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CEA Format

This document contains templates for a certificate from the head of an institution or school and a self-declaration form related to reimbursement of Children Education Allowance. The certificate is to be filled by the principal of the school or institution and should include details of the student such as name, admission number, date of birth, name of parents, class and section enrolled in, roll number, and period of study. The self-declaration form is to be filled by the employee claiming reimbursement and should provide details of their rank, name, force number, unit, and name and other details of their child's enrollment.

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Nazir Ansari
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8K views2 pages

CEA Format

This document contains templates for a certificate from the head of an institution or school and a self-declaration form related to reimbursement of Children Education Allowance. The certificate is to be filled by the principal of the school or institution and should include details of the student such as name, admission number, date of birth, name of parents, class and section enrolled in, roll number, and period of study. The self-declaration form is to be filled by the employee claiming reimbursement and should provide details of their rank, name, force number, unit, and name and other details of their child's enrollment.

Uploaded by

Nazir Ansari
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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Authority vide Government of India

Ministry of Personnel, P.G. and Pensions Department of Personnel & Training New Delhi,
Order No. No.A-27012/02/2017-Estt.(AL) 16 August,2017.
(This order shall be effective from 1st july,2017)
 

CERTIFICATE FROM THE HEAD OF INSTITUTION/SCHOOL 
(FOR REIMBURSEMENT OF 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…………..…………………….to …..…………………………………School/institution, 

namely……………………………………………………………………………………………..vide affiliation Regd. 

No./Code…………………………………………..…and Pattern…………….……………………….Curriculum. 

Place:‐ 
Date:‐ 
 
                  Signature of Principal 
                   (Affix School Stamp) 
 
 
 
 
SELF‐DECLARATION 
 
I Force No…………………. Rank………………Name………………………………………… 
of NSG Unit……………………………………………………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:‐  
                F/No:‐  
                Rank:‐  
                Unit:‐   
 
 
 
 
 
 
 
 
 
 
 
 

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