Proforma for submitting AILTC claims subsequent to performing journey | Annexure-III

Proforma for submitting AILTC claims subsequent to performing journey | Annexure-III

Annexure-III 
PROFORMA for submitting AILTC claims (subsequent to performing journey)

AILTC BILL FOR THE BLOCK YEAR_____________________TO_____________
(Note :- This bill should be prepared in duplicate - one for payment and the other as office copy) 

PART - A (To be filled up by Railway Servant) 

S. No.
IName of Railway Servant
IIDesignation
IIIEmployee Number
IVPay and Pay Level
VHeadquarters
VINature and period of leave sanctioned
VIIDate of Submission of declaration/Intimation and PPSC to concerned ERB section.
[post_ads]
8. Particulars of members of family in respect of whom the AILTC has been claimed. 

S. No.Name(s) AgeRelationship with the Government Servant
I
II
III
IV
V
VI
VII

9. Details of Journey(s) performed by Railway Servant and the member of his/her family. 

DepartureArrivalDistance in KmsMode of travel and class of accommodation usedNo of FaresFare Paid
Date and TimeFormDate and TimeToRs./Ps
12345678

10. Amount of Advance, if any drawn : _______________________

11. Particulars of Journey(s) for which higher class of accommodation than the one to which the Railway Servant is entitled was used. 

PlaceMode of ConveyanceClass to which entitledClass to which actually travelledNo of FaresFare Paid Rs./Ps
FromTo
1234567
Date............................
Signature of Railway Servant................................ 

RUID No. .............................................................

Mobile No. ...........................................................

Encl: Original copy of all Bills to be submitted along with all tickets/air tickets and boarding passes in original dully stamped by the Airport Authorities. Photocopy of advance intimation is also to be submitted to concerned ERB Unit. 
[post_ads_2]
Self Certification (Part B) 

I______________________________________Designation____________________________RUID No. ______________________Employee No.__________________________________Certify that: 

1. Information as given in Part 'A' relating to my AILTC claim is true to the best of my knowledge and belief.

2. l have not availed of any benefit other than air travel as a part of the package offered by the airline. 

3. That my husband/wife is not employed in Government I That my husband/wife is employed in Government Service and the concession has not been availed of by him/her separately for himself/herself or for any of the family members for the concerned block of ............................. years. 

4. Certified that my wife/husband for whom L.T.C. is claimed by me is employed in.................... ........................................................................................................................(Name of the Public Sector Undertaking/Corporation/Autonomous body etc.) which provides Leave Travel Concession facilities but he/she has not preferred and will not prefer, any claim in this behalf from his/her employer. 

5. Certified that my wife/husband for whom L.T.C. is claimed by me is not employed in any Public Sector Undertaking/Corporation/Autonomous body financed wholly or partly by the Central Government or a Local Body which provides L.T.C facilities to its employees and their families. 

6. I have already drawn AILTC claim for the Leave Travel Concession in respect of journey performed by me/my wife with ................................... children. This claim is in respect to the journey performed by my wife/myself with .......................................children none of whom traveled with the party on the earlier occasion. 

7. I have not submitted any other claim so far for Leave Travel Concession in respect of myself or my family members in r/o the block year ........................................................

Date:........................

Place: ......................

Signature of Railway Servant: ............................

Name:...................................................................

Designation/Branch: ...........................................

RUID No & Employee No:.................................

Mobile No. : .......................................................


Part - C ( to be filled by concerned Cash Section ) 

1. The net entitlement on account of leave travel concession works out to
Rs.
(a) Railway/Air/Bus/Steamer fare
Rs.
 (b) Less amount of advance drawn vide Voucher No______________ dated _____________________
Rs.
Net AmountRs.
 2. The expenditure is debitable to
Initials of Dealing hands
Signature of SO/Cash-I/II/III
Countersigned - US/Cash
 Signature of Controlling Officer-Dir/GA
Note: Before sending the final Bill to PAO the following certificate in Part(D) may be obtained from concerned ERB Section. As regards entry in Service Book of Gazetted Officers, the same be taken care of at the time of final clearing of LTC claim.

Part - D ( to be Given by Concerned ERB Section/PAO/RB ) 

1. Certified that Shri/Smt/Miss has rendered continuous service for four or more years on the date of commencing the outward journey & 

2. That necessary entries have been made m the Service Book of Shri /Smt /Miss ------------------------

Signature of the Officer authorized 
to attest entries in the Service Book - PAO/SO-ERB-I/Il/V 

For use in Pay and Accounts Office 

Voucher No ..................................... Dated .......................................... . 

