Children Education Allowance (CEA) Reimbursement Claim Proforma and Guidelines, Certificate from Institution/ School and Self Declaration

Children Education Allowance (CEA) Reimbursement Claim Proforma and Guidelines, Certificate from Institution/ School and Self Declaration

GUIDELINES FOR SUBMISSION OF CHILDREN EDUCATION ALLOWANCE (CEA) CLAIM

1. CEA rate from Apr 17 to Jun 17 is Rs 1500/- PM (required to submit School fees receipt and bills).

2. CEA rate from Jul 17 to Mar 18 is Rs 2250/- PM (Fixed amount no need to submit receipts / bills).

3. For Hostel Subsidy the rate is Rs 6750/- PM w.e.f. 01 Jul 17.

4. CEA for Specially Abled Children is Rs 4500/- PM w.e.f. 01 Jul 17.

5. For claiming CEA submit a certificate issued by Head of Institution / School.

6. For Hostel Subsidy similar certificate required with additional information about expenditure towards boarding and lodging in the residential complex.

7. Re-imbursement of CEA forms are given below.
********

PROFORMA FOR RE-IMBURESMENT OF CHILDREN EDUCATION ALLOWANCE

CLAIM FOR THE ACADEMIC YEAR: 2017-18
I hereby apply for the reimbursement of Children Education Allowance / Hostel Subsidy for my child / children and relevant particulars are furnished below:-

1.
Name & Rank of the Govt Servant
:

2.
Personal No.
:

3.
Designation
:

4.
Name of the Unit
:
ICGS Smarth
5.
If Spouse is employed, state whether in Central Govt. PSU, State Govt. (give details with name of the Spouse)
:
No
6.
Designation, Office & B.U. No. of spouse, if spouse is employed in Railway
:
No
7.
Details of the child / children for whom CEA / Hostel Subsidy claimed:-

Sequence
Name of child
DOB
Standard
(A.Y. 2017-18)
Name & Place of the School / Institution
1st Child




2nd Child





8. Re-imbursement of Expenditure:-

Sequence
Period
Rate of CEA (Rs)
Amount claimed
Remarks
1st Child
Apr 17 to Jun 17
@ 1500/- PM
4,500.00
School Fee receipts and other bills attached

Jul 17 to Mar 17
@ 2250/- PM
20,250.00
Fixed amount.
2nd Child
Apr 17 to Jun 17
@ 1500/- PM
4,500.00
School Fee receipts and other bills attached

Jul 17 to Mar 17
@ 2250/- PM
20,250.00
Fixed amount.
Total amount claimed Rs
49,500.00


9. Distance of Hostel of child from residence of employee (in case Hostel Subsidy): NA

10. Amount of CEA / Hostel-Subsidy already received up to previous quarter: NIL

11. The Academic year for which CEA / Hostel-Subsidy is applied now: 2017-18

12. (a) Whether the child for whom the CEA is applied for is a disabled child : Yes / No
(b) If yes, indicate the nature of disability:
(c) Date of disability certificate:
(d) Indicate the percentage of disability:

13. Whether the Bonafide certificate from Head of Institution has been attached : Yes / No

14. For Hostel Subsidy, the Bonafide certificate from mentioning the amount is attached: NA

15. If Yes at Item No. 14, Amount claimed for Hostel Subsidy: Rs NA

16. (a) Certified that I or my wife / husband is / is not a Central Government servant.
(b) Certified that my wife / husband Sri / Smt …………………………………………… is presently
working as:…………………………… in …………………………………………… and that he/ she shall not apply / has not applied for the Children Education Allowance for the child / children mentioned above.
(c) 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.

17. Certified that my child in respect of whom re-imbursement of Children Education Allowance is applied is studying in the School / Jr. College which is recognized and affiliated to Board of Education / University. 

18. Certified that I am claiming the CEA in respect of my two eldest surviving children only, The information furnished above are 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 is found to be false, I am liable for disciplinary action.

Date:        Apr 18 
Place:  Goa 
Sd/-
(Signature of Govt Servant)

Name: ……………..........………………
Rank : ……………………..........………
P.No.: ……...............……………………

II
COUNTERSIGNED

ICGS Samarth 
Goa – 403 803 
Date:      Apr 18
********

Authority vide Government of India Ministry of Personal
P.G and Department of Personal &Training New Delhi
Order No. A-27102/02/2017-Estt. (AL) 16 August 2017
(This order shall be effective from 01 Jul 2017)

CERTIFICATE FROM THE HEAD OF INSTITUTION /SCHOOL
(FOR REIMBURSMENT CEA)

Ref No..................
Date:......................

It is certified that Master/ Kumari __________________________________ having Admission No___________D.O.B____________ Son / Daughter of Mr /Mrs. _____________________________ was studying in Class __________ Sec ______ Roll No._____________ during the Previous Academic Year from 2017 to 2018 School / Institution, namely _____________________________________________ vide affiliation Regd No. /Code _____________________________ and pattern __________________ Curriculum.



Place: ________________

Date:- ________________
Signature of principal
(Affix School Stamp)
********

SELF DECLARATION

I Service No. _________Rank_______________ Name __________________________________ of Unit ICGS Samarth do hereby certify that my Son / Daughter namely _________________________________ Studied in Class _____ Sec ____________ Roll No. __________________ during Previous Academic Year 2017-2018 in ___________________________________________________________ School.

In the event of any change in the particulars given above which affect my eligibility for Children Education Allowance. I undertake to intimate the same promptly and refund excess payment, if any made to me.

Signature of Govt Servant

Name: _____________________
Rank: _____________________
P.No. _____________________

Place: ______________
Date: ______________





Source:- Confederation hq

0 comments

Post a Comment

Latest Posts

Get More