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

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

Format for Congingent Bill for Reimbursement of Special Cash package in lieu of LTC Annexure 'B' Congingent Bill for Reimbursement of Spec

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

Annexure ‘B’

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

CDA A/C No Personal No.
Officer’s Name Re- Employed Yes/No
Marital Status Married/Unmarried Spouse Employed (in Armvl Yes/No
Whether spouse availed this scheme – Yes/No
Year – 2020/2021

CORPS Pay Level
Basic Pay
Are 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 No of person XRs 20,000 (Economy) Rs 36,000{Business) Rs
Name Relationship
Leave Details
No of days already encashed on LTC Year No. of Days
No. of days to be Encashed(Max. 10 days) DO ll NO …. RS
Amount as per lnvoice(in Rs.) RS
Amount entitled ( Air fare X3 + Encashment) RS
Advance drawn(in Rs.) Rs
Balance(in Rs.) Rs

Encl : 1. Original Invoice(s) 1,2,3…

2. Proof of Digital payment
3. DO II for encashment

Signature
Date: CDA A/c No.

Counter signed with Seal

format-for-congingent-bill-for-reimbursement-of-special-cash-package-in-lieu-of-ltc

Format For Advance for Special Cash package in lieu of LTC

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