Authority vide Govt of lndia Ministry of Personnel PG and Pension department of
Personnel &Training Me Delhi order No A-27012/02/2017- Est (AL) 16 August 2017
(This order shall be effective from 1 July2017)
CERTIFICATE FROM THE HEAD OF INSTITUTIONISCHOOL
(FOR RE-IMBURSEMENT OF CEA)
Ref No: Date: 2024
It is certified that having Admission No
DOB Son/ daughter of was studying
in Class Sec Roll No during the previous academic years from 01 Apr 2023
to 31 Mar 2024 School/ Institution, namely
Vide affiliation Regd No/ Code
and pattern Curriculum.
Place : (Signature of the principle!
Head of The school and seal)
Dated : 2024
SELF DECLARATION
1. I, No Rank Name of
11 KUMAON, PIN-911311, Clo 56 APO do hereby certify that my Son/Daughter namely
was studied in Class Sec
Admission No Roll No during the previous academic year 01 Apr 2023 to
31 Mar 2024 in
2. In the event of any change in the particulars given above which affect my eligibility for
Children Education Allowance. Iundertake to intimate the same promptly and refund excess
payment, ifany made to me.
Station: Clo 56 APO Sig
No
Dated 2024 Rank
Name