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    Children Education Allowance

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    Desikan
    1. The document is a form for reimbursement of children education allowance from the National Institute of Immunology in New Delhi. 2. It requires information about the child/children such as name, date of birth, school and class attending, monthly and total fees paid, and amount of reimbursement claimed. 3. The applicant certifies that the child/children are wholly dependent on them, the fees have actually been paid by the applicant, and either the spouse is not employed or will not claim reimbursement for the children.

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    Children Education Allowance

    Uploaded by

    Desikan
    406 views1 page
    1. The document is a form for reimbursement of children education allowance from the National Institute of Immunology in New Delhi. 2. It requires information about the child/children such as name, date of birth, school and class attending, monthly and total fees paid, and amount of reimbursement claimed. 3. The applicant certifies that the child/children are wholly dependent on them, the fees have actually been paid by the applicant, and either the spouse is not employed or will not claim reimbursement for the children.

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    1. The document is a form for reimbursement of children education allowance from the National Institute of Immunology in New Delhi. 2. It requires information about the child/children such as name, date of birth, school and class attending, monthly and total fees paid, and amount of reimbursement claimed. 3. The applicant certifies that the child/children are wholly dependent on them, the fees have actually been paid by the applicant, and either the spouse is not employed or will not claim reimbursement for the children.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    406 views1 page

    Children Education Allowance

    Uploaded by

    Desikan
    1. The document is a form for reimbursement of children education allowance from the National Institute of Immunology in New Delhi. 2. It requires information about the child/children such as name, date of birth, school and class attending, monthly and total fees paid, and amount of reimbursement claimed. 3. The applicant certifies that the child/children are wholly dependent on them, the fees have actually been paid by the applicant, and either the spouse is not employed or will not claim reimbursement for the children.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    NATIONAL INSTITUTE OF IMMUNOLOGY

    NEW DELHI
    SB A/C NO----------------------------
    Canara Bank

    FORM FOR REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE

    I,___________________ hereby certify that the child/children mentioned below in respect of whom Children
    Education Allowance (CEA) is claimed for academic year 2016-17 is/are wholly dependent upon me:

    Sl. Name of the Date of School and Monthly CEA Total CEA Amount of Remarks
    No Child Birth of Class in which fee actually actually paid for reimburse-
    the Child Studying paid@ the Academic ment
    Year 2016-17

    @Kindly provide the breakup as per of the components referred to in the Circular dated ...........................................

    2. Certified that the child/children named above, in respect of whom the reimbursement under Children Education Allowance
    (CEA) is being claimed is wholly dependent upon me and the an amount of reimbursement claimed has actually been paid by me
    (Receipts enclosed).

    (Note: copy of School Fee card and Bank Challans /Paid up Receipts/ Purchase Receipts etc. in original, self certified, are to be
    enclosed)

    3. Certified that*:
    (i) My wife/husband is not employed under Central Govt./ autonomous body.
    (ii) My wife/ husband is employed under Central Govt. employee/autonomous body but she/he will not claim
    reimbursement of CEA under the scheme for the said period in of respect of our child/children.
    (iii) My wife/husband is employed with**_________________________________She/He is/is not* entitled to
    reimbursement of tuition fees in respect of our child/ children.

    4. Certified that during the period covered by this claim the child / children attended the school(s) regularly and did not absent
    himself/ herself/themselves from the school(s) without proper leave for a period exceeding one month

    5. Certified that I or my wife/husband and have/has not* claimed and will not claim the Children’s Education allowance in
    respect of the children mentioned above.
    ___________________________________________________________________________________
    *Strike out whatever is not applicable.
    **Employer other than Central Govt. to be mentioned.

    In the event of any change the particular given above which affect my eligibility for reimbursement of tuition fees, I undertake to
    intimate the same promptly and also to refund excess payments, if any made.

    Signature: _________________________
    Name: _________________________
    Designation: ______________________
    Lab/Office: ______________________
    Date: ________________________

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