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LTCApplication Form

This document contains an application for grant of Leave Travel Concession (LTC) advance by a government servant. It includes details such as the applicant's name, designation, employee code, contact details, home town, proposed travel dates and names of family members traveling. It also specifies the block year for which LTC is being availed, single rail/bus fare from headquarters to hometown, and the amount of advance required. Upon verification of eligibility and entitlement, the dealing hand and designated authority recommend sanctioning the advance amount as per rules.

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224 views

LTCApplication Form

This document contains an application for grant of Leave Travel Concession (LTC) advance by a government servant. It includes details such as the applicant's name, designation, employee code, contact details, home town, proposed travel dates and names of family members traveling. It also specifies the block year for which LTC is being availed, single rail/bus fare from headquarters to hometown, and the amount of advance required. Upon verification of eligibility and entitlement, the dealing hand and designated authority recommend sanctioning the advance amount as per rules.

Uploaded by

tvkghsarumb
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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Government of India NATIONAL INFORMATICS CENTRE APPLICATION 1. 2. 3. 4. 5. 6. 7. 8. 9. (a) (b) 10. 11. FOR GRANT OF L.T.C.

ADVANCE

12.

13. * 14.

15.

Name of the Government Servant : Designation : Emp. Code No. : Telephone / Intercom No. : E-Mail address : Date of entering the Central : Government service Pay : Whether Permanent or Temporary : Home Town as Recorded in the : Service Book Nearest Railway Station : Whether wife / husband is employed : YES / NO & if so whether entitled to L.T.C. : YES / NO Whether the concession is to be : YES / NO availed for visiting home town, Block Year ________________ and if so Block Year for which L.T.C. is to be availed. If the concession is to visit : Place ________________ "ANYWHERE IN INDIA", name the place to be visited and Block Year for Block Year ________________ which L.T.C. is to be availed. : Nature of leave ................ from ............ to ............ OR Proposed date for onward journey & : Proposed date for return journey : Single Rail/Bus fare from the : Headquarter to Home Town/place of visit by shortest route. Persons in respect of whom L.T.C. is proposed to be availed :-------------------------------------------------------------------Sl. No Name Age Relationship --------------------------------------------------------------------

-------------------------------------------------------------------16. Amount of advance required Rs. ........... 17. 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 the advance. In the event of cancellation of the journey or if I fail to produce the tickets within 10 days of the receipt of the advance, I undertake to refund the entire advance in one lumpsum. Dated : (Signature of the applicant)

* Applicable in case of advance required for family members only.

CHECK LIST

(Cash and Accounts Section)

1.

Amount entitled for : Reimbursement Advance admissible

Fare Rs. ......X 2 X

(No. of tickets)

2.

( 90%

of the amount i.e. Rs. ...........)

Advance of Rs. ............................................... may be sanctioned.

Dealing Hand.

Signature of D.D.O.

========================================================================= CHECK LIST FOR ADMINISTRATION

L.T.C. advance to __________________________________________________ 1. 2. 3. Block Year / Calendar Year :

Home Town / A place anywhere in India : a) b) For whom advance is applied for Total number of persons : :

4.

Specific grounds waranting sanction : for both/ onwards/ return journey of advance under Rule G.F. 235 (2) (iii) (a) Leave application received Amount of advance Temporary / Permanent If temporary (Surety bond produced) : : : : Yes / No Yes / No Rs.

5. 6. 7. 8.

Necessary entry has been made in the L.T.C. Advance Register. He/She is eligible for L.T.C. for the Block/Calender Year ............... We may sanction the advance as per fair sanction letter placed below approval & signatures of D.D. (Admn) please. for

Dealing Hand

(Section Officer)

D.D. (Admn)

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