APPLICATION FORM FOR GRANT OF L.T.C.ADVANCE
1. Name of Municipal servant
3. Date of entering the Municipal service
4. Present Pay
5. Whether permanent or temporary
6. Home town as recorded in the service book
7. Whether wife/husband is employed and if so whether entitled to L.T.C.
8. Whether the concession is to availed for visiting Home town, and if so block for which L.T.C is to be availed
(a) If the concession
is to visit anywhere in
(b) Block for which to be availed
10. Single rail fare/ bus fare from the headquarters to home town/place of visit by Shortest route
11. Persons in r/o whom L.T.C is proposed to be availed.
12. Amount of advance required. Rs
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 journey or if I fail to produce the tickets within ten days of advance, I undertake to refund the entire advance in one lump Sum.
(For use in office)
2. Amount entitled for reimbursement .
3. Advance admissible (80% of amount in 2)
Advance of Rs ..may be sanctioned
The advance is not admissible since:-
1. The official has not completed the minimum service.
2. The official has not utilized the earlier advance for the L.T.C which was not refund by the official in time, but subsequently recovered with/without penal interest.
D.A ( ) Office Supdt.( )