LTC Cash Voucher Scheme 2020 Application Form Download
Leave Travel Concession (LTC) Cash Voucher Scheme 2020 Application Form Download
Application Form for Special Cash Package in Lieu of LTC
LTC Fare + 10 Days EL Encashment
During Block Year 2018-21
- Name / Designation of the Government Servant:
- Date of entering the Government Service:
- Basic Pay: Rs.
- Pay Matrix Level:
- Whether Permanent of Temporary:
- Home Town as recorded in Service Book:
- Whether wife / Husband is employed And if so whether entitled to LTC:
- Whether the concession is to be surrendered for visiting Home-Town, and if so block year
- If the concession is to be surrendered “anywhere in India” Block year proposed to be surrendered:
- Single Deemed LTC fare:
- Whether advance is required: Yes / No
- Persons in respect of whom LTC is proposed to be availed:
|Sl.No.||Name||Age||Date of Birth||Relationship||Block year to be availed|
I declare that the particulars furnished above are true and correct to the best of my knowledge. I undertake to produce the receipts towards the purchase or availing goods and services which carry a GST rate of not less than 120/0 from GST registered Vendors/ Service providers through digital mode indicating clearly the GST number and the amount of GST paid.
In the event of cancellation of the application or if I fail to produce the valid receipts within the stipulated time frame, I understand to refund the entire advance in one lump sum along with penal interest as applicable.
Name of the Bank:
Saving Bank Account No.:
Branch MICR Code: