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You are here: Home / LTC Special Cash Package / LTC Cash Voucher Scheme 2020 Application Form
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LTC Cash Voucher Scheme 2020 Application Form

October 24, 2020 admin 4 Comments

Leave Travel Concession (LTC) Cash Voucher Scheme 2020 Application Form

Application Form for Special Cash Package in Lieu of LTC

Application Form PDF Download Here

LTC Fare + 10 Days EL Encashment

During Block Year 2018-21

  1. Name / Designation of the Government Servant:
  2. Date of entering the Government Service:
  3. Basic Pay: Rs.
  4. Pay Matrix Level:
  5. Whether Permanent of Temporary:
  6. Home Town as recorded in Service Book:
  7. Whether wife / Husband is employed And if so whether entitled to LTC:
  8. Whether the concession is to be surrendered for visiting Home-Town, and if so block year
  9. If the concession is to be surrendered “anywhere in India” Block year proposed to be surrendered:
  10. Single Deemed LTC fare:
  11. Whether advance is required: Yes / No
  12. Persons in respect of whom LTC is proposed to be availed:
Sl.No. Name Age Date of Birth Relationship Block year to be availed
1
2
3
4

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.:
  • IFSC Code:
  • Branch MICR Code:
  • Date:
  • Signature:
  • Name:
  • Designation:

LTC Cash Voucher Scheme 2020 Application Form PDF Download Here

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Filed Under: LTC Special Cash Package

Comments

  1. SANDEEP DAHIYA says

    March 31, 2021 at 9:29 am

    Payment from Sir’s check is valid

    Reply
  2. Amreliya jIgneshkumar D. says

    March 1, 2021 at 10:42 pm

    Ltc rokal mai bill kese pass hota hai,form konsa fill up karna hota hai,maine tv liya hai but ab bill kese Dena hoga.uska copy ho to send karna.

    Reply
    • M.K.KUMAR says

      March 2, 2021 at 9:17 pm

      Contact your ADMINISTRATION OFFICE.

      Reply
  3. Subhash says

    October 30, 2020 at 4:49 pm

    Where is send LTC cash voucher form?

    Reply

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