APPLICATION FOR THE GRANT OF REIMBURSENT OF TUTION FEE IN

RESPECT OF CHILDREN OF NGO’s

1. Name (IN BLOCK LETTERS) :

2. a. Class & Section in which the pupil is :
reading
b. Whether the pupil is promoted to :

3. Parent’s Name :

4. How employed Full particulars of the post :

held, Department, etc., should be sated here
against relevant heads below.

5. Salary of the Parent :

6. Concession claimed full/half :

7. Declaration by the parent :

I hereby declare that shown

against Col.I of this application is my Son/Daughter.

Station: SIGNATURE OF THE PARENT

Date:

Certificate by Head of the Department

I hereby certify that the person against Col.(4) of this application is working as
and he is likely to be in service till the end of the school year.

Station: SIGNATURE
Date:

(Seal of the Office)

Order of Sanctioning Authority:

Fee concession applied for is recommended for sanction

STATION: Principal/HM/MEO
DATE:

Signature:
Designation:

HEAD OF THE INSTITUION

This is to certify that Mr._ ,Son/D/o of

Studied in Class of the school during the year . He/she has
paid tuition fee Rs………………. for the year .

Certified that the school is recognized by the Government of ……………………. vide

Director of Public Instruction Proceedings and is in
receipt of any grant-in-aid.

Recognize No.: Principal/Headmaster/Headmistress

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