UTTAR HARYANA BIJLI VITRAN NIGAM LIMITED BLOCK YEAR 2016-19 APPLICATION FOR AVAILING OF LEAVE TRAVEL CONCESSION UNDER NEW SCHEME AS PER STATE GOVT. LETTER NO.13/19/2008-2SII DATED 5.2.09, ADOPTED BY THE NIGAM VIDE MEMO NO.CH-56/UH/HR-II/G-16 DATED 10.04.09. 1.
Name of the officer/ employees
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2.
Post Held
:
3.
Date of appointment in the present service
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4.
Date of retirement
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5.
Block years for which LTC/HTC is proposed to be availed of
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6.
Basic Pay Grade Pay ADA Total
: : : :
7.
Whether wife/ husband is employed : i) If employed, the certificate from his/her department regarding non availing of this facility be enclosed.
Yes/No
It is certified that the Leave Travel Concession/HTC for the Block years being claimed above was not availed of previously.
Dated:_______________ Place:-_______________
Signature of the applicant Name Designation: Office of the:
