LTC-Intimation

NATIONAL CENTRE FOR RADIO ASTROPHYSICS
TATA INSIITUTE OF FUNDAMENTAL RESEARCH
PUNE UNIVERSITY CAMPUS, PUNE-411007

LEAVE TRAVEL CONCESSION SCHEME
LTC Intimation Form

Name & Computer Code:

Desingation & Section:

Headquarter:

PB(1/2/3/4/5)-Band Pay-Grade Pay:

Date

The Centre Director
National Cetre for Radio Astrophysics
Tata Institute of Fundamental Research
Ganeshkhind, Pune University Campus
Pune 411007
Dear Sir,
I have been sanctioned Earned Leave/Casual Leave/Vacation for days from to (copy of leave application enclosed). During this period, I myself and / or the following members of my family would like to go to my home town / any where in India viz. . We intend to travel by Road/Rail/Air.

Sr. No.	Name	Relation	Age	Monthly* income
1
2
3
4
5
6

*If dwawing pension, please mention the basic pension.
     I HEREBY DECLARE THAT THE ABOVE MENTIONED MEMBERS OF MY FAMILY ARE FULLY DEPENDANT ON ME, RESIDING WITH ME AND DO NOT AVAIL LTC FACILITY FROM ANY OTHER SOURCE.
     I will submit my final LTC claim within one month of the completion of the return journey.

     Thanking you

For Office Use

Home town/Anywhere in India/
Home town(under AWI)

Yours faithfully,

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Name & Computer Code:
Desingation & Section:
Headquarter:
PB(1/2/3/4/5)-Band Pay-Grade Pay:
Date