LTC Bill online

Bill No.                                                       Date:

Bill for the Block Year to

Note:- This bill should be prepared in duplicate- one for payment and the other as a office copy.

PART-A (To be filled up by the Government Servant)

1. Name : 2. Designation:

3. Band Pay: GP : Total Basic : 4. Headquarters :

5. Nature and period of Leave sanctioned, from Earned Leave Casual Leave Half Pay Leave w.e.f to

6. Particulars of Members of Family in respect of whom the LTC has been claimed.

Sl.No.	Name	Age	Relationship

7. Details of journey(s) performed by Govt. Servant & the member of his/her family.

Departure		Arrival		Dist. in Kms	Mode of Travel &class of accomm-odation used	No. of fares	Fare paid (Rs.)	Ticket No./ PNR No.	Remarks
Date & Time	From	Date & Time	To
					Total Fare:

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

9. Particulars of journey(s) for which higher class accommodation than the one to which the Govt. Servant is entitled, was used (Sanction Number & date to be given).

10.

Place		Mode of Conveyance	Class to which entitled	Class by which actually traveled	No. of fares	Fare paid
From	To					Rs.	Paise

11. Particulars of Journey(s) performed by road between places connected by rail:-

Name of Places		Class to which entitled	Rail Fare (Rs.)
From	To

Certified that :-

1. Information are given above is true to the best of my knowledge and belief.
2. That my husband/wife is not employed in Govt. Service/ that my husband/wife is employed in Govt. Service and that concession had not been availed of by him/her separately himself/herself or for any of the family members for the concerned Block Year of .
3. That my husband/wife for whom LTC is claimed by me is employed in 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 wife/husband for whom LTC is claimed by me is not claimed by me is not employed in any Public Sector Undertaking/Corporation/Autonomous body financed wholly or partly by the central government or Local body, which provides LTC facilities to its employees and their families.
5. That my father/mother/sister/brother is/are fully dependent on me and their income is less than Rs.500/- per month and he/she/they is/are residing with me.

Date:

Signature of the Government Servant.

CERTIFICATE TO BE GIVEN BY ADMINISTRATION

1. Certified that necessary entries have been made in the service book of
2. Joint declaration / certificate received from his / her husband’s/ wife’s office. He/She will avail LTC and other benefits from this office.

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

PART- B
(To be filled in the Bill Section)

1. The net entitlement on account of Leave Travel Concession works out to Rs. - as detailed below:-
   (a) Railways/Air/Bus/Steamer fare Rs.

   (b) Less amount of advance drawn Rs.
   (c) Vide Bill No. Dated:
   (d) Net Amount:-Rs.

2. The expenditure is debitable to: SALARIES

Passed for Rs.

Issue Cheque in favour of:- for Rs.

………………………..
Initials of Bill Clerk

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Signature of D.D.O.