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The document is a reimbursement claim for Children's Education Allowance submitted by HC/GD MAHAJAN KISHOR SANTOSH for his two children studying at St Joseph Convent School in Jalgaon, Maharashtra. The total amount claimed is 67,500, which includes details about each child's school and hostel information. The claim includes a self-declaration and certification regarding the dependency of the children and compliance with applicable regulations.

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2 views1 page

Doc.

The document is a reimbursement claim for Children's Education Allowance submitted by HC/GD MAHAJAN KISHOR SANTOSH for his two children studying at St Joseph Convent School in Jalgaon, Maharashtra. The total amount claimed is 67,500, which includes details about each child's school and hostel information. The claim includes a self-declaration and certification regarding the dependency of the children and compliance with applicable regulations.

Uploaded by

mahajankishorsantosh1981
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CEA

PFMS UNIQUE I.D. NO.VC00860975

Details Approved in HRMS. ApprovedBy111105513, Dated: 07/11/2022

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 040230228 Rank(Cadre) HC/GD Name MAHAJAN KISHOR SANTOSH of 25 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 Details School Details Hostel Details Account Hostel Fee Details Total Amount (CEA +
No. (1) Name (1) Curriculam (1) Name of Hostel, Details (1) CEA Amount Hostel Fees
(2) DOB (2) Name of School, (2) Hostel Address , (1) Account No, (2) Hostel Fee reimbursable)
(3) Class (3) School Address (3) Hostel Reg.No, (2) IFSC Code Applied (per
(4) Section (4) School Registration No (4) Hostel Distance month)
(5)Roll No From Home Town (3) Hostel fee
(5) IsHostel Attached applicable(Per
with School month)
(4) No of Months,
(6) Hostel Fee
reimbursable

1 (1) MA. CHIRAG (1)CBSE Nil (1) (1)33750 33750


MAHAJAN (2) St Joseph Convent school 30698317908
(2)11-Apr-2013 (3)Bilakhed Tal-chalisgaon , (2)SBIN0000345
(3)5th Jalgaon , MAHARASHTRA
(4)C (4)1130185
(5)13

2 (1) MA. (1)CBSE Nil (1) (1)33750 33750


BHAVESH (2) St Joseph Convent school 30698317908
MAHAJAN (3)Bilakhed Tal-chalisgaon , (2)SBIN0000345
(2)11-Feb-2010 Jalgaon , MAHARASHTRA
(3)8th (4)1130185
(4)C
(5)08

Total Amount : 67500


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: 25 Bn ,ITBP
Date: 4/3/2025 11:43:13 PM
(Signature of Govt. Servant)
RegtlNo:- 040230228
Rank/Cadre:- HC / GD
Name:- MAHAJAN KISHOR SANTOSH

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