GUJARAT NATIONAL LAW UNIVERSITY APPLICATION FORM FOR LTC APPROVAL AND GRANT OF ADVANCE 1 Name of the Employee 2 Designation Date of Entering into the Service 3 4 Pay Scale 5 Home Town as recorded in the Service Book Whether spouse is employed and if so 6 whether entitled to LTC Whether the concession is to be availed for visiting home town and if so block for 7 which LTC is to be availed. (As per the Directive) Whether the concession is to visit anywhere in India, and if so block for which LTC is to 8 be availed. (As per the Directive) Mode of travel from the University to home town/place of visit by shortest route: 9 Air/Rail/Bus (As per the entitlement) Encashment of days Earned Leave Yes/No 10 along with LTC if required (if applicable) Persons in respect of whom LTC is proposed to be availed. Relationship with Income S. Name Age Occupation No the Employee 1. 2. 11 3. 4. 5. 6. ₹) Amount of advance required (in 12 Details of journey (s) to be performed by the Employee and the members of his/her family. Departure Arrival Remarks
GUJARAT NATIONAL LAW UNIVERSITY APPLICATION FORM FOR LTC APPROVAL AND GRANT OF ADVANCE 1 Name of the Employee 2 Designation 3 Date of Entering into the Service 4 Pay Scale 5 Home Town as recorded in the Service Book 6 Whether spouse is employed and if so whether entitled to LTC 7 Whether the concession is to be availed for visiting home town and if so block for which LTC is to be availed. (As per the Directive) 8 Whether the concession is to visit anywhere in India, and if so block for which LTC is to be availed. (As per the Directive) 9 Mode of travel from the University to home town/place of visit by shortest route: Air/Rail/Bus (As per the entitlement) Encashment of 10 days Earned Leave along with LTC if required (if applicable) Yes/No 11 Persons in respect of whom LTC is proposed to be availed. S. No Name Age Relationship with the Employee Occupation Income 1. 2. 3. 4. 5. 6. 12 Amount of advance required (in ₹) Details of journey (s) to be performed by the Employee and the members of his/her family. Departure Arrival Remarks