APPLICATION FOR ENCASHMENT OF LAP

AS PER RAILWAY BOARD NO .F(E)III/2008/LE-I/1 OF 29.1.2008

PART-1
1) Name Of Employee :

2) PF/NPS No :

3) Designation :

4) Office& Station Working In :

5) Date Of Birth :

6) Date Of Appointment :

7) Rate Of Pay(Pay Band +Grand Pay :

8) Apprx .No.Of Lap In Leave A/C :

9) LAP Sanction From ______________________ To____________________ In Accordance With Railway Board No

(E)III/2008/LE-I/1 OF 29.1.2008

10) Details Of Privilege Pass No.___________________ Dated______________________

From ____________ To _____________________ In Accordance With Railway Board

No (E)III/2008/LE-I/1 OF 29.1.2008

I Hereby Declare That The Details Furnished Above Are True To My Information And Belief

Signature Of The Employee

Part –II: Forwarding By Head Of Office

It Is Certified That Shri ___________________________________________________

Working As ________________________ In The Office Of______________________________________________

_Has Been Sanctioned____ Days Of CL/LAP From ____________________ To _______________________

And His Application Forward For Processing Encashment Of LAP As Per Railway Board Board No (E)III/2008/LE-I/1 OF 29.1.2008

Date:

Office:

Office Stamp: Signature Of Leave Sanctioning Authority