Authority vide Government of India Ministry of Personnel, P.G.

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

Auth :- MoD Letter No 1 (23)/2017/D(Pay/Service) dated 15 Sep 2017 for grant of CEA
and IHQ of MoD (Army)/AG's Branch Letter No A/32813/Circular/AG/PS-3(a)/01/2017
dated 11 Jan 2018

CERTIFICATE FROM THE HEAD OF INSTITUTION/SCHOOL

(FOR REIMBURSEMENT OF CEA)

Ref No - Date -

1 It is certified that Master /Kumari _________________________________________

havingAdmissionNo________________D.O.B___________________Son/Daughter of
Mr/Mrs ___________________________________________ was studying in Class
_______________ Sec ___________Roll No ________ during the previous Academic
Year from __________________ to _____________ School /institution Namely
________________________________________________ vide affiliation Regd. No
/Code _________________and Pattern ________________ Curriculum.

2. * The amount of expenditure incurred towards Lodging /Boarding in the Residential

Complex is Rs_______________________ (In words Rupees_____________________
_________________________________.)
*(To be filled in case claiming Hostel Subsidy)

Place:
Signature of Principal
(Affix School Stamp)
Date :