Reimbursement of Tuition Fee PDF
Reimbursement of Tuition Fee PDF
Reimbursement of Tuition Fee PDF
Certified that the child/children mentioned below in respect of whom reimbursement of tuition
fee is claimed is/are wholly dependent upon me:
Name of the child Date of School in which Class in Monthly Tuition fee Amount of
Birth studying which tuition actually paid reimbursement
studying fee actually from claimed
payable April’ 200
to
March’ 200
2. Certified that the tuition fees indicated against the child/ each of the children had actually been
paid by me (cash receipt/counter foil of the Bank Credit Vouchers to be attached with the
initial claim).
3. Certified that:
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 of exceeding one month.
5. Certified that the child/children mentioned has/have not been studying in the same class more
than two years.
6. Certified that I or my wife/husband have/has not claimed and will, not claim the children’s
educational allowance in respect of the children mentioned above.
APPLICATON FOR REIMBURSEMENT OF TUITION FEE Page 1 of 2
8. In this even of any change in the particulars above which affect my eligibi1ity for
Reimbursement of Tuition Fees. I undertake to intimate the same from promptly and refund
excess payments, if any made.
Designation
Intercom/Telephone .No
Section/Division/Unit
(Strike out what is not applicable)