LTC Advance Forms

APPLICATION FOR AN ADVANCE FOR AVAILING LEAVE TRAVEL CONCESSION

PART - I

(To be filled by applicant)

1. Name of the Applicant :
2. Present designation and Pay :
3. Whether permanent or temporary :
4. Date of continuous appointment :
5. Amount of advance required and :
period of journey.
6. Particulars of block years for :
which advance is required.
7. Name of place/town proposed for :
visit and Railway fare per ticket
by the eligible class from HQ to the
propose place of visit.
8. No. of person proposing to travel :
and their names and relationship
to the Govt. servant and age.
9. Whether you have taken any :
advance during the current block
year.
10. How you propose to perform the :
journey (Rail. Road, River) and
mode of conveyance that will be
utilized.

Place : Signature of the
Applicant.
Date :

PART - II

(To be filled by HPO or Administrative office)

Certified that the particulars furnished by the applicant against item (2), (3), (4) & (9) of part I are correct.

Postmaster/Head of Administrative office