Scribd
Upload
41 views

Permt Dutyclaim

The document is a claim form for luggage and travel expenses related to a permanent transfer. It requests information like name, rank, payment details, transfer details, family members traveling, travel dates and modes of transport. The form needs to be certified by the claimant and countersigned.

Uploaded by

happy_atwork
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
41 views

Permt Dutyclaim

The document is a claim form for luggage and travel expenses related to a permanent transfer. It requests information like name, rank, payment details, transfer details, family members traveling, travel dates and modes of transport. The form needs to be certified by the claimant and countersigned.

Uploaded by

happy_atwork
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
You are on page 1/ 2

IAFT-1715

Luggage claim for Moves in Permanent Transfer


(Details in respect of claim)

Rank /Name Corps/Office

Personal No. Pay Account No.: Pay:

Transfer from Rule in TR

No. and Date of letter, Pt II order, POR, etc.


authorizing the move

Time Date Place


Departure:
Arrival
Departure:
Arrival:
Details of family Total no.
12 years and above 3 years and below:
Over 3 years under 12 years:
Particulars of Journey Mode of Class Distance Rate Rs P
From To conveyance

Transfer grant( 100% of BP+GP+NPA+MSP)

Total

Advance Drawn
Balance for recovery /payment

Cheque to be drawn

Signature of the claimant


Certify that: -

(i) The journey set out on reverse have actually been performed the mode and class
indicated against the relevant columns and distance stated in the claim are correct.

(ii) I certify that my legitimate child /children step child /children / Parent(s) Unmarried
Sister(s) /Minor brother(s) for whom fares etc. have been claimed reside(s) with me
and is /are wholly dependent on me and that his /her /their individual income from all
sources including pension (including of temporary increase in pension and pension
equivalent of Death-cum-Retirement gratuity) does not exceed Rs 1500/- pm.

(iii) I certify that no Govt. transport was provided for the journey for which mileage and
/or charge have been claimed and no warrants concession vouchers have been used
by me /my family for a claim has been preferred.

Station:
Dated: (Signature of the claimant)

COUNTERSIGNED

Station:
Dated:

You might also like