Children Education Allowance Self Declaration Form

Self Declaration

I Service No. _________Rank_______________ Name ________________________ of Unit _____________ do hereby certify that my Son / Daughter namely __________________________ Studied in Class _____ Sec ____________ Roll No. ____________________ during Previous Academic Year 2017-2018 in ______________________________________________________________ School.

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

Signature of Govt Servant

Name: _____________________
Rank: _____________________
P.No. _____________________

Place: ______________
Date: ______________

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