Children Education Allowance Reimbursement Form Download

Children Education Allowance Reimbursement Form Download

Guidelines for Payment of Children Education Allowance as per 7th CPC

PROFORMA FOR REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE/HOSTEL SUBSIDY IN TERMS OF RBE No. 147/2017

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New Methodology of Application and Schedule of Payment towards Children Education Allowance

PROFORMA FOR REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE/HOSTEL SUBSIDY IN TERMS OF RAILWAY BOARD ORDER RBE No. 147/2017

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

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

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

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

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

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

Reimbursement of CEA forms are given below.

CLAIM FOR THE FINANCIAL YEAR: –

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.	Designation	:
4.	Office & Bill Unit No.	:
5.	Name of Spouse	:
6.	If spouse is employed, State whether in Central Govt., PSU, State Govt. (give details)	:
7.	Designation, Office & B.U. No. of spouse , if spouse is employed in Railway:

Details of all the children of the employee:

Sl. No.	Sequence	Name	DOB	Age
1.	1^st Child
2.	2^nd Child
3.	3^rd Child

Details of all the children for whom CEA/Hostel Subsidy claimed:

Sl. No.	Sequence	Name	DOB	Age
1.
2.

Academic year, Name of School/Residential School and Class in which children studied:

1^st Child

2^nd Child

Distance of Hostel of child from residence of employee ( in case Hostel Subsidy is claimed)…..
12. Amount of CEA/Hostel Subsidy already received up to previous quarter:___…
13. The Academic year for which CEA /Hostel Subsidy is applied now: ..
14. (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:
15. Whether the Bonafide certificate from Head of Institution has been attached : Yes/No.
16. For Hostel Subsidy, the Bonafide certificate from mentioning the amount is attached: Yes/No
If Yes at Item No. 16, Amount claimed for Hostel Subsidy:……………….
18. (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 my husband/wife 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 mentioned above.
(iv) 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 reimbursement of Children Education Allowance is applied is studying in the School/Jr. College which is recognized and affiliated to Board of Education/University.
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.

Signature:
Name:
Design & Station
Working Under:
Date:

The family composition of the claimant has been verified from the official records such as Pass Declaration/Register etc and found correct.

Date:

Signature of Sr. Subordinate
With office seal and stamp

FOR OFFICE USE ONLY

Sl. No.	Name of staff	P.F.No.	CEA Amount	Hostel Subisdy Amount if any	Total

Sl. No. Name of staff P.F.No. CEA Amount Hostel Subisdy Amount if any Total

Forwarded to : Sr.DFM/CKP for vetting and early return.

Bill Clerk/OS

Bill Compiling Officer

Annexure ‘B’

BONAFIDE CERTIFICATE FROM THE HEAD OF INSTITUTION/SCHOOL

This is to certify that Master/Baby/Mr./Miss …………………………Roll no…………………. Admission No……………………son 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 ………………………This is to also certify that the above named child had studied in this school in the previous academic year………………………….

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………..…………….. toward boarding and lodging in the residential complex.

This Institution/School is affiliated recognized by ………………………………and the affiliation/recognition Number is……………………

Dated:
Place:
Signature Head of the Institution/School
(with Stamp and seal)

**(Strike out it is not applicable)

CEA AND HS FORMS DOWNLOAD PDF FORMAT:

Download reimbursement application form

Format for Died In Harness Certificate

Format for Single Girl Child

Format Service Certificate for State Govt Employees

Format Service Certificate for Central Govt Employees

Format Self Declaration Distance Between School And Residence