To      

       The ……………………….

        ……………………………..

Sub: Application for visiting Port Blair in the Union territory of Andaman Nicobar by   availing LTC. 

Sir, 

        I beg to state that I will travel to Port Blair in the Union territory of Andaman Nicobar with my family by availing LTC on 24.05.2026 as per the provision contained in Finance Department O.M. 21730/F dated 16.06.1994 and O.M. No. 31243/F dated 10.11.2014. This is the 2nd time I am availing LTC since my joining i.e. 19.11.2008. Previously I have availed LTC in the month of March, 2012.I am enclosing the duly filled in Application as prescribed in O.M. 21730/F dated 16.06.1994. My family members those will travel with us are as follows.

                    Name                      Relation                            Age

                  Simran Mole             Wife                              35 years

                   Stack Mole                Son                               18 years

                  Runny Mole           Daughter                          24 years

        I, therefore, request you to kindly allow me to visit with my family by availing LTC for which I would be grateful to you. 

                                                                                                             Yours faithfully

Place: Bhubaneswar                                                                              Austin Mole

Date                                                                                                      Section Officer