Annexure ‘A’
Advance for Special Cash package in lieu of LTC
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BASIC INFO
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| CDA A/C No |
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Personal No. |
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| Officer’s Name |
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Re- Employed |
Yes/No |
| Marital Status |
Married/Unmarried |
Spouse Employed (in Army) |
Yes/No |
| ICORPS |
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Pay Level |
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Basic Pay |
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| IAre You doctor or not ? |
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Yes/No |
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NPA(in Rs.) |
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Whether opted for Leave Encashment ?
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Yes/No |
LTC to be claimed for (yr) |
2020/2021 |
| No of Persons |
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Air Fare claimed |
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| Name |
Relationship |
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| Leave Details |
| No of days already encashed on LTC |
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Year |
No.of Days |
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| No. of days to be Encashed(Max. 10 days) |
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| Amount Claimed(in Rs.) : |
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| Total Air Fare claimed |
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| Total Encashment claimed |
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Signature |
| Total |
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CDA A/c No. |
Format for Congingent Bill for Reimbursement of Special Cash package in lieu of LTC
COMMENTS
Is leave encashment as a part of cash package in lieu of LTC to be calculated taking NPA along with basic and DA ?