வ.உ.சிதம்பரனார் துறைமுகம் - சுற்றுலா அனுமதிக்கான படிவம்

Department* :

Name of the Officer * :

Email ID * :

* *

Designation* :

Employee No* :

Basic Pay * :

Purpose of the Tour/ Official Tour/ Training/ Attending Seminar/ Legal Cases, etc& Reference letter No/ date* :

Duration of the Tour Period* :

* *

Place of Tour* :

Date of Journey* :

* *

Details of Journey

Onward Journey :

* *

Return Journey :

* *

Entitlement Class* :

Rail - I Class II A/c III A/c

Others

Whether any relaxation is sought to travel by non-eligible mode/ class/ other than Air India. If by other than Air India Proforma for approval by MOS is enclosed :

Yes No

Whether Previous Tour Advance if any is pending :

Yes No

Local transport arrangement permission* :

Any Holidays/leave prefix/suffix Tour* :

Copy of the relevant note/ order for the nomination of the officer attached* :

DOP Sl.No.31* :

Word Verification* :

*
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* - Please fill out all the required fields before submitting the form.