Children Education Allowance 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

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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:

Sl. No.	Sequence	Name	DOB	Age
1.	1st Child
2.	2nd Child
3.	3rd Child

Sl. No.	Sequence	Name	DOB	Age
1.
2.