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APPLICATION FOR ENCASHMENT OF EARNED. LEAVE FOR AVAILING LEAVE TRAVEL CONCESSION oP&T’s O.M. F.No.31011/4/2008-Estt (A) dt. 23. 1, Name of the Officer & Designation x Present place of working . Basic Pay & Grade Pay Es Block year for availing LTC Whether LTC proposed for Hometown / Anywhere in India . Declared place of visit a Details of leave sanctioned for availing: LTC (Enclose leave sanction order) 8. Earned Leave balance at credit EL encashed so far for availing LTC (Details may be furnished) Signature of the Applicant CERTIFICATE TO BE GIVEN BY THE DRAWING & DISBURSING OFFICER | Certified that the above details are verified with the Service Records and found to be correct. Assistant Chief Accounts Officer Customs & Central Excise Hats Office, Guntur

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