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Tution Fee 2024-25

The document is a proforma for reimbursement of Children Education Allowance and Hostel Subsidy for the financial year 2024-25. It includes sections for employee details, children's information, academic details, and certifications required for the claim. Additionally, it contains a bonafide certificate template from the head of the institution confirming the child's enrollment and details.

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103 views

Tution Fee 2024-25

The document is a proforma for reimbursement of Children Education Allowance and Hostel Subsidy for the financial year 2024-25. It includes sections for employee details, children's information, academic details, and certifications required for the claim. Additionally, it contains a bonafide certificate template from the head of the institution confirming the child's enrollment and details.

Uploaded by

ctademujuc
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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Annexure‘A’

PROFORMA FOR RE-IMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE


HOSTEL SUBSIDY IN TERMS OF RBE No. 147/2017
Claim for the Financial year:-2024-25
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. P.F.No./ Employee No. :
3. HRMS ID :
4. Designation :
5. Office Address :
6. Bill Unit No. :
7. Name of Spouse :
8. If spouse is employed, State whether in
:
Central Govt. PSU, State Govt.(Give details)
9. Designation, Office & Bill Unit No. of spouse ,if
:
Spouse is employed in Railway
10. Details of all the children of the employee:
S.No. Sequence Name D-O-B Age
1. 1 Child
st

2. 2nd Child
3. 3rd Child (for
twins child)
11. Details of all the children for whom CEA/Hostel Subsidy claimed:
S.No. Sequence Name D-O-B Age
1. 1 Child
st

2. 2ndChild
3. 3rd Child (for
twins child)
12. Academic Year, Name of School/Residential School and Class in which children
studied:
1st Child 2nd Child
Academic Year- Academic Year-
School Name- School Name-

Class- Class-
3rd Child (for twins child)
Academic Year-
School Name-

Class-
13. Distance of Hostel of child from residence of employee (in case Hostel Subsidy is claimed)-
14. Amount of CEA/Hostel Subsidy already received up to previous year.- YES
15. The Academic year for which CEA/Hostel Subsidy is applied now.– 2024-25
16. Whether the child for whom the CEA is applied for is a disabled child. -
a. If yes, indicate the nature of disability:-
b. Date of disability certificate.-
c. Indicate the percentage of disability:-
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17. Whether the Bonafide, certificate from Head of Institution has been attached: YES
18. For Hostel Subsidy, the Bonafide certificate from mentioning the amount is attached:-
19. If Yes at Item No.16, Amount claimed for Hostel Subsidy.
20. (i) Certified that the fee/amount indicate above had actually been paid by me.
(ii)Certified that my wife/husband is/is not a Central Government Servant.
(iii) Certified that I or my wife/husband has not claimed this re-imbursement from any
other source and will not claim the same in future.
21. Certified that my child in respect of whom reimbursement of Children Education
Allowance is applied is studying in the School/Jr. College which is recognized and
affiliated to Board of Education/University.
22. The information furnished above is complete and correct and I have not suppressed any
relevant information. In the event of any change in the particulars given above which affect
my eligibility for reimbursement of Children Education Allowance, I undertake to intimate
the same promptly and also to refund excess payments if any made. Further, I am aware
that if at any stage the information/documents furnished above are found to be false, I am
liable for disciplinary action.
Signature-
Name: -
Designation: -
Working Under:-
Date: -
For office use only
Employee CEA Hostel Subsidy
Name of staff Total
S.No. Number Amount if any
Amount

Certification by the Supervisor


The above application is forwarded to Sr.DFM/FZR/NR for necessary action, duly certifying
that the names of the Child/ Children furnished by the employee have been verified with records
maintained in this office and they are the eldest two surviving children declared by the
employee.

Date:-
Place:-

Signature of Senior Sub ordinate


With office seal and stamp

Page 2 of 3
Annexure-B

BONAFIDE CERTIFICATE FROM THE HEAD OF INSTITUTION/SCHOOL

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

Roll No………………………………………….Admission No…………………………………....………………

Son/Daughter of Sh./Smt………………………………………………………………….…. Is a bonafide

student of this school and studied in Class ..................... during the financial year 2024-25.

And as per school records his/her Date of birth is……………………………………………..............

In words………………………………………………………………………...……………………………………………

This is to also certify that the above named child had studied in this school in the

previous academic year 2024-25.

This institution/School is affiliated & recognized by .................................................................. and

The affiliation/recognition number is ………………………………..

He/She bears a good moral character.

Date: -
Place:-
Signature Head of the
Institution/School
(With Stamp and seal)

Page 3 of 3

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