LTC Advance form | HTC Advance form | LTC and HTC Advance form for Central Government Employees in pdf format.
APPLICATION FOR GRANT OF L.T.C. (ALL
INDIA/HOME TOWN) ADVANCE
1. Name of the
Government Servant :
2. Designation :
3. Date of
entering the Central Government 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 be availed for
visiting hometown and
if so block year for which
L.T.C. is to be availed. :
9. a) If the concession is to visit anywhere in India, the place to be visited
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. Family
members in respect of whom L.T.C. is proposed to be availed :
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Sl. No |
Name |
Age |
Relationship with Govt. Servant |
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12. Amount of advance required :
13. Date of Outward Journey :
14. Date of
Inward Journey :
15. Nature and
period of leave sanctioned :
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 lumpsum.
Station:
Date: Signature
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