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LTC Bill Form

This document is a leave travel concession bill form for a government employee. It contains sections for the employee to provide identification details [Part A] and claim travel expenses for approved leave for themselves and family members. It also has a section [Part B] for the bill processing section to calculate entitlement amounts, note expenditure details, and obtain required authorizations. The form is used to process reimbursement of travel costs during approved leave periods for government employees.

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ANJAN DAS
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2K views4 pages

LTC Bill Form

This document is a leave travel concession bill form for a government employee. It contains sections for the employee to provide identification details [Part A] and claim travel expenses for approved leave for themselves and family members. It also has a section [Part B] for the bill processing section to calculate entitlement amounts, note expenditure details, and obtain required authorizations. The form is used to process reimbursement of travel costs during approved leave periods for government employees.

Uploaded by

ANJAN DAS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

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. Name(s) 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 Mode Class of No. Fares Remarks


in km of Accommodation of paid
travel used fares Rs. P.

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 Mode of Class to Class by No. of Fares


conveyance which which fares paid
From To entitled actually
traveled Rs. P.
10. Particulars of journey(s) performed by road between places connected by rail:

Name of places Class to which Rail fare


entitled
From To 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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