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    Service: S.No Name Age Relationship

    Uploaded by

    ViJaY HaLdEr
    This document is an application form for a government employee to apply for an LTC advance. It requests information such as the employee's name, designation, date of joining service, pay details, whether permanent or temporary, home town, if spouse is employed, which LTC block is being availed, destination, single rail/bus fare to destination, names and ages of family members travelling, and amount of advance required. The employee declares the details are true and agrees to produce tickets within 10 days of receiving advance, or refund the entire amount if the journey is cancelled or tickets not produced on time.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Service: S.No Name Age Relationship

    Uploaded by

    ViJaY HaLdEr
    14 views1 page
    This document is an application form for a government employee to apply for an LTC advance. It requests information such as the employee's name, designation, date of joining service, pay details, whether permanent or temporary, home town, if spouse is employed, which LTC block is being availed, destination, single rail/bus fare to destination, names and ages of family members travelling, and amount of advance required. The employee declares the details are true and agrees to produce tickets within 10 days of receiving advance, or refund the entire amount if the journey is cancelled or tickets not produced on time.

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    fe5u

    Original Title

    Act

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    This document is an application form for a government employee to apply for an LTC advance. It requests information such as the employee's name, designation, date of joining service, pay details, whether permanent or temporary, home town, if spouse is employed, which LTC block is being availed, destination, single rail/bus fare to destination, names and ages of family members travelling, and amount of advance required. The employee declares the details are true and agrees to produce tickets within 10 days of receiving advance, or refund the entire amount if the journey is cancelled or tickets not produced on time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views1 page

    Service: S.No Name Age Relationship

    Uploaded by

    ViJaY HaLdEr
    This document is an application form for a government employee to apply for an LTC advance. It requests information such as the employee's name, designation, date of joining service, pay details, whether permanent or temporary, home town, if spouse is employed, which LTC block is being availed, destination, single rail/bus fare to destination, names and ages of family members travelling, and amount of advance required. The employee declares the details are true and agrees to produce tickets within 10 days of receiving advance, or refund the entire amount if the journey is cancelled or tickets not produced on time.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Application form for grant of LTC advance

    1. Name of the Government Servant

    2. Designation

    Date of entering the Central Government


    3.
    Service
    4. PAY + SI + NPA

    5. Whether permanent or temporary

    6. Home Town as recorded in the Service Book


    Whether wife / husband is employed and if
    7. so whether entitled to LTC

    Whether the concession is to be availed for


    g, visiting home town and if so block for which

    LTC is to be availed.

    (a) If the concession is to visit anywhere in

    g. India, the place to be visited.


    (b) Block for which to be availed.

    Single rail fare/bus fare from the

    10. headquarters to home town/place of visit by

    shortest route.

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


    S.No Name Age Relationship
    1.
    2.
    11. 3.
    4.

    5.
    6.

    Amount of advance required. Rs.


    12.

    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 ten days of receipt of
    advance, I undertake to refund the entire advance in one lump sum.

    Date
    Signature of Government Servant.

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