FORM-2

REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE

(RRF:OM NO.12011/03/2008(Allowance)Dated02/092009)
1-. Certified that the children /child mentioned below in respect of whom
reimbursement of Children Education Allowance claimed is wholly dependent upon
me:-
Name of the child School in Class in Total Total amount
& date of birth which which & A/Y Education of
studying allowance reimbursement
paid claimed
(1) (2) (3) (4) (5)

#Tution fee for the year 2013-14

Purchase of books(one set /per child/per A/Y
Purchase of Note books(one set /per child/per A/Y
Purchase of Uniforms (Two set/per child/per A/Y
Purchase of school shoes
TOTAL (To be filled in col. 4 above)

Name of the child School in Class in Total Total amount

& date of birth which which & A/Y Education of
studying allowance reimbursement
paid claimed
(1) (2) (3) (4) (5)

#Tution fee for the year 2013-14

Purchase of books(one set /per child/per A/Y
Purchase of Note books(one set /per child/per A/Y
Purchase of Uniforms (Two set/per child/per A/Y
Purchase of school shoes
TOTAL (To be filled in col. 4 above)

2- Certified that the Education allowance indicated against the child/children has
actually been paid by me (Receipts enclosed)
(Note:-Copy of school fee card &bank challans /paid up Receipts /purchase
receipts in original are to be enclosed )
3- Certified that:-
(i) my spouse is not a Central Govt.Servant
(ii) my spouse is a central govt. servant and that she /he has not
claimed /will not claim children’s education allowance in respect
of our children
4- Certified that during the period covered by the claim the child attended the
school regularly and did not absent himself /herself from the school without proper
leave for a period exceeding one month.
5- In the events of any change in the particulars given above which affect my
eligibility for children’s educational allowance, I undertake to intimate the same
promptly and also to refund excess amount if any paid
Note:-# Tuition fee means Tuition fee, Admission fee, lab fee, special fee charged for
agriculture ,electronics, music or any other subject , Fee charged for practical work under the
programme of work experience ,fee paid for the use of any aid or appliance by the child , library fee ,
games /sports fee and fee for extra curricular activities.

Encl:-Original fee Receipts.

()
Place :- Jabalpur
 Jabalpur 11.02.2014.
To,

Administrative Officer,
Central Excise
Division-Jabalpur.

Sir,

Sub:- REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE

Please find enclosed herewith claim for reimbursement of children education

allowance in respect of my son Anshuman Rajak,Class, VIII student & Archisman
Rajak, Class- III student, for the A/Y 2013-14, for further necessary action please.

Encl:-As above.
Yours faithfully,

(Anil Rajak)
Inspector(Prev.)
Central Excise Divn.–Jabalpur.
 FORM-2

REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE

(RRF:OM NO.12011/03/2008(Allowance)Dated02/092009)

1-. Certified that the children /child mentioned below in respect of whom
reimbursement of Children Education Allowance claimed is wholly dependent upon
me:-
Name of the child & School in Class in Total Total amount
date of birth which which & Education of
studying A/Y allowance reimbursement
paid claimed
(1) (2) (3) (4) (5)
1) Anshuman St.Aloysious Class-X 19420/-# 18000/-
Rajak. Sr.Sec.School, 2015-16
13.11.1999. Cantt,
Jabalpur
#Tution fee for the year 2015-16 Rs.18000/-
Purchase of books(one set /per child/per A/Y Rs.2535/-
Purchase of Note books(one set /per child/per A/Y Rs. --
Purchase of Uniforms (Two set/per child/per A/Y Rs. --
Purchase of school shoes Rs. --
TOTAL (To be filled in col. 4 above) Rs. 19420/-

Name of the child & School in Class in Total Total amount

date of birth which which & Education of
studying A/Y allowance reimbursement
paid claimed
(1) (2) (3) (4) (5)
2) Archisman St.Aloysious Class-V 18160/-# 18000/-
Rajak. Sr.Sec.School, 2015-16
17.04.2005. Cantt,
Jabalpur
#Tution fee for the year 2015-16 Rs.18000/-
Purchase of books(one set /per child/per A/Y Rs. 2630/-
Purchase of Note books(one set /per child/per A/Y Rs. --
Purchase of Uniforms (Two set/per child/per A/Y Rs. --
Purchase of school shoes Rs. --
TOTAL (To be filled in col. 4 above) Rs. 18160/-

2- Certified that the Education allowance indicated against the child/children has
actually been paid by me (Receipts enclosed)
(Note:-Copy of school fee card &bank challans /paid up Receipts /purchase
receipts in original are to be enclosed )
3- Certified that:-
(i) my spouse is not a Central Govt.Servant
(ii) my spouse is a central govt. servant and that she /he has not
claimed /will not claim children’s education allowance in respect
of our children
4- Certified that during the period covered by the claim the child attended the
school regularly and did not absent himself /herself from the school without proper
leave for a period exceeding one month.
5- In the events of any change in the particulars given above which affect my
eligibility for children’s educational allowance, I undertake to intimate the same
promptly and also to refund excess amount if any paid

Note:-# Tuition fee means Tuition fee, Admission fee, lab fee, special fee charged for
agriculture ,electronics, music or any other subject , Fee charged for practical work under the
programme of work experience ,fee paid for the use of any aid or appliance by the child , library fee ,
games /sports fee and fee for extra curricular activities.

Encl:-Original fee Receipts.

(Anil Rajak)
Place :- Jabalpur Superintendent(Tech.)
Date:-11-02-2016. Central Excise Divn.-Jabalpur
 Jabalpur 11.02.2016.
To,

Administrative Officer,
Central Excise
Division-Jabalpur.

Sub:- REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE

Please find enclosed herewith claim for reimbursement of children education

allowance in respect of my son Anshuman Rajak,Class, X student & Archisman
Rajak, Class- V student, for the A/Y 2015-16, for further necessary action please.

Encl:-As above.

(Anil Rajak)
Superintendent(Tech.)
Central Excise Divn.–Jabalpur.
 Jabalpur 25.05.2016.
To,

Assistant Commissioner,
Customs & Central Excise
Division-Jabalpur(M.P.).

Sir,

Sub:- Annual Performance Appraisal Report(APAR) for the year 2015-16.

Please find enclosed herewith the APAR for 2015-16 of the undersign, for
favour of further necessary action at your end please.

Encl:-As above.
Yours faithfully,

(Anil Rajak)
Superintendent(Tech.)
Central Excise Divn.–Jabalpur.
 Jabalpur 25.05.2016.
To,

Assistant Commissioner,
Customs & Central Excise
Division-Jabalpur(M.P.).

Sir,

Sub:- Request for payment of arrears amount with reference of IIIrd. MACP
order dated.

Your kind attention is invited to the IIIrd. MACP Order issued by Dy.
Commissioner, Customs & Central Excise Division- Jabalpur vide C.No.
…………………………………………………… dated………………….. As per the
said order my grate pay was fixed from Rs. 4600/- to 4800/- w.e.f. 01.09.2008, but
since 1.09.2008 to June, 2013 no arrears is given to me as yet. It is requested to give
me the arrears amount from 1.09.2008 to June, 2013.

.
Yours faithfully,

(Anil Rajak)
Superintendent(Tech.)
Central Excise Divn.–Jabalpur.