Railway: Application form for grant of AILTC advance – To be submitted to concerned ERB Section | Annexure-II

Railway: Application form for grant of AILTC advance – To be submitted to concerned ERB Section | Annexure-II

Railway: Application form for grant of AILTC advance – To be submitted to concerned ERB Section | Annexure-II

Annexure-II
Application form for grant of AILTC advance 
(To be submitted to concerned ERB Section) 
I. Name of the Railway servant:………………………………………………………………………………………………….
2. Designation: ………………………………………………………………………………………………………………………..
3. Employee Number: ………………………………………………………………………………………………………………
4. Date of Joining in Railway Service/Railway Board: …………………………………………………………………
5. Present pay & Pay Level: ………………………………………………………………………………………………………
6. Whether permanent or temporary: ………………………………………………………………………………………….
7. Whether original copy of PPSC submitted along with Intimation: ………………………………………………
8. Whether spouse is employed and if so whether entitled to LTC: …………………………………………………
9. a) The concession is to “visit anywhere in India”, the place to be visited: ……………………………………
b) Block for which to be availed: ……………………………………………………………………………………………….
10. Single Rail fare/Bus fare/Air fare from the headquai1ers to place of visit by shortest route (both to and fro): ………………………………………………………………………………………………………………………………….

11 . Persons in respect of whom AILTC is proposed to be availed: ………………………………………………..
S. No. Name(s) Age Relationship with the Government Servent
I
II
III
IV
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12. Amount of advance required Rs…………………………………………………………………………………………….

I declare that the particulars furnished above are true and correct to the best of my knowledge. I undertake to produce the tickets for the outward journey within ten days of receipt of the advance. In the event of cancellation of journey or if I fail to produce the tickets within ten days of receipt of advance, I undertake to refund the entire advance in one lumpsum. 

Date: ……………….
Signature:………………………………
RUID NO………………………………
Mobile No. ……………………………
(For use in Office) 
I . Particulars in Cols. I to 7 verified: (To be verified by concerned ERB Branch) 
2. Amount entitled for reimbursement: ——————–
3. Advance admissible (90% of amount): —————–
Advance of Rs. ……………………… may be sanctioned. 
US/SO of concerned ERB Section for S.No.1 
US/SO of concerned Cash Section for S.No.2 & 3: 
PAO

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download-application-form-for-grant-of-ailtc-advance-to-be-submitted-to-concerned-erb-section-annexure-II

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