Office Copy: GAR-14C TR-25C Leave Travel Concession Bill For The Block of Year . To .

GAR-14C
TR-25C
Sub Bill No…………………
Leave travel Concession Bill for the Block of Year …………. To …………..
Note:- This bill should be prepared in duplicate – one for payment and other as
office copy
PART – A
(To be filled by Government servant)
1. Name ……………………………… 2. Designation ……………………...

3. Basic Pay ………………………….. 4. Headquarter ……………………...
5. Nature and period of leave sanctioned, from ………………to ………………
6. Particulars of members of family in respect of whom the L.T.C. has been
claimed.
Sl.No Name Age Relation with the govt.

servant
1.
2.
3.
4.
5.
6.
7. Details of journey(s) performed by Govt. Servant and the members of the
family :-
Departure Arrival Distance Mode of travel Nos of Fare Remarks
Date & From Date & To in Kms and class of fare paid
Time Time accommodation Rs.
used
8. Amount of advance if drawn Rs. ……………………………………………

9. Particulars of Journey (s) for which higher class of accommodation than the
one to which the Govt servant is entitled, was used (Sanction Number and
date to be given)
Place Mode of Class to which Class by Nos of Fare paid
From To conveyances entitled which fare Rs Ps.
actually
travelled
10. Particulars of journey(s) of performed by road between places connected by
rail:-
Name of places Class to which Rail fare Rs.
entitled
From To
Certified that the:-

1. Information as given above is true to the best of my knowledge and
belief .
2. That my husband/wife is not employed in government service/ that

my husband/wife is employed in Government service and the
concession has not been availed of by him/her, separately or
himself/herself or for any of the family members for the family
members for the connected block of ………. Years.
Signature of Government servant
PART-B
(To be filled in the Bill Section)
1. The net entitlement on account of leave travel concession works out to

Rs. ……………. As detailed below:-
a. Railways/Air/Bus/Steamer fare Rs. …………………………………..
b. Less payment of advance drawn vide Voucher No. ___________
date _______ Rs …………….
Net amount
Rs………
2. The expenditures is debitable to
________________________________________
Initials of bill clerk
Signature of DDO
Countersigned
Signature of Controlling Officer

LTC TO BE GIVEN BY THE GOVERNMENT SERVANT
1. I have not submitted any other claim so far for Leave Travel Concession in respect
ofmyself or my family members in respect of the block of the years 200….& 200……
2. I have already drawn T A for the leave Travel Concession in respect of a journey
performed by me / my wife with…….children . This claim is in respect of the journey
performed by my wife/ myself with ……. Children none of whom a travelled with the
party on the earlier occasion.
3. I have not already drawn T A for the Leave Travel Concession in respect of a
journey performed by me / my wife with …… children/ ………children in respect of
the block of two year 200…. And 200……. This claim is in respect of the journey
performed by wife/ myself with …….. children/ ………… children none of whom
availed of the concession relating to that block.
4. I have already drawn T A for the Leave Travel Concession in respect of a journey
performed by me in the year 200 in respect of block of two year 200…… and
200.. This claim is in respect of the journey performed by me in the 20……………….
This is against the concession admissible once every year in a prescribed block for
visiting hometown as all the members of my family are living away from by place of
work.
5. The journey has been performed by me /my wife with…………children/……………

children to the declared hometown viz…………………………………
6. That my husband/wife is not employed in Government Service.

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 member for the concerned block of two years.
7. Certified that my wife/husband for whom LTC 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 to his/her employer.
8. Certified that my wife/husband for whom LTC is claimed by me is not employed

in any Public Sector Undertaking/ Corporation /Autonomous body financed woolly
or party by the Central Government or a Local Body which provides LTC facilities to
its employees and their families.
Signature of the Government Servant
No. …………………………………………
Rank………………………………………...
Name………………………………………...
LTC TO BE GIVEN BY THE CONTROLLING OFFICER
CERTIFIED:-
1. That Shri/Srimathi/Kumari…………………………………………..has rendered

continuous service for one year or more on the date of commencing the outward
journey.
2. That necessary entries as required under para 3 of the Ministry of Home Affairs
O.M.NO. 43/1/55-Ests. (A) Part II, date the 11th Octover,1956 have been made in
Service Book of Shri/Shrimathi/ Kumari……………………….

Office Copy: GAR-14C TR-25C Leave Travel Concession Bill For The Block of Year . To .

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GAR-14C

1. Name ……………………………… 2. Designation ……………………...

Sl.No Name Age Relation with the govt.

8. Amount of advance if drawn Rs. ……………………………………………

Certified that the:-

2. That my husband/wife is not employed in government service/ that

Signature of Government servant

1. The net entitlement on account of leave travel concession works out to

Initials of bill clerk

Signature of Controlling Officer

5. The journey has been performed by me /my wife with…………children/……………

6. That my husband/wife is not employed in Government Service.

7. Certified that my wife/husband for whom LTC is claimed by me is employed

8. Certified that my wife/husband for whom LTC is claimed by me is not employed

Signature of the Government Servant

LTC TO BE GIVEN BY THE CONTROLLING OFFICER

1. That Shri/Srimathi/Kumari…………………………………………..has rendered

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