Form

REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE

(Ref. OM No.12011/03/2008(Allowance) dated 02/09/2008)

I. Certified that Children/Child mentioned below in respect of whom reimbursement of

Children Education Allowance claimed is wholly dependent upon me :-
Name of the Child & School in which studying Class in which studying Total Amount of
Date of Birth & A/Y reimbursement claimed
(1) (2) (3) (4)
1)

#Tuition fees (for the whole year 20…. –I / II / III / IV –Term) Rs.
Purchase of Books (One Set / per child/ per Academic Year) Rs.
Purchase of Note Books (One Set / per child/ per Academic Year) Rs.
Purchase of Uniforms (Two Sets / per child/ per Academic Year) Rs.
Purchase of School Shoes (One Set / per child/ per Academic Year) Rs.
Total to be filled in column 4 above Rs.

OR
Hostel subsidy claim as per receipt enclosed Rs.
2)

#Tuition fees (for the whole year 20…. –I / II / III / IV –Term) Rs.
Purchase of Books (One Set / per child/ per Academic Year) Rs.
Purchase of Note Books (One Set / per child/ per Academic Year) Rs.
Purchase of Uniforms (Two Sets / per child/ per Academic Year) Rs.
Purchase of School Shoes (One Set / per child/ per Academic Year) Rs.
Total to be filled in column 4 above Rs.

OR
Hostel subsidy claim as per receipt enclosed Rs.
II. Certified that the Education Allowance indicated against the Child/Children has been paid by me (receipts
enclosed).
(Note :- Copy or school fees card & Rank challans / paid up receipts / purchase receipts in original are to be
enclosed)
III. Certified that :- (Tick ( ) on applicable condition)
a) My spouse is not a Central Government Servant
OR
b) My spouse is a Central Govt. servant and that she/he has not claimed / will not claim children’s
educational allowance in respect of our child/children.
c) My child / children in respect of whom re-imbursement of tuition fee etc is claimed is/are studying in
the school which is a recognized school(including schools run by Central Government / State
Government / Union Territory Administration / Municipal corporation / Municipal Committee
/Panchayat Samiti/Zila Parishad).
IV. In the event of any change in the particulars given above which affect my eligibility for children’s educational
allowance, I undertake to intimate the same promptly and also to refund excess payment, if any made.
Note # Tuition Fee means Tuition fee, Admission Fee, Lab fee, Special fee charged for agriculture, electronics,
music or any other subject, Fee charged for practical work under the programme of work experience, fee
paid for the use of any aid or appliance by the child, Library fee, games/sports fee and fee for extra curricular
activities.

Encl : ` (Signature of the Govt. Servant)

Place & date : Force No……………..Rank……….
Name………………………………..
Unit…………………………………
 FOR OFFICE USE ONLY

1) The claim has been checked with the connected documents and rules.
2) The claim can be admitted for reimbursement. Therefore Rs.___________/- for the
period from ____________ to ___________ may be sanctioned under Children
Education Allowance Scheme as notified vide GOI Ministry of Personnel, Public
Grievances and Pensions (Department of Personnel & Training) O.M
No.12011/03/2008-Estt(Allowance) dated 02-9-2008.
3) The H.O.D is competent for sanction.

Submitted for kind perusal and approval please.

DA

`
 APPLICATION FORMAT FOR CLAIMING CHILDREN EDUCATION ALLOWANCE

To
The Commandant-06 Bn
Central Reserve Police Force,
Arli Road Katra, Jammu
Subject :- RE-IMBURSEMENT OF CEA.
Sir,
I, No. 065347351 Rank ASI/M Name Vikram Singh of 06 Bn CRPF, Katra Jammu
GC/Unit/Office hereby claim CEA for the period Jan-2016 to Dec-2016 of Academic year 2016 in r/o my
ward Kaashvi and ------------------------ who are studying in class LKG & --------- respectively at New St.
Paul Public School, Bhanjraru, Distt-Chamba, Himachal Pradesh
2. The details of the amount claimed for re-imbursement are as follows :-
A) FOR CEA

ENTITLEMENT AMOUNT (In Rs.)

a) Tuition Fee /Monthly Fees @1000/- 12000/-
b) Admission Fee 5000/-
c) Vidhyalaya Vikas Nidhi 500/-
d) Laboratory fee (Exam Fees) 1200/-
e) Special fee charged for agriculture, electronics, ---
music or any other subject
f) Fee charged for practical work under the ----
programme of work experience
g) Fee paid for the use of any aid or appliance by ----
the child
h) library fee ----
i) Games/ Sports fee ----
j) Fee extra- curricular activities ----
k) Purchase of one set of text books and note 3309/-
books
l) Two set of uniforms 6700/-
m) One set of school shoes 1100/-
Total 29,809/-

OR
B) FOR HOSTEL SUBSIDY CLAIM

ENTITLEMENT AMOUNT (In Rs.)

Hostel subsidy ------

3. The original bills/ receipts for above entitlements are enclosed.

Thanking you.

Yours faithfully

No. 065347351 Rank ASI/M

Name Vikram Singh
Unit/GC/Office 06 Bn, CRPF,
Arli Road, Katra, Jammu
 FOR OFFICE USE ONLY

1) The claim has been checked with the connected documents and rules.
2) The claim can be admitted for reimbursement. Therefore Rs.___________/- for the
period from ____________ to ___________ may be sanctioned under Children
Education Allowance Scheme as notified vide GOI Ministry of Personnel, Public
Grievances and Pensions (Department of Personnel & Training) O.M No.12011/03/2008-
Estt(Allowance) dated 02-9-2008.
3) The H.O.O is competent for sanction.

DA
 APPLICATION FORMAT FOR CLAIMING CHILDREN EDUCATION ALLOWANCE/
HOSTEL SUBSIDY
To
The DIG(Adm)
O/O IGP, NWS
Central Reserve Police Force,
Hallomajra Chandigarh

Subject :- RE-IMBURSEMENT OF CEA/HOSTAL SUBSIDY

Sir,
I, Name Kuldeep Singh, Asst. Comdt, IRLA-8729 O/O IGP, NWS CRPF Chandigarh hereby
claim CEA/Hostal Subsidy for the period 01/04/2012 to 31/03/2013 of Academic year 2012-13 in r/o my ward
Himanshi Kadian and ------------------------------ who are studying in class XIIth & ---------- respectively at Bal
Bharti School, Bahadurgarh.

2. The details of the amount claimed for re-imbursement are as follows :-

A) FOR CEA

ENTITLEMENT AMOUNT (In Rs.)

a) Tuition Fee Rs. 19,000-00
b) Admission Fee
c) Vidhyalaya Vikas Nidhi
d) Laboratory fee
e) Special fee charged for agriculture, electronics,
music or any other subject
f) Fee charged for practical work under the programme
of work experience
g) Fee paid for the use of any aid or appliance by the
child
h) library fee
i) Games/ Sports fee
j) Fee extra- curricular activities
k) Purchase of one set of text books and note books
l) Two set of uniforms
m) One set of school shoes
Total Rs. Rs. 19,000-00

OR

C) FOR HOSTEL SUBSIDY CLAIM

ENTITLEMENT AMOUNT (In Rs.)

Hostel subsidy

3. The original bills/ receipts for above entitlements are enclosed.

Thanking you.

Yours faithfully

(Kudeep Singh)
NWS,CRPF.CHANDIGARH
IRLA NO. 8729