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LTA Claim Form Format

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Free download LTA Reimbursement Claim Format in India in word/ .doc 
DATED: 31.03.2014
ROCKET SALES LIMITED
BILL FOR LEAVE TRAVEL ASSISTANCE
               
NAME :________________________

DEPT.:________________________
  
DESIGNATION:__________________

PERIOD: 01.04.13 TO 31.03.14

CLASS OF JOURNEY:____________

NAME OF THE PERSON                              AGE                          FROM                         TO                       RELATIONSHIP







PERIOD OF LEAVE FROM ----------------  TO -------------------- 

TRAIN NO.___________ NAME _____________________

FARES @ OF _________ FOR ______________ PERSON.


TOTAL AMOUNT     :________________

AUTHORISED       :________________

ADJ. ADV, IF ANY :________________

AMOUNT PAYABLE   :________________

SIGNATURE:_____________________ 


A/C HEAD DEBITED
----------------
O/S LIABILITY        L.T.A.
___________       __________
                                                                                                                 |                                |     |                             |
                                                                                                                 |                                |     |                             |
|___________|     |__________|
                         


__________                                ___________                            _______________________                           ___________
DEPT. HEAD                                 PASSED BY                              APPROVED FOR PAYMENT                            RECEIVED BY

❤️ Most users support via UPI below

Every small support will help us keep this platform free and alive. Thank you! ๐ŸŒธ

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