Appendix A APPLICATION FOR SANCTION TO TRAVEL UNDER OWN ARNGS 1. 2. 3. 4. 5. 6.

No Rank and Name CDA (O) Account NO Unit/Fmn Duty Station : : : :

Stn(Lve/TD/Cource/Pmt Posting) : For whom sanction is reqd (a) (b) From To : : : : : :

7. 8. 9. 10.

Nature of leave/TD/Course Authority of TR Authority of higher HQ

Duration of leave/Course/Posting : (a) (b) From To : : : : :

11. 12. 13. 14.

Details of family (Wife/Children) Mode of journey If LTC already availed (Y/N) It is certified that:(a) (b) (c) (d) (e) (f)

I have read and understood that contents of Rule 61 (a) TR 1991. I am entitled to claim Ist AC class Rly/Air fair under provn of existing orders of mov. I will perform onward and return journey as indicated in Para 7 above. I will travel to the place as mentioned in Para 6 above. I have not availed / will not again avail such facility during the block of two yrs (in case of LTC only). The above info is correct to the best of my knowledge.

__________________________ (.) Date: .// (Signature of the Officer) SANCTIONED / NOT SANCTIONED