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1) The document is an application form for claiming the Children Education Allowance for the academic year from the Indian Railways. 2) It requests information such as employee details, family details including child details, school and class details, claim amount, and documents like bonafide certificates. 3) The applicant declares that the child is wholly dependent, neither spouse is a central government employee or claiming reimbursement, the child is studying in a recognized school, and the particulars provided are correct.

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Devendra Kathane
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333 views

Desktop PDF

1) The document is an application form for claiming the Children Education Allowance for the academic year from the Indian Railways. 2) It requests information such as employee details, family details including child details, school and class details, claim amount, and documents like bonafide certificates. 3) The applicant declares that the child is wholly dependent, neither spouse is a central government employee or claiming reimbursement, the child is studying in a recognized school, and the particulars provided are correct.

Uploaded by

Devendra Kathane
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR CHILDREN EDUCATION ALLOWANCE(CEA)

FOR THE ACADEMIC YEAR ………………….


Period of reimbursement ...................................
Ref: Railway Board letter No. E(W2017/ED-2/3 Dated 12/10/2017(RBE No. 147/2017))

01 Name of the Employee


02 Employee No. & Design
03 Shop/Tkt. No.
Pay Bill Unit No.
04 Family details
S.NO Name DOB Age Relation Remarks

05 PARTICULARS OF
CHILD-I CHILD-II
CHILDREN
Name of the student

Date of Birth & Class

Name of the School and


Address

Claim amount

Nature of Claim(tick Education Education


which is applicable) Allowance/Hostel Allowance/Hostel
Subsidy/Disabled Child Subsidy/Disabled Child
06 Whether Bonafide
Certificate from school is
enclosed
07 Hostel Subsidy
Whether Bonafide
Certificate from school
mentioning the amount
of expenditure is
enclosed.

P.T.O
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 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) I hereby declare that reimbursement of Children Education Allowance has
not been claimed in respect of the child/children by a person other than me.
(ii) I hereby declare that reimbursement of Children Education expenses is
claimed for my 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 & Emp no
ON THE LETTER HEAD OF THE INSTITION WITH ADDERESS AND PIN

(if there is no printed letter head ,institutions name and address should be written clearly)

PROFORMA OF BONAFIDE CERTIFICATE FOR


REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE

Certified that Master /Baby/Mr./Ms. ………………….......……………… S/o,D/o.

Shri/Smt ………………………………………………………….his/her Scholar Register

No/Registration No…………………………………. Roll No.......................is a bonafide

student of our Convent/School and has studies Class ……. During the Academic year

…………………..session/Period……………………and School Registration

no.............................

During the year Master

/Baby/Mr./Ms………………………………………………………… Has resided in the

residential complex (Hostel) of the school and paid an amount of Rs. ………….towards

boarding and lodging in the residential complex.

(strike out if is not applicable)

OFFICE SEAL WITH DATE Head of the Institution


Convent/School

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