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Children Education Allowance for GDS – Performa

PROFORMA FOR REIMBURSEMENT OF CHILDREN EDUCATION
FACILITATION ALLOWANCE

(Authority: Government of India ministry of communication Department of Posts memo No 17-31/2016-GDS dated 18.09.2019)

CLAIM FOR THE FINANCIAL YEAR.  – 2019-2020

               I hereby apply for the reimbursement of Children Education Facilitation Allowance for my child/children and relevant particulars are furnished below:-

1. Name of the employee
2. Employee Code/UID
3. Category/Post
4 Office
5. Residential Address of the employee
6 Name of Spouse
7 If spouse is employed, State whether in Central Government, State Government, Public Sector Undertaking. (Give Details)
g Designation, Office & Employee rode Number of
spouse , if spouse is employed in Department of Posts.
9 Intimate  as  to  whether Reimbursement  of CEFA/CEA/Hostel Subsidy is admissible in the Department in which the spouse is working
10 If so, whether Joint Declaration for not claiming
the amount from that Department is submitted.

 

11.     Details of all the children of the Gramin Dak Sevaks:

SL No. Sequence Name of the Child Date of Birth Age
1. 1st Child
2. 2nd Child
3. 3rd Child

 

12.         Details of the children for whom CEFA is claimed:

SL No. Sequence Name DOB Age
1.
2.
3.

 

13.        Academic year, Name of School/Residential School and Class in which children studied:

Details

Name of the Child

1st Child 2nd Child 3rd Child
Name of School/residential School and address
Class in which the child studied in last year

 

14.     Academic year for which CEFA is applied for now.

15.     (a) Whether the child for whom the CEFA is applied for is a disabled child

            (b) If yes, indicate the nature of disability:

            (c) Date of disability certificate.

            (d) Indicate the percentage of disability:

16.   Whether the Bonafide certificate from Head of Institution is attached:

     Certified that:-

  1.   The fee/amount had actually been paid by me.
  2.   My wife/husband is not a GDS /Central Governments State Government Servant / PSU employee and he/she has not preferred any such claim in respect of the child/children for whom reimbursement of CEFAICEA is claimed.
  1.   Certified that my child in respect of whom reimbursement of Children Education Facilitation Allowance is applied is studying in the School/Jr. College, which is recognised and affiliated to Board of Education/University.
  2.   The above information furnished by me are complete and correct to the best of my knowledge and in the event of any change in the particulars given above which affect my eligibility for reimbursement of Children Education Facilitation 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.

Station —                                                                                                                                                   Signature:________________

Date —

For office Use only

Information furnished by the official in col 1 to 11 are verified and found correct

Date :                                                                                                                                                                   Signature of DDO

 

Annexure ‘B’

BONAFIDE CERTIFICATE FROM THE HEAD OF INSTITUTION/SCHOOL

               This is to certify that Master/Baby/Ms./Miss…………….. (Roll Number)…………………………… Admission No………………………..son/Daughter of  Sri/Smt……………………………………………………… is a bonafide student of this school and studied in Class……………….. during the financial year………………. And as per School record’s his/her date of birth is …………. (In Numerical)……………………………………………………………. (in words)

This is further to certify that the above named child had studied in this School in the previous academic year……….

                He/She bears a good moral character, attending the school regularly and did not absented himself/herself for more than a month, without proper leave, during the academic year.

**           During the year Master/Baby/Ms./Miss…………………………….. had resided in the residential complex (Hostel) of the school and paid an amount of Rs………………….. towards boarding and lodging in the residential complex.

                This Institution/School is affiliated/Recognized by the………………………………… and theaffiliation /Recognition Number is ……………………………………………………………………

 

 Signature Head of the Institution/School With

Designation Stamp

Station

Dated :

** (Strike out it is not applicable)

 

SELF-DECLARATION

 

I …………………………………………………. (Name) ………………… (Designation)………………….. (Office) do hereby certify that my Son/Daughter namely……………………………………..was studied in class  Sec……………………………  Roll No………………During the previous academic year……………………..in……………………………………………………………………..School.

                  In the event of any change in the particulars given above which affect my eligibility for Children Education Allowance. I undertake to intimate the same promptly and refund excess payment, if any made to me.

Place:-

Date:-

                                                                                                                                                Signature :

                                                                                                                                                Name:

                                                                                                                                                Office:

                                                                                                                                                Designation :

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