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 fees
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-imbursement 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:-

1. Name & Rank of the Govt Servant :

2. Personal No. :

3. Designation :

4. Name of the Unit : ICGS Samarth

5. If Spouse is employed, state whether in : NO

Central Govt., PSU, State Govt. (give
details with name of the Spouse)
6. Designation, Office & B.U. No.of spouse, : NA
if spouse is employed in Railway
7. Details of the child / children for whom CEA / Hostel Subsidy claimed:-
Sequence Name of child DOB Standard Name & Place of the
(A.Y. 2017-18) School / Institution
st
1 Child

2nd Child

8. Re-imbursement of Expenditure:-

Sequence Period Rate of Amount Remarks

CEA claimed
(Rs)
1st Child Apr 17 to Jun 17 @ 1500/- PM 4,500.00 School Fee receipts and other
bills attached

Jul 17 to Mar 17 @ 2250/- PM 20,250.00 Fixed amount.

2nd Child Apr 17 to Jun 17 @ 1500/- PM 4,500.00 School Fee receipts and other
bills attached

Jul 17 to Mar 17 @ 2250/- PM 20,250.00 Fixed amount.

Total amount claimed Rs 49,500.00

 2

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 any
other 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: Apr 18

Place: Goa (Signature of Govt Servant)

Name: ………………………………………..
Rank : ………………………………………..
P.No.: ……………………………………….
II
COUNTERSIGNED
ICGS Samarth
Goa – 403 803

Date: Apr 18
 Authority vide Government of India Ministry of Personal
P.G and Department of Personal &Training New Delhi
Order No. A-27102/02/2017-Estt. (AL) 16 August 2017
(This order shall be effective from 01 Jul 2017)

CERTIFICATE FROM THE HEAD OF INSTITUTION /SCHOOL

(FOR REIMBURSMENT CEA)

Ref No……………… Date:………………….

It is certified that Master/ Kumari ______________________ having Admission

No___________D.O.B____________ Son / Daughter of Mr /Mrs. ________________________

was studying in Class __________ Sec ______ Roll No._____________ during the Previous

Academic Year from 2017 to 2018 School / Institution, namely

_______________________________________________ vide affiliation Regd No. /

Code _______________________________ and pattern ___________________ Curriculum.

Place: ________________

Date:- ________________ Signature of principal

(Affix School Stamp)
 SELF DECLARATION

I Service No. _________Rank_______________ Name ________________________

of Unit ICGS Samarth do hereby certify that my Son / Daughter

namely __________________________ Studied in Class _____ Sec ____________

Roll No. ____________________ during Previous Academic Year 2017-2018 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.

Signature of Govt Servant

Name: _____________________
Rank: _____________________
P.No. _____________________

Place: ______________

Date: ______________