Advance for Special Cash package in lieu of LTC – Format of Application

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 NoPersonal No.
Officer’s NameRe- EmployedYes/No
Marital StatusMarried/UnmarriedSpouse Employed (in Army)Yes/No

 

CORPSPay Level
Basic Pay
IAre You doctor or not ?Yes/NoNPA(in Rs.)

 

  Whether opted for Leave Encashment ?

  Yes/No

LTC to be
claimed for (yr)

  2020/2021
No of PersonsAir Fare claimed
NameRelationship

Leave Details

No of days already encashed on LTCYearNo.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.

Click here to view/download PDF

Read also |  Appeal to donate minimum Rs. 200/- to Armed Forces Flag Day Fund (AFFDF) - DoPT OM

COMMENTS