CERTIFICATES TO BE GIVEN BY THE GOVERNMENT SERVANT ON LTC 1. I have not submitted any other claim so far for Leave Travel Conces...
CERTIFICATES TO BE GIVEN BY THE
GOVERNMENT SERVANT ON LTC
1. I have not submitted any other claim so far for Leave Travel Concession in respect of my self or my family members in respect of the block of the years ________ and __________
2. I have already drawn T.A. for the Leave Travel Concession in respect of a journey performed by me/my wife with _________________ children. This claim is in respect of the journey performed by my wife/myself with _____________ children none of whom traveled with the party on the earlier occasion.
3. I have not already drawn T.A. for the Leave Travel Concession in respect of a journey performed by me/my wife with ___________ children/ _________ children in respect of the block of two years ___________ and __________ . This claim is in respect of the journey performed by my wife/myself with _________ children/ ___________ children none of whom availed of the concession relating to that block.
4. I have already drawn T.A. for the Leave Travel Concession in respect of a journey performed by me in the year, ____________ in respect of block of two years __________and __________ This claim is in respect of the journey performed by me in the year ___________ This is against the concession admissible once every year in a prescribed block for visiting hometown as all the members of my family are living away from my place of work.
5. The journey has been performed by me/my wife with ___________ children/ ___________ children to the declared home town viz. ____________
6. That my husband/wife is not employed in Government service
That my husband/wife is employed in Government service
and the concession has not been availed of my him/her separately for himself/herself or for any of the family member for the concerned block of two years.
7. Certified that my wife/husband for whom L.T.C. is claimed by me is employed in
______________ ( name of the Public Sector Undertaking/Corporation/ Autonomous body etc.) which provides Leave Travel Concession facilities but he/she has not preferred and will not prefer, any claim in this behalf to his/her employer.
8. Certified that my wife/husband for whom L.T.C. is claimed by me is not employed in any Public Sector Undertaking/Corporation/Autonomous Body financed wholly or partly by the Central Government or a Local Body, which provides L.T.C facilities to its employees and their families.
Station:
Date:
Signature of the Government servant.
COMMENTS