Covering Sheet For LTA
Covering Sheet For LTA
¨ Exemption is available in respect of travel to any one place within India by the shortest route
¨ Exemption is available only towards travel fare and not any other expenses.
¨ Travel should be performed by the employee and his family. Family means spouse / employee.
children Parents can be included only if they are wholly dependent on the
¨ Travel proof should pertain to the period of leave (PL) availed by the employee.
Exemption Upto
Mode of Journey Proofs Required
(subject to the actual expense incurred)
By Air Air Economy fare would be eligible for Tax benefit Air Ticket and Boarding pass in original
By Train AC I Class rail fare by the shortest route Train tickets in original
By Bus Deluxe class fare Bus ticket in original
By Taxi AC I Class rail fare by the shortest route Original Taxi bill
Place of Travel
Amount (Actual
subject to
Name of the Mode of Date of leave
Relationship From To Date of travel maximum amount
persons travelled Journey taken
by shortest route
mentioned above )
I hereby declare that the information furnished is true and the Company can rely on it for deducting income tax
at source from my salary income. If the above information is found inaccurate as a result my claim for tax
exemption is not admissible. I understand to keep the Company fully indemnified in respect of all
costs, charges and consequences thereof. I also understand that the Company is free to take
further action as it may deem appropriate.