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    Cea 2023 2024

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    ajuklm88
    The document is an application form for children education allowance or hostel subsidy for the academic year 2023-2024. It collects information such as name of employee, child details including name, date of birth, class, school details, nature of claim for education allowance or hostel subsidy, distance from residence to school, and employee and supervisor declarations.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Cea 2023 2024

    Uploaded by

    ajuklm88
    68 views3 pages
    The document is an application form for children education allowance or hostel subsidy for the academic year 2023-2024. It collects information such as name of employee, child details including name, date of birth, class, school details, nature of claim for education allowance or hostel subsidy, distance from residence to school, and employee and supervisor declarations.

    Original Title

    CEA 2023 2024 (2)

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    The document is an application form for children education allowance or hostel subsidy for the academic year 2023-2024. It collects information such as name of employee, child details including name, date of birth, class, school details, nature of claim for education allowance or hostel subsidy, distance from residence to school, and employee and supervisor declarations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    68 views3 pages

    Cea 2023 2024

    Uploaded by

    ajuklm88
    The document is an application form for children education allowance or hostel subsidy for the academic year 2023-2024. It collects information such as name of employee, child details including name, date of birth, class, school details, nature of claim for education allowance or hostel subsidy, distance from residence to school, and employee and supervisor declarations.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    APPLICATION FOR CHILDREN EDUCATION ALLOWANCE /

    HOSTEL SUBSIDY
    FOR THE ACADAMIC YEAR 2023-2024
    Ref: Railway Board’s letter No.E(W) 2017/ED-2/3 dated 13.08.18
    (RBE.114/2018)
    Name of the Employee
    1

    2 Employee / PF.No & Designation


    Date of Appointment (DDMMYYYY)
    3
    Bill Unit & Station
    4
    Particulars of Children Child – 1 Child - 2
    Name of the Student

    Date of Birth
    Class in which Studied in the
    Previous Academic year

    5 Name of the School and Address

    Education
    Education
    Allowance
    Nature of Claim Allowance
    (Tick whichever is Hostel Subsidy Hostel Subsidy
    applicable)
    Disabled Child Disabled Child
    6 Divyaang Child Yes No
    7 Whether Residential School or Yes No
    College
    8 Whether Spouse is a Yes No
    Govt.Employee
    If Yes, whether CEA or Hostel Yes No
    8(a) Subsidy or both is being claimed
    in his/her
    account
    Distance between Residence and
    9 Hostel (Pre condition -50km PBC
    56/2019 )
    Children Education Allowance
    Whether Bonafide certificate from
    School (Recognized Central or
    9(a) State Govt.or Union Territory
    Administration or by University of a
    recognized educational authority
    having jurisdiction over the area
    where the institution is situated) is
    enclosed
    (Yes/NO)
    Hostel Subsidy
    Hostel Subsidy is applicable
    (b) only in respect of the child
    studying in a residential
    educational institution located
    atleast 50 km from the
    residence of the Government
    servant
    (Tick whichever is applicable)
    I declare that the particulars given above are true. I further declare that
    1. My spouse is an/is not an employee Central Government/ State
    Government/Autonomous body/PSU/Semi Government or any other
    organization partly or fully funded by the Central Govt/State
    Govt/Railway Employee and that he/she has not claimed
    reimbursement of Children Education Allowance/Hostel Subsidy in
    respect of the Child/Children mentioned above. (Strike out whichever
    is not applicable)
    2. My Child/Children in respect of whom reimbursement is claimed
    is/are studying in School which is recognized by Central or State
    Govt or Union Territory Administration or by university or a
    recognised educational authority.
    3. The reimbursement of CEA/Hostel Subsidy is claimed for my eldest
    two surviving children only.
    4. The Child/Children has/have not studied in the same class in another
    school in the previous academic year.
    5. The Child/Children has/have not shifted to another school in the mid-
    session.
    6. The distance between the residence and the residential hostel in
    which my ward(s) is/are studying is at least 50km.

    If any of the above declaration is found to be false at a later date, I am aware that I
    am liable for disciplinary action under the relevant rules.
    Signature of the employee :
    Name :
    Designation & Station :
    PF No & Staff No :

    CERTIFICATE BY THE SUPERVISOR

    The application is forwarded for necessary action duly certifying that the names of
    Child/Children furnished by the employee have been verified with the records
    maintained in the shop/office/station and they are eldest two surviving children as
    declared by the Employee.

    Date: Signature of the Supervisory Official with seal


    To be printed on the letter head of the institution with full postal address
    (If there is no printed letter head, Name of the Institution and full postal address should
    be written clearly) (Office seal of the educational Institution should be affixed
    invariably)
    PROFORMA FOR BONAFIDE CERTIFICATE

    It is certified that Master/Miss


    .………………………………………………………………………….. Admission
    No…………………………………. Date of Birth………………………………………

    S/D/o Shri/Smt…………………………………. ……………………….. has studied in


    Class …………………………. Section……………………….. during the previous
    academic year from…………………..to………………………….…….… in this School/
    Institution, which is registered and Affiliated vide Reg.
    No………………………………………………………………

    During the year Master/Miss


    …………………………………………………has Resided in the residential –complex
    (Hostel) of the school and paid an amount of Rs…………………………/- towards
    boarding and lodging in the residential complex.

    (Strike out if it is not applicable)

    Office Seal with Date Signature of the Head of Institution/School

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