Pay Rs. ............................... ........... Rupees ......................................... 

Vide . . ............... .................. .............Dated ........................................ . 

Signature of the PAO
download-proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III-page-1
download-proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III-page-2
download-proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III-page-3
download-proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III-page-4

http://www.indianrailways.gov.in/railwayboard/uploads/directorate/secretary_branches/Office%20Order%202018/OO_104_2018.PDF

COMMENTS

Defence$type=complex$count=4$ico=1

7th CPC$type=list$m=0$cate=0$sn=0$rm=0$c=5

Name

'Aaykar Setu' mobile app,1,5th cpc,6,6th cpc,8,7th CPC,408,7th CPC Arrears,4,7th CPC Arrers,8,7th CPC Hindi News,13,7th CPC News,73,7th Pay Commission,219,Aadhaar,23,acpin,1,ad-hoc bonus,4,ad-hoc staff,1,additional hra,1,admit card,1,advance salary,1,AGEY,1,aicpin,10,aigdsu news,6,AIIMS,2,ailtc railways,7,aipr,3,Air Force,13,Air India,5,air india ltc 80 fare,4,Air Travel,7,Aircel,1,airf,18,Airlines,1,Airtel,4,alcohol policy,1,all india,5,Allowances,125,Amazon Ofers,1,Andhra Pradesh,1,Andhra Pradesh govt employee,1,anomaly committee,1,aoc,1,apar,1,app download,1,Apple iPhone,3,Assam,4,Assistant Jobs,1,Bank,31,bank da,3,bank holidays,1,Bank Policies,19,banknotes,1,Bihar,9,Bihar 7th CPC,3,bihar govt employee,1,Bollywood,4,bonous,1,bonus,6,breakdown allowance,2,Breaking News,139,BRICS,1,Bsnl,12,BSNLMRS Hospitals,1,budget,4,Business,84,ca exam pattern,1,Cabinet News,41,cadre restructuring,3,cadre review,13,CAG Report,3,CAPO News,4,Career,56,career progression,1,casual labour,3,casual leave,3,cat Judgement,4,cat order,3,CBDT,12,CBEC,4,CBSE,7,ccs master circular,1,ccs pension rules,2,ccs rules,4,ccsrp rule,1,cda rules,2,cgda,26,cgegis table,6,CGHS,89,cghs agartala,1,cghs ahmedabad,1,cghs allahabad,1,cghs bengaluru,2,cghs bhopal,1,cghs bhubaneswar,1,cghs chandigarh,1,Cghs Chennai,1,cghs dehradun,1,cghs delhi,3,cghs guwahati,1,cghs hyderabad,1,cghs indore,1,cghs jabalpur,1,cghs jaipur,1,cghs kanpur,2,cghs karnataka,1,cghs kerala,1,cghs kolkata,1,cghs lucknow,1,cghs meerut,2,cghs mumbai,1,cghs nagpur,1,cghs patna,2,cghs pune,1,cghs ranchi,2,cghs shillong,1,cghs trivandrum,2,cghs uttrakhand,1,chandigarh,1,chhattisgarh,1,child care leave,2,children education allowance,7,China,1,cisf,1,come & play scheme,1,compassionate ground appointment,5,Compensation Policy,3,composite allowance,1,condiment allowance,3,Condiment expenditure,2,confedration,1,consatant attendance allowance,1,contract labour,7,Conveyance Allowance,3,cpao order,21,cpf,1,cpgrams,3,cpiiw,4,cpse,70,cpse employees,8,cpse guidelines,29,cpse pay revision,2,cpse pension,5,CPSEs Pay,20,Cricket,4,cris,3,CRPF,1,CS(MA) Rules,5,csd,2,csd price list,1,Current Affairs,308,cvc circular,2,d el ed,1,daily officiating allowance,3,dearness allowances,49,dearness relief,18,Defence,236,Delhi,2,delhi govt employee,2,delhi high court,1,dental doctor,1,dept of post order,43,deputation,3,deputation allowance,4,desw,2,desw order,5,disability pension,5,dlc,2,Doctor Jobs,12,doe order,24,doppw order,8,DoPT Order,127,dot order,10,Download MedWatch App,1,Download MyMSME App,1,Download MyMSME App Celebrating Yoga,1,Download NEW ITR FORM,2,Download Swachh