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.

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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

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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)

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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