CEA Reimbursement Form Download

Children Education Allowance Reimbursement Form Download

PROFORMA FOR REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE/HOSTEL SUBSIDY IN TERMS OF RBE No. 147/2017

CLAIM FOR THE FINANCIAL YEAR: –

I hereby apply for the reimbursement of Children Education Allowance for my child/children and relevant particulars are furnished below:-

1.
Name of the Employee
:
2.
P.F. No./Employee No.
:
3.
Designation
:
4.
Office & Bill Unit
No.         
:
5.
Name of Spouse
:
6.
If spouse is employed,
State whether
in Central Govt., PSU, State Govt. (give details)
:
7.
Designation, Office &
B.U. No.
of spouse , if spouse is employed in Railway:
                                          Details of all the children of the employee:
Sl. No.
 Sequence
Name
DOB
Age
1.
1st Child
2.
2nd Child
3.
3rd Child
 9.      Details of all the children for whom CEA/Hostel Subsidy claimed:
Sl. No.
 Sequence
Name
DOB
Age
1.
2.

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