Children Education Allowance Application Form Format

GUIDELINES FOR SUBMISSION OF

CHILDREN EDUCATION ALLOWANCE 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.

Fill up the CEA Bill Form online https://1drv.ms/w/s!AlS5RS751C4sgm-MUbJK7BG8ZdUR

-----------

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					:
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					:	NA
7.	Details of the child / children for whom CEA / Hostel Subsidy claimed:-
	Sequence		Name of child		DOB				Standard		Name & Place of the
									(A.Y. 2017-18)		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

2

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:		(Signature of Govt Servant)
		Name: ………………………………………..
		Rank : ………………………………………..
		P.No.:  ……………………………………….

II

COUNTERSIGNED

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)