The General Manager ,
XYZ Corporation [Company name],
Sub: – Permission to avail Leave Travel Concession (LTC).
I intend to avail of Leave Travel Concession for self and the members of my family for visiting Home-town / LTC.
I hereby declared that I shall avail the Leave Travel Concession in respect of the following members of my family who are residing with me wholly dependent upon me.
|Sl No.||Name||Age||Relationship||Income if any|
It is further declared that neither the undersigned nor any member of my family mentioned above are entitled to any other from travel concession by virtue of their past service in Railways or in any other department or otherwise, excluding my wife/husband any other relation also) who is employed in……………………………….He/She has also not availed/will also not be availing the LTC facility from his/her employer.
My parent(S) monthly income is Rs. ___ /-
Rail fare of the entitled Class-I/II for Rs. – .
I have separately applied for _________days from___to undertake the journey on LTC /Home Town.
It is requested that the requisite sanction for availing the LTC / Home town as per the above details may kindly be accorded and Rs./- Only may please be sanctioned.
I undertake that the facts mentioned above my family members and other dependents etc., are correct and in case the same are found / proved in correct at any state in future, I could be liable to face dismissal from the service of the Corporation.
NAME & DESIGNATION