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Get Ltc Lfc Bank Of Baroda

Dt ... (Copy to be enclosed) Note: This bill should be prepare in duplicate-one for payment and the other as Office copy. PART-A (To be filled up by Govt.Servant) 1. Name 2. Designation 3. Pay 4. Head-quarters 5. Nature and period of leave sanctioned. Form ..To 6. Period of Journey/ Performed : 7. Particulars of member of family in respect of whom L.T.C. has been claimed. Sl. No. Name Age Re.

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