse is enclosed).
14. If claimed for parents, FORM ‘B’ should be enclosed.
I confirm that the above particulars are true.

SIGNATURE OF THE EMPLOYEE


DESIGNATION: _________________

SIGNATURE OF INCUMBENT
DATE __________________
NAME OF THE BRANCH______________________________

ANNEXURE-I
Dated: ____________________
The Senior Manager-HRD
Punjab National Bank
Circle Office: ____________

REG: LEAVE FARE CONCESSION (100% ENCASHMENT OF LFC)

1. Name of employee: ________________________________ PF No.___________


2. Designation: _____________________
3. Leave sanctioned: _______ days from __________________ to ____________
4. Leave encashment: ___________ days allowed once in 2/4 years
5. Purpose of Journey: Recuperation/visit to native place
6. Address of native place as per History Sheet:
_____________________________________________________________
7. Date of appointment in Bank: _______________
8. Date of promotion as Officer: _______________
9. Last availment of LFC as per details below:

First time on _____________ in the span from ____________ to _____________


Second time on __________ in the span from ___________ to _____________
Third time on ____________ in the span from ___________ _to _____________

10. Current span / Block: ____________________

11. Detail of dependents:


Name Date of Occupation & Status – Married/ Relation with
Birth Income (Rs.) Unmarried the employee
1.
2.
3.
4.

12. Date of Marriage: ____________________________


13. Spouse has not claimed the amount of T.A. Bill from his/her organisation
where he/she is working for the above journey. (Certificate from employer of
spouse is enclosed).
14. If claimed for parents, FORM ‘B’ should be enclosed.
I confirm that the above particulars are true.

SIGNATURE OF THE EMPLOYEE


DESIGNATION: _________________

SIGNATURE OF INCUMBENT
DATE __________________

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