Advance for Special Cash package in lieu of LTC – Format of Application
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 |
| CORPS | Pay Level | |||
| Basic Pay | ||||
| IAre You doctor or not ? | Yes/No | NPA(in Rs.) | ||
Whether opted for Leave Encashment ? |
Yes/No |
LTC to be |
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. |
COMMENTS