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NATIONAL CENTRE FOR RADIO ASTROPHYSICS
TATA INSIITUTE OF FUNDAMENTAL RESEARCH
PUNE UNIVERSITY CAMPUS, PUNE-411007


APPLICATION FORM FOR GRANT OF EARNED LEAVE WHILE AVAILING LTC

Name of the Staff Member
Comp Code No. Section / Division
Designation
Type of leave and dates sanctioned for LTC
No. of days EL surrendered for encashment*
Pay Band(PB1/PB2/PB3/PB4/HAG)  Band Pay  
Grade Pay   DA (   %)  
Signature of the applicant with date
Recommendations of the Reporting Officer


Certified that days of Earned Leave is at the credit of as on the date of appliction. He / she has been sanctioned days of leave to avail LTC from to . It is recommended that the above staff member may be granted EL encashment for days. He/She has availed encashment on no. of occassions till now. His/her EL balance after availing the above encashment will be no. of days [Min. 30 days]. Certified that necessary entries are made in the leave records & LTC file of the staff member.


Calculation of EL Encashment

Band Pay  Grade Pay  DA  No. of Days encashed 

Total emoluments (Band Pay + Grade Pay + DA) Rs.
Total/30 * No. of day
EL encashment Rs.


AO (C) (Estt)                                                    AO (C)           Head (Admin & Finance)
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1. Accounts : Paid EL encashment of Rs. for of days vide vourcher no. dated