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7th CPC CEA – Proforma for Re-Imbursement

7th CPC CEA – Proforma for Re-Imbursement

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:-
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 anyother 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

(Signature of Govt Servant)

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

II
COUNTERSIGNED

ICGS Samarth
Goa – 403 803

Date: Apr 18

Source: Confederation

Comments

Unknown said…
Why we need to attach bills for the period from 01/04/2017 to 30/06/2017. Govt. order clearly says that the eligibility of the reimbursement will be at old rate i.e Rs 1500/- But not mentioned about the requirement of submission of the bill. This should be examined with reference to the recommendation of the pay commission deliberations and subsequent recommendation. Inorder to simplify the procedure Pay commission recommended that a certificate should confirm that the child studied in the school duly signed by Head of the School is sufficient. I feel the matter should be examined by DOPT appropriately and the spirit of the recommendation and Government intention for implementation should be taken into consideration and issue necessary order.

KM RAJESH NAMBIAR
ACCOUNTS OFFICER
NPOL

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