CENTRAL CIVIL SERVICES (LEAVE TRAVEL CONCESSION) (LTC) RULES

FORMS

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Application Form for grant of LTC advance

1. Name of the Government servant

2. Designation

3. Date of entering the Central Government Service

4. Present pay +NPA+SI\

5. Whether permanent or temporary

6. Home town as recorded in the Service Book

7. Whether wife/husband is employed and if so whether entitled to LTC

8. Whether the concession is to be availed for visiting Home Town, and if so block for which LTC is to be availed

9. (a) If the concession is to visit "anywhere in India", the place to be visited.

(b) Block for which to be availed

10. Single rail fare/bus fare from the headquarters to home town/place of visit by shortest route

11. Persons in respect of whom LTC is proposed to be availed:

Sl. No. Name and age Relationship
     

12. Amount of advance required .................. Rs.

I declare that the particulars furnished above are true and correct to the best of my knowledge. I undertake to produce the tickets for the outward journey within ten days of receipt of the advance.

In the event of cancellation of the journey or if I fail to produce the tickets within ten days of receipt of advance, I undertake to refund the entire advance in one lumpsum.

Date
Signature

CHECK LIST
(For use in Office)

1. Particulars in Cols. 1 to 6 verified

2. Amount entitled for reimbursement

3. Advance admissible (90% of amount in 2)

Advance of Rs........... may be sanctioned.

D.A. J.A.O./S.O.

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Form T.R.25 CENTRAL

GAR-14-C

Sub-Bill Sub-Bill No............

LTC

LEAVE TRAVEL CONCESSION BILL

For the Block of years ......... to .............

[NOTE.- This bill should be prepared in duplicate-one for payment and the other as office copy.]

PART A

(To be filled in by the Government servant)

1. Name .......................

2. Designation .........................

3. Pay ......................

4. Headquarters ......................

5. Nature and period of leave sanctioned:

Nature of leave from ............... From ............ To ...............

6. Particulars of members of family in respect of whom the Leave Travel Concession has been claimed:

Sl. No. Names Age Relationship with the Govt. servant
       

7. Details of journey (s) performed by Government servant and the members of his/her family.

Departure Arrival Distance in km Mode of travel Class of Accommodation used No. of fares Fares paidm Rs. P. Remarks
               

8. Amount of advance, if any, drawn ............ Rs. ...........

9. Particulars of journey (s) for which higher class of accommodation than the one to which the Government servant is entitled, was used (Sanction No. and date to be given):

Place From To Mode of conveyance Class to which entitled Class by which actually traveled No. of fares Fares paid Rs. P.
           

10. Particulars of journey(s) performed by road between places connected by rail:

Name of places From To Class to which entitled Rail fare Rs. P.
     

CERTIFIED THAT.-

1. The information as given above is true to the best of my knowledge and belief;

2. 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 by him/her separately for himself/herself or for any of the family members for the concerned block of years ........... to .............

3. That my husband/wife for whom LTC 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; and

4. That my husband/wife for whom LTC 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 Leave Travel Concession facilities to its employees and their families.

Date ..............
Signature of Government servant

PART B

(To be filled in by the Bill Section)

1. The net entitlement on account of leave travel concession works out to Rs……………………….

(Rupees ...............................................)

as detailed below-

(a) Railway/Air/Bus/Steamer fare ........... Rs. P.

(b) Less amount of advance drawn vide Vr. No........... , dated ........

Net amount

2. The expenditure is debitable to ...........................

Bill Clerk Drawing and Disbursing Officer

(Initial) (Signature)

Countersigned
Controlling Officer
(Signature)

Certified that necessary entries have been made in the Service Book of
Shri/Smt./Kum...................

(Signature of the Officer authorized
to attest entries in the Service Book)

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REGISTER OF LTC CLAIMS

Sl. No. Bill No. & Date of Advance/ Final Bill Name & Designation of Govt. servant Block Year Place of visit For whom claimed Amount of Advance/ Final claim Bill No. & Date of Adjustment Date of Receipt of claim Gross Amt. of the bill Net Amt. Rem arks
                       

NOTES.-

1. Entries for advance bill should be made in red ink.

2. In case of final claim where no advance has been drawn, columns (1) to (7) only need to be filled up

3. In case of adjustment bills, columns (9) to (12) against the S. No. of the advance bill should be filled up while passing the net claim.

4. If net amount of the adjustment bill is for a minus amount, particulars of recovery of the balance should be indicated in column (12).

(1) The two certificates one from the Controlling Officer and the other from the Govt. servant concerned should be submitted to the audit authorities along with the T.A. bills for travel concession.

CERTIFICATES TO BE GIVEN BY THE CONTROLLING OFFICER

Certified –

(i) that Shri/Shrimati/Kumari (name of the Government servant) ............... has rendered continuous service for one year or more on the date of commencing the outward journey.

* (ii) that necessary entries as required under para 3 of the Ministry of Home Affairs, OM No. 43/1/55-Ests.(A)-Part II, dated the 11th October, 1956, have been made in the Service Book of Shri/Shrimati/Kumari..................

(Signature and designation of the Controlling Officer)

CERTIFICATES TO BE GIVEN BY THE GOVERNMENT SERVANT

1. I have not submitted any other claim so far for Leave Travel Concession in respect of myself or my family members in respect of the block of two years 19..... and 19 .......

2. I have already drawn TA 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 travelled with the party on the earlier occasion.

3. The journey has been performed by me/my wife with children to the declared `hometown’, viz..................

4. 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 by him/her separately for himself/herself or any of the family members for the concerned block of two years.

Signature of the Government servant