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    Ashok LTC

    Uploaded by

    kirorimaljangir
    Ltc

    Copyright:

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

    Ashok LTC

    Uploaded by

    kirorimaljangir
    5 views2 pages
    Ltc

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Ltc

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    5 views2 pages

    Ashok LTC

    Uploaded by

    kirorimaljangir
    Ltc

    Copyright:

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

    I RA.TVA SABHA SECRETARIAT


    f Proforma for self-certification by the Government employee
    I Sh./Smt./Kum...... A.~.~..~.S. ...$.._lj -~ .~ .f>. .................................. (Name of the Govt.
    servant) wish to confirm that I am availing. futr, ..~ ~ .Jr~ .. (Home Town/ A:1Y Place in India)
    LTC in respect of self I family member(s) for the block year. .. ~.?:-.~ .~.?.-:~...... to
    visit. ........... . ....M.~ .0 .f.r:!J.N ...C .. ..'V........................................ (Place of visit) during
    ... k .~ .. P~~,1 ...~ .i .~ .... J) ..... ~ .l ..... ~ '.; ..~ .'h.~... ...............(dates of journey).
    It is stated that I or the family member for whom I wish to avail L TC has/have not availed of the same
    before in the present block.
    2. Particulars of members of family in respect of whom the Leave Travel Concession is being claimed are
    as under:
    SI. Names (s) Age Relationship with
    No. (in years) the Govt. Servant
    ,. A ~HtlK i H ~1 d1 s1 g 8-,P
    2.. P.-J--f r?rirJ NA f H ARM ,A 24 i:G>C) \JJ €_
    g [;; H A-\J\ K K\JM~ 1-r
    I
    i"t tJ

    3. My parents/br~ther(s)/~ister(s)/unmarried son(s)/unmarried daughter(s) are wholly dependent on me


    and ha:'e no source of .mcome/mc_ome from all sources, including pension, temporary increase in pension but
    exclud~ng dearness rehef on pension or stipend etc. does not exceed Rs. 9,000/- p.m.

    4
    · ~t is ce~ified that the above facts are true and any false statement shall make me liable for

    -~--
    appropnate action under Rule 16 of CCS (LTC) Rules, 1988 and the relevant disciplinary rules.

    (Signature of Govt. servant)

    Name: A£\.-to I<-._ Hto/-(_1\-1A


    Designation:_-=-T
    -"--~--At-S
    ---:...--=
    f ...::L:;;;.:...:
    A-....1T~o'-,;:;R~ - -
    Contact No.:_9~,-?r
    ~ ~-6_-_G_&-5
    __;:;..;;.=-9=--£-.
    .2 .t:::::::,aiL--.
    Date: r y -- C 2- - 2...

    r
    !

    * N.B .: Government emo lovee m;:iv sh::trf' i ntP r P d i nn inc, ; ,..1..n -- _J • •


    RAJYA SABHA SECRETARIAT
    --~-----
    F i?S~fft'tM WU? JtYett:lfa
    Translation (PP) Section
    Leave Sanction Order

    15-02-2022
    eta1 s E46514
    Employee Name :
    Ashok Sharma
    Employee Code : Designation :
    3937 TRANSLATOR
    Basic Pay: Department Name :
    0.0 Translation (PP) Section
    House Rent Allowance : NA
    2. Leave Details
    ~ature Of Leave
    jEL
    From Date:
    23-02-2022 - Forenoon To Date:
    I
    Sundays and Holidays,if 25-02-2022 - Afternoon
    any,proposed to be prefix: Sundays and Holidays,if
    any,proposed to be suffix: 26-02-2022, 27-02-2022

    Total Days: 3.0 Reason: Availing LTC ( All India) Block


    Address: !Year 2022-25
    Goa. Mobile- 9460000393 Delegate: NA
    Avail LTC: !Yes Ex India: No
    Station Leave : Yes Station From : 23-02-2022 To 27-02-2022

    3. Leave Status

    Status: Approved and Forward to


    Admin Assistant Date Submitted : 10-02-2022 05:51 PM
    4. Approval Process
    Reporting Officer : Vipin Kumar Reporting Remarks : IOk
    Action Date And Time : 14-02-2022 12:50 PM
    Approving Officer : Rajesh Kumar Gaur !Approving Remarks : llJk
    Action Date And Time : 14-02-2022.03:31 PM
    Admin Assistant Officer : µESSICA HOIHCHING
    GANGTE Admin Assistant Remarks : jnull
    Action Date And Time : NA

    Note: This Is a system generated report and needs no signature.

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