Bharat App,1,dpe om,34,dress allowance,5,dress code,1,EC,1,echs,24,ecil,1,EDUACTION,75,Education,7,educational qualification,1,Egineer Jobs,1,Election Commission,1,Employment,6,Entertainment,2,EPFO,25,ESIC,4,eview committee for nps,1,EVM,1,Ex-Servicemen,6,exam,2,exempt from tax,1,expected da,11,extra work allowance,1,Extraordinary Pension,1,Facebook,8,fact jobs,1,Family Pension,95,FAQ,2,Featured,79,festivals,1,FIFA,1,File ITR,23,Fin Min Orders,66,Finance,8,Fixed Medical Allowance,7,Flipkart,2,Football,3,FREQUENTLY ASKED QUESTIONS ON GST,1,Games,12,Ganes,2,gazette notification,13,gdce instructions,3,gds,1,gds arrears,9,gds da,11,gds employees news,19,gds pay,15,gds report,18,gfr,1,GOI News,570,Goods and Services Tax,50,Goods and Services Tex,1,Google,10,government of karnataka,1,Govt Jobs,11,govt of assam,2,govt of assam pensioner,1,govt of assam staff,1,govt of chhattisgarh,1,Govt Project,324,Govt Staff News,1133,Govt Yojna,257,gpf interest rate,1,GPF Rules,12,GPRA,4,gratuity,6,group A,1,Group D,1,Gst,61,GST Rates Finder app,1,Hardship Allowance,1,Haryana Govt Employees,2,Haryana Govt order,2,hba rules,9,Health,25,High Court Judgement,3,high court order,2,hill area allowance,1,holiday list,11,Hollywood,2,honorarium,1,hpca,1,hr allowances,1,hra,2,HRA Allowances,39,iba,6,iba dr,1,ibps,2,icsil,1,ida cpse,15,income tax,23,independence day,1,India,3,India Post,15,Indian Airforce,49,Indian Army,68,Indian Navy,63,indian railway,10,IOCL Jobs,1,IRCTC,8,irms,1,irtsa,2,Island Special Duty Allowance,1,ISRO,1,iti ltd,1,ITR,32,j&k govt employees,3,j&k govt pensioners,1,Japan,1,Jharkhand,3,Jio News,8,jkssb,1,jnv,7,Jobs,54,Jobs News,102,karnataka,1,kerala,4,Kerala Govt Employees,4,Kerala Govt Pensioners,2,Kolkata,1,KVS,40,kvs pension,2,labour Bureau,7,larsgess scheme,3,Latest,991,ldce,3,leave rules,1,lic pay,2,life certificate,1,life time arrear,1,Lok Sabha,142,LTC,38,ltc 80 air fare,6,Ltd Company Jobs,2,mAadhaar App,2,macp,32,Make in India,2,Market,1,Maruti Suzuki Dzire,1,maternity leave,6,medical card,1,Medical claims,4,Meghalaya Govt Employees,1,MERIT app,1,mes,1,MGNREGA,2,mha,1,mhfw order,14,mhrd order,1,Microsoft,1,Microsoft News,1,minimum wages,7,mod order,17,mohfw order,5,monetary allowance,3,MP,1,msp,2,mtnl,2,NABARD,1,Namami Gange,5,National,705,ncjcm,21,nda,2,ndmc,1,New Delhi,3,new TRCA matrix,5,nfir,62,NGT,1,night duty allowance,2,northern railway,1,Notification,1,npci,1,nps,35,nps updates,1,nursing allowance,2,nursing perssonsel,2,NVS,9,odisha,3,odisha govt employees,1,odisha govt pensioner,1,operation theater allowance,1,ordnance factory,1,orop,16,overtime allowance,6,PAN,6,pass rules,4,Passports,1,patna high court judgement,1,pay fixation,21,pay slip,1,pcda circular,41,pco allowance,2,pda lists,1,pdca circular,8,Pension,211,Pension Adalat,2,Pension Adalat Application Form,3,Pension faq,21,Pension revision,8,Pensioner,166,Pensioner associations,3,Pensioner Portal,12,pfrda,3,pgportal,3,pl bonous,12,PM Modi,26,PMAY,5,PMUY,1,PMVVY,1,Policies,387,Politics,36,post graduate allowance,1,post office,3,prcp in railway,4,President,2,Project Allowance,2,Promotions,22,Promotions policy,26,provisional pension,2,puducherry,1,Railway,372,railway servants pass rules,1,rajasthan govt employees,2,rajasthan govt pensioners,1,rajbhasha,1,Rajya Sabha,38,Rashtriya Swasthya Bima Yojana,1,ration money allowance,2,RBI,11,Real