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    CEA Form

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    gitastudio2012
    The document is an application form for reimbursement of children's education allowance/hostel subsidy for the year 2023-24. It contains details like employee name, designation, child name and details, school name and address, nature of claim, amount claimed, and a declaration signed by the applicant.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    CEA Form

    Uploaded by

    gitastudio2012
    70 views2 pages
    The document is an application form for reimbursement of children's education allowance/hostel subsidy for the year 2023-24. It contains details like employee name, designation, child name and details, school name and address, nature of claim, amount claimed, and a declaration signed by the applicant.

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    CEA form

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    The document is an application form for reimbursement of children's education allowance/hostel subsidy for the year 2023-24. It contains details like employee name, designation, child name and details, school name and address, nature of claim, amount claimed, and a declaration signed by the applicant.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    70 views2 pages

    CEA Form

    Uploaded by

    gitastudio2012
    The document is an application form for reimbursement of children's education allowance/hostel subsidy for the year 2023-24. It contains details like employee name, designation, child name and details, school name and address, nature of claim, amount claimed, and a declaration signed by the applicant.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    APPLICATION FOR RE-IMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE/ HOSTEL

    SUBSIDY FOR THE YEAR 2023-24 IN TERMS OF RBE NO: 147/2017 & RBE NO: 114/2018.
    I, hereby apply for the reimbursement of Children Education Allowance for my child/
    children and relevant particulars are furnished below:
    1. Name of the Employee
    2. Designation & T. No:
    3. Employee No
    4. Office & Bill Unit No:
    Particulars of Children Child – 1 Child-2
    Name of the Student
    Date Of Birth & Class
    5.
    Name of the School & Address

    Nature of claim: (Tick (Education Allowance/ (Education Allowance/


    whichever is applicable) Hostel Subsidy) Hostel Subsidy)
    Amount of Children Education
    Allowance applied for during
    6
    the Academic Year 2023-24

    Amount of Hostel Subsidy


    incurred during Academic Year
    7 2023-24,
    (Supported with documents.)

    Whether Bonafide certificate


    8
    from school is enclosed.
    Certified that:
    * My child/ children mentioned above in respect of whom reimbursement of education
    expenses is claimed is/are wholly depended upon me.
    * My wife /husband is not a Central Government Employee.
    * My wife /husband is a Central Government Employee and that she/he will not claim
    reimbursement of education expenses in respect of our child/children.
    * My child/ children in respect of whom reimbursement is claimed is/are studying in
    recognised school.
    * I hereby declare that reimbursement of children Education expenses has not been
    claimed in respect of the child/children by a person other than me.
    * I hereby declare that reimbursement of Children Education expenses is claimed for my
    only/eldest two surviving children only.

    I hereby declare that the particulars mentioned above are correct to the best of my
    knowledge. If any information furnished above is not correct, I am liable to be taken up
    under D&AR.

    Signature of the forwarding Official Signature of the applicant


    With date and Office seal Name:
    Desgn. &T.No:
    Employee No:
    Annexure

    BONAFIDE CERTIFICATE FROM THE HEAD OF THE


    INSTITUTION/SCHOOL

    This is to certify that Master/Baby/Mr./Miss _____________________________


    ____________________________, Roll No. _______, Admission No.__________________,
    Son/Daughter of Sri/Smt. ____________________________________________ is a
    bonafide student of this school and studied in Class__________ during the Financial Year
    __________________ and as per school records his/her Date of Birth is
    _____________________ , ( In words _______________________________________
    __________________________________________).

    He/She bears a good moral character.

    **During the year Master/Baby/Mr./Miss _________________________________


    had resided in the residential complex (Hostel) of the school and paid an amount of Rs.
    ___________________, towards boarding and lodging in the residential complex.

    This Institution/School is affiliated/recognised by


    _____________________________________ and the Affiliation/Recognition Number is
    _________________________.

    Dated: ……………………………..

    Place: ………………………………. Signature of the Head of the Institution


    (With Stamp and Seal)

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