Format For Advance for Special Cash package in lieu of LTC

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Format For Advance for Special Cash package in lieu of LTC

Annexure 'A' Advance for Special Cash package in lieu of LTC BASIC INFO CDA A/C No Personal No. Officer's

CGHS: Medical Reimbursement Claim Form for Pensioners
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Declaration Form for pass, PTO & Complimentary Pass to be submitted by all Railway Employees & Pensioners every year

Annexure ‘A’

Advance for Special Cash package in lieu of LTC

BASIC INFO

CDA A/C No Personal No.
Officer’s Name Re- Employed Yes/No
Marital Status Married/Unmarried Spouse Employed (in Army) Yes/No

ICORPS Pay Level
Basic Pay
IAre You doctor or not ? Yes/No NPA(in Rs.)

  Whether opted for Leave Encashment ?

  Yes/No LTC to be claimed for (yr)   2020/2021
No of Persons Air Fare claimed
Name Relationship
Leave Details
No of days already encashed on LTC Year No.of Days

No. of days to be Encashed(Max. 10 days)
Amount Claimed(in Rs.) :
Total Air Fare claimed
Total Encashment claimed Signature
Total CDA A/c No.

download-form-of-advance-for-special-cash-package-of-ltc-annexure-a

Format for Congingent Bill for Reimbursement of Special Cash package in lieu of LTC

COMMENTS

WORDPRESS: 1
  • Dr Akshay Chandra Dhariwal 10 months ago

    Is leave encashment as a part of cash package in lieu of LTC to be calculated taking NPA along with basic and DA ?