Authority vide Government of India

Ministry of Personnel, P.G. and Pensions Department of Personnel & Training New Delhi,
Order No. No. A-27012/02/2017-Estt. (AL) 16TH August 2017.
(This order shall be effective from 1st July 2017)

CERTIFICATE FROM THE HEAD OF INSTITUTION/SCHOOL

(FOR REIMBURSEMENT OF CEA)
Ref. No. Date: ‐

It is certified that Master/Kumari ANKIT KUMAR having, Admission No. XXXX

D.O.B. 27/12/2007 (Twenty Seven December Two Thousand Seven)
Son/Daughter of Mr./Mrs. XXXXX XXXXXXX was studying in Class V (Five) Sec. A
Roll No. 56 during the previous academic year from 01 APR 2017 to 31 MAR 2018
School/Institution, namely D.A.V. Public School, Rotary Campus, Ashok Nagar,
Gaya (Bihar) vide affiliation Regd. No./Code BIHAR STATE (U.DISE CODE
10350912409) and Pattern CBSE Curriculum.

Place: ‐
Date: ‐ Signature of Principal
(Affix School Stamp)
 SELF‐DECLARATION

I Force/GREF No. GSXXXXXXM Rank Junior Engineer (Civil) Name

XXXXX XXXXX of NSG/GREF Unit HQ 53 RCC (GREF) do hereby certify that my
Son/Daughter Namely ANKIT KUMAR was studied in class V (Five) Sec. A Roll No.
56 During the previous academic year 01 APR 2017 to 31 MAR 2018 in D.A.V.
Public School, Rotary Campus, Ashok Nagar, Gaya (Bihar)
vide affiliation Regd. No./Code BIHAR STATE (U.DISE CODE 10350912409)
and Pattern CBSE School.

In the event of any change in the particulars given above which affect my eligi
bility for Children Education Allowance. I undertake to intimate the same promptly
and refund excess payment, if any made to me.

Place: ‐
Date: ‐ Signature
Name : XXXXX XXXX
F/No : GSXXXXXXM
Rank : JE (Civil)
Unit : HQ 53 RCC (GREF)