Application for Encashment of LAP

Employee Details
Name
Emp No. & Bill Unit
Designation
Basic Pay ( including grade pay )
Date of retirement
Period of L A P
Number of Days of LAP for encashment

I declare that

I shall not cancel the leave at a later date after availing encashment
I shall not cancel the pass applied
I have not availed encashment of leave for the last 2 years
I will remit the encashment amount if I cancel the my leave or pass
I have not encashed LAP of 60 days during my career.
I also certify that the above particulars furnished by me are true and correct to the best of my knowledge
If any information furnished is not true/suppressed, I am liable to be taken under DAR
Place
Date Signature of the employee
Signature of the forwarding Official
Certification by Leave Section Certification by Pass Section
Leave Details PASS / PTO details
From To
a) Period of LAP a) Pass/PTO Number
b) No. of days of encashment b) Dated
c) No. of days of LAP balance after debiting period of encashment and period of LAP (should not be less than 30 days ) c) Pass issuing authority
Signature of Leave Section Signature of Pass Section
Certification by Staff Section
Certified that the details and declaration of the employee are verified and found to be correct and the employee has fulfilled the conditions stipulated in Rule 540A of IREC Vol-I and RBE No.161/2008 Dt.29.10.2008. The employee is eligible to draw encashment of LAP for . days from _________ to ____________.
The Basic pay of the employee during this period is Rs._____________.
Signature of the Sanctioning authority
Forwarded to Bill Drawing Officer