Madrid,1,Recruitment,6,recruitment rules,9,relhs,1,remote area allowance,1,remuneration,1,RERA Act,1,reservation criteria,11,rest rules,1,Result,5,retirement age,2,retirement benefits,1,review committee for nps,6,revised pay,25,revised pay matrix table,5,revised pension,3,revised vda,8,rilways,1,risk and hardship allowance,8,RS (RP) Rules,2,running staff,2,RUSA,1,s,1,SAARTHI App,1,SBI,11,SBI Rules,6,scholarship,1,Science,17,scova meeting,1,SEVA App,1,Seventh Central Pay Commission,149,SKILL INDIA Mission,1,small saving scheme,2,special allowance,3,Special LC Gate allowance,1,Sports,16,ssc jos,1,status of PPOs,2,storekeeping staff,1,strike,3,study allowance,1,study leave,1,Sukanya Samriddhi Account,2,Supreme Court,22,Supreme Court Judgement,17,Survey,1,syllabus,1,syndicate bank,1,Tarang Sanchar,1,Tax,22,tds deduction,3,teacher jobs,2,Tech,34,Telangana,1,telangana govt employees,1,Telcome,2,Telcome News,8,timely disposal of applications,1,TN Govt Employees,4,TN Govt Pensioners,3,tnusrb recruitment,1,Trade,1,trade unions,1,TRAI,1,training allowance,2,Transfer policy,25,transport allowance,4,Travelling Allowance,22,Trending Now,131,tripura govt employees,1,tripura govt pensioner,1,Trump,1,uan,1,Uber,1,ugc,1,uidai,1,UJALA Scheme,1,UP CM Yogi Adityanath,2,UP Govt Employees,1,upgradation of pay,2,uppsc,1,UPSC Jobs,2,USA,2,Uttar Pradesh,3,vrs,2,Weather,2,West Bengal,1,Whatsapp,2,Windows 10 OS,1,World,62,World Press Freedom Day,1,You Tube,2,
ltr
item
Param News: Central Government Employee News|Latest DOPT OM: Proforma for submitting AILTC claims subsequent to performing journey | Annexure-III
Proforma for submitting AILTC claims subsequent to performing journey | Annexure-III
Office Order No. 104 of 2018 - Download Proforma for submitting AILTC claims subsequent to performing journey | Annexure-III
https://2.bp.blogspot.com/-6YhZ1y5Jv44/W75r1ykz21I/AAAAAAAAIdQ/sBjGqLlJNzAvp2jvWf1c0nm2yf0K7sDSwCLcBGAs/s320/download-proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III-page-1.png
https://2.bp.blogspot.com/-6YhZ1y5Jv44/W75r1ykz21I/AAAAAAAAIdQ/sBjGqLlJNzAvp2jvWf1c0nm2yf0K7sDSwCLcBGAs/s72-c/download-proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III-page-1.png
Param News: Central Government Employee News|Latest DOPT OM
https://www.paramnews.com/2018/10/proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III.html
https://www.paramnews.com/
http://www.paramnews.com/
http://www.paramnews.com/2018/10/proforma-for-submitting-ailtc-claims-subsequent-to-performing-journey-annexure-III.html
true
2671314941044517342
UTF-8
Loaded All Posts Not found any posts VIEW ALL Readmore Reply Cancel reply Delete By Home PAGES POSTS View All RECOMMENDED FOR YOU LABEL ARCHIVE SEARCH ALL POSTS Not found any post match with your request Back Home Sunday Monday Tuesday Wednesday Thursday Friday Saturday Sun Mon Tue Wed Thu Fri Sat January February March April May June July August September October November December Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec just now 1 minute ago $$1$$ minutes ago 1 hour ago $$1$$ hours ago Yesterday $$1$$ days ago $$1$$ weeks ago more than 5 weeks ago Followers Follow THIS PREMIUM CONTENT IS LOCKED STEP 1: Share. STEP 2: Click the link you shared to unlock Copy All Code Select All Code All codes were copied to your clipboard Can not copy the codes / texts, please press [CTRL]+[C] (or CMD+C with Mac) to copy