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LTA Claim Form

This 3 sentence summary provides the key details from the LTA proof submission form: The form collects the employee's ID, name, designation, date of joining and details of leave availed in order to declare a journey with relations, listing places visited, dates of travel, mode of transport, and whether ticket/receipt copies are attached. The total cost of travel and a declaration of expenses incurred is also provided, with the employee's signature and date.

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harmeet kaur
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826 views1 page

LTA Claim Form

This 3 sentence summary provides the key details from the LTA proof submission form: The form collects the employee's ID, name, designation, date of joining and details of leave availed in order to declare a journey with relations, listing places visited, dates of travel, mode of transport, and whether ticket/receipt copies are attached. The total cost of travel and a declaration of expenses incurred is also provided, with the employee's signature and date.

Uploaded by

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

LTA PROOF SUBMISSION FORM

1. Employee ID :

2. Employee Name :

3. Designation :

4. Date of joining :

5. Details of leave availed From :

This is to declare that I have undertaken journey as per the details mentioned herein

Relation Copy of
with the Places visited Dates of journey Class/No.of
Name of the Mode of ticket/receipt
employee kms.in case
person travelling travel No.
of car/taxi
(Yes or No)
  Origin Destination From To

                 
                 

                 
                 
                 
                 

Total Cost of Travel: Rs.___________/-

I hereby declare that I have incurred a total expense of Rs. ____________ and attach the copies of
relevant tickets / receipts.

______________________
Date : Signature of the employee

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