CEA

PFMS UNIQUE I.D. NO.EXF0000000

Details Approved in HRMS. ApprovedBy880131834, Dated: 17/02/2021

REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE WITH SELF DECLARATION

(Ref. Order No.A-27012/02/2017-Estt.(AL) dated 16th August,2017)
Certified that I, Force Regimental No 000130092 Rank(Cadre) CT/GD Name Ravinder Singh of 21 Bn , do hereby certify that the children/child mentioned below in
respect of whom reimbursement of Children Education Allowance claimed is wholly dependent upon me:-

Sl. Ward School Details Hostel Details Account Hostel Fee Details Total Amount (CEA +
No. Details (1) Curriculam (1) Name of Hostel, Details (1) CEA Amount Hostel Fees
(1) Name (2) Name of School, (2) Hostel Address , (1) Account No, (2) Hostel Fee reimbursable)
(2) DOB (3) School Address (3) Hostel Reg.No, (2) IFSC Code Applied (per
(3) Class (4) School Registration No (4) Hostel Distance month)
(4) Section From Home Town (3) Hostel fee
(5)Roll No (5) IsHostel Attached applicable(Per
with School month)
(4) No of Months,
(5) Hostel Fee
reimbursable

1 (1) (1)CBSE Nil (1) (1)27000 27000

Dheeranjli (2) k.v.I.t.b.p (1st shift) see mad war 20040017326
(2)08-May- dehradun (2)SBIN0004532
2004 (3)K.v.I.t.b.p seemadwar dehradun ,
(3)12th Dehradun , UTTARAKHAND
(4)B (4)3500024
(5)15

2 (1) Sameer (1)CBSE Nil (1) (1)27000 27000

Kandhari (2) K V itbp dehradun 20040017326
(2)01-Dec- (3)Dehradun Uttarakhand , Dehradun , (2)SBIN0004532
2007 UTTARAKHAND
(3)9th (4)3500024
(4)A
(5)52

Total Amount : 54000

1. A certificate from the head of institution,where the ward(s) of undersigned studies is also uploaded with this application..
2. Hostel subsidy, a similar certificate from the head of the institution will suffice, G/S towards lodging and boarding in the residential complex.
3. Certified that: Tick() on applicable condition.
a) My spouse is 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 education allowance in respect of our child/children.

4. In the event of any change in the particulars given above which affects my eligibility for Children's Education Allowance, I undertake to intimate the same promptly and
refund excess payment, if any made to me.
Place: 21 Bn ,ITBP
Date: 10/16/2022 9:09:37 AM
(Signature of Govt. Servant)
RegtlNo:- 000130092
Rank/Cadre:- CT / GD
Name:- Ravinder Singh