Pro-forma For Reimbursement Of Children Education Allowance – 2018
| 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 Central Govt., PSU, State Govt. (give details with name of the Spouse) | ·• | NO | ||||
| 6. | Designation, Office & B.U. No.of spouse, if spouse is employed in Railway | ·• | NA | ||||
| 7. | Details of the child / children for whom CEA / Hostel Subsidy claimed:- | ||||||
| Sequence | Name of child | DOB | Standard (A.Y. 2017–18) |
Name & Place of the School / Institution |
|||
| 1St Child | |||||||
| 211d Child | |||||||