I \..LI\IIVI / ''.

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[Of\ JmA~Cl~/OfJ lC( u~ r: 91.il v
. I .( . llo . '/ ( I !•t' , 1,,, 1,IRJl/\llot1 : ·7 f 1 f .1 f
The' 1.l!>l 1.1( / LI l' •"'';'111«-d hv thr rrnplnvr(' w,,,, 111 th,, VNH (1,r th~ hlrK.,_
l'crit)d _;-1_ll \ I'] l<). . '"':\ .c• 1 '! . (I.<· . 00/MM/YYYY to ht' ll\NHfnn, <f) 1

The cmployN.• ,,w, pi.'lnllttr.d lo t'IKM.h _I ~-> . _1'1 tiny~ (1111lng thf' yr,•nr ____ .. (MM/Y'fYY) Md

H(' / shc i~ nnw 1•nl Hl<'d .. ___I :i- .... lfoy~ PL f01 cnrns'1t11('11l nf lrnvr (once In ,1 / 7. y,-.a,s )
O~t~Hs o( hl~/hrr <'ntltl<'mcnt

(ll) Eric"nshmenl o("rr - ciiyls ~~-, -.,...

1.B;ufc t 2::. lJ!.!::...':!. -~
[llgjbility: M()dc <,t· Tr;wcl (R"Hwi'\y fMc )for : 7. tJ.A . , 2. i~L ,
1.Officers 111 SMG / S IV ft i'bovc Is AC 1 clilss 11
J.,mA 'C!u.J.r27 ,,,
2.0 fficcrs i n .lM1 / MMG/S II Ill is AC 2 \ii c a '1.CCA t_ _ _
3.Clerical i~ II nd cl,,ss sleeper 5.Spectal t _ __
4. Sub-St.1H is llnd class sleeper
Atlow;incc
HONf T ."tJr<..I
___ KM Rs. _ _ _ for 2/4 years block 6. Edu. (PQA)
Allowance
'1' l1--; 1 {:"1',.,f'i C t _ __
I, ( _ _ _ _ x 2 (To & Fro)=, 37 So 7.PPA/FPA
8.0lher
l ,. _ _ __ x _ T'lCr-ets
l = ?_ __
Altowance/s
~---
75% of Rs. _ _ _ • Rs. _ _ _ __
TOTAL ' 1$"2- 5 fo 7-:z.<
Officiating Allowance, Washing
Eligible Amount of Rs. --~paid on _ _
Allowance, Cycle Allowance & Transport
Allowance are not to be considered while
Income Tax deducted Rs. _ _ __
~~~~~ent.

1/4~~ ;t:~t:!%~DA
I~ - : : :d/by: 4i~~;:~ ~ -~-~""
,~£, :)/~~•;};(
r\ll\{q;lfq~
I
I ,
,r ~ -, :~
0'
., ._ ~l \ .:t:
CH1 & ~~ ~ ,~ ERC
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Clarifications: ~
~ /
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I ~.
1. Extension of LTC/LFC block is not allowed in case where empi~y~~-.optsJ ~r-;/
encash LTC/LFC facility. ',.;:__·_ -~-,,,..

2. LTC/LFC for travel to the place of domicile {Home Town) is not encashable.

3. In case of Award staff so encashing the facility of LFC shall proceed on leave
for a minir,1um period of -1- days.

4. In case of officers any kind of leave including sick leave/ casua l leave/
extraordinary leave will hold good for encashment of LTC also. No minimum
period of leave has been stipulated.

Entitlement:
1. Offi cers up to scale - Ill -4· yea rs block 4500 km (one way)

2. Clerical Staff ·2- years block 2000km & -4· years block 4000km (one way)

3. Substaff -2- years block 2500 km & -4- years block 5000 km (one way)

4. Part Time Sub - staff (1/3, 1/2, 3/4) ON PRORATA BASIS OF dis tance .

TO BE USED FOR P.S.S TO BE DONE BY HR SH ARED SERVICES BACK OFFICE

V,~--1,
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