FORM-1
PART 25
CHILDREN EDUCATION ALLOWANCE
Certified that my
Child/Children mentioned below In respect of whom children’s education allowances
is claimed is/are wholly dependent upon me and I am compelled to send my
chilled/children away from the place of my posting/residence due to
non-availability of the School of the requisite standard at the station of my
posting/residence or due to non-availability of a vacancy in such a school at
the station of my posting/residence
Name of Date
of School College
Chilled birth in which studying where the in
C E A allowance
Location
there of Government which admissible claimed for
and
residence of servant is the is the
period
the
child residence child period
June
studying to May
______________________________________________________________________________________
(1) (2)
(3) (4) (5)
(6) (7)
______________________________________________________________________________
______________________________________________________________________________
2. Certified
that my child/children respect of whom children’s education allowance is
claimed is are studying in the School (s) mentioned in column (s) Which is/are
recognized school (s) ( not applicable to School run by Central
Govt / Union Territory Administration /Municipal Corporation /
Municipal Committee /Panchayat Samiti / Zila Parishad )
3. Certified that: -
(1)
My wife/husband is / are not a Central Govt Servant.
(2)
My wife/husband is a not Central Govt Servant and he/she will not claim
children’s
(3)
My wife/husband is employed with………………………………… she/he is not
Entitled to children’s
education allowance in respect of our child/children.
4. Certified
that during the period covered by the claim the child/children attended the
school regularly and did not absent himself/herself/them selves from the school
withour proper leave for a period exceeding one month.
5. Certified that the child/children has / have
been not studying in the same class for more than two academic season.
6. In
the event of any change in the particulars above which effect my eligibility
for children’s Education Allowance, I undertake to intimate the same promptly
and also be refund payments, if any made.
(Signature
of Govt. Servant)
Name…………………………………..
Station; Designation
……………………………
Dated the………………………………. Office
CERTIFICATE FROM
SCHOOL
Certified that Shri…………………………………… S/O Shri……………………………
Studying in the
……………………………Class, Name of the school……………………………
……………………………………PO ………………………………………..Teh…………………
Distt……………………………………………State………………………………………………
1. Date of birth……………………………
2. Date of admission in the School……………………………………………………………
3. Date of admission in the class………………………………………………………………
4. The school recognized /Not recognized by central / State Government of Private
Signature
of the
Principal
/ Head Master
With
seal
Station :
Dated the …………………………….
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