7th CPC CEA – Proforma for Re-Imbursement

GUIDELINES FOR SUBMISSION OF CHILDREN EDUCATION ALLOWANCE CLAIM

1. CEA rate from Apr 17 to Jun 17 is Rs 1500/- PM (required to submit School fee receipt and bills).

2. CEA rate from Jul 17 to Mar 18 is Rs 2250/- PM (Fixed amount no need to submit receipts / bills).

3. For Hostel Subsidy the rate is Rs 6750/- PM w.e.f. 01 Jul 17.

4. CEA for Specially abled Children is Rs 4500/- PM w.e.f. 01 Jul 17.

5. For claiming CEA submit a certificate issued by Head of Institution / School.

6. For Hostel Subsidy similar certificate required with additional information about expenditure towards boarding and lodging in the residential complex.

7. Re-reimbursement of CEA forms are given below.

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:-

Re-reimbursement of Expenditure :-

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:

Place:

(Signature of Govt Servant)

Name: ______
Rank : ______
P.No.: ______

II
COUNTERSIGNED

Source: Confederation