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PAHARPUR COOLING TOWERS LIMITED

8/lIB DIAMOND HARBOUR ROAD


CALCUTTA-700 027

APPLICATION FOR LEAVE TRAVEL


ASSISTANCE
CALENDAR YEAR ....•...............................

Name ...........•....•.................. - .......................•............••.................... ;.•.......••......•


( IN BLOCK LETTERS)

Department •••......•••...••....••.•.....••..•.•••.............••.... '..•... ,......................••..........••....

I, along with my family (1), within the defination of "family" mentioned below,

undertake to travel to (2) : ..•••.....•................ : during privilege leave granted

to me by the Company from _ ......•.....•........................ to ...........••....•..............•..... -.

A. Please pay me Rs." •....•..•...............•..........•••.. (Rupee's ..•••.......••. ~••.; ..••~•.••- •••.

•••.•...•.•......•...••......... ~ _.) towards leave travel, assistance for 'the ',·calendar

year.. .•.•.............. The actual expenditure for travel to the destination, shown

hereinabove, and back by " Class air-conditioned coach in Indian Railways (or

its equivalent) for such journey amounts to Rs..•.•.....•. _ .•....•.. (3)

B. Please pay me Rs....•..•..••.•.••.•..... towards leave travel assistance for the calendar

year.•...•...•.......•••......••. against privilege leave granted to me by the Company from

..•..••........•..•..•.....•••...•.. to ......•..•...•...••.......•••...•••

( Strike out A or B whichever is not applicable) (4).


( See notes overleaf )

Signature .....................•.•.....•....•.............•

Date ..•..•...•.•........•..•.....••..........•..•••...•••.•.

••••••••••••••••••••••••••••••• _ •••••••••••••••••••••••• 4 ••••••

Departmental Head
NOTES:

'1. "Family" includes spouse and dependent children, parents, brothers and sisters.

:2. The name of the destination of travel e. g. Goa, Nainital, Kanyakurnari, etc. is
to be indicated here.

:3. (i) The actual expenditure for journey, or II Class air-conditioned railway
fare, whichever is lower, is exempt from Income-tax.

(ii) Subject to the ceiling mentioned in note 3 (i) above, expenditure towards
leave travel for only two journeys to any place in India is exempt from Income-
tax in a block of four calender years, viz 1986 to 1989, 1990 to 1993,
1994 to 1997 and so on.

4. liB" above is applicable when exemption has already been claimed twice in
each block of four years.

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