FORM -2

ALLOWANCE
REIMBURSEMENT OF CHILDREN EDUCATION
02/09/2009}
{Ref:OM No. 1201 1/03/2008 (Allowance) Dated
re-imbursement of
1 Certified that the children/child mentioned below in respect of whom
Children Education Allowance claimed is wholly dependent upon me:
School in which Class in Total Total
Name of the Child & Date
which Education Amount of
of Birth studying
studying & allowance paid reimbursement
A/Y claimed

() (2) (3) (4) (5)

|D PARNIkA Ann ary UKG
School
17-3ec-2017 ms 2oad
De haelun
#Tuition fees - for the Whole Year 2018-19 /VI/IIWIV- Term
Purchase of books (one Setper child /per A/Y) Rs.
Purchase of Note books (one Set/per child /per A/Y) Rs.
Purchase of Uniforms (Two Sets/per child /per A/Y) Rs.
Purchase of school shoes (one Set/per child /per A/Y) Rs.
Total to be filled in column 4 above 9
2)

#Tuition fees - for the Whole Year 2018-19 / /II/II/IV- Term/ Rs.
Purchase of books (one Set/per child per A/Y) Rs.
Purchase of Note books (one Set/per child /per A/Y) Rs.
Purchase of Uniforms (Two Sets/per child /per A/Y) Rs.
Purchase of school shoes (one Set/per child /per A/Y) Rs.
Total to be filled in column 4 above Rs. 4y SD
,2.Certified that the Education Allowance indicated against the Child/Children has actually
been paid by me (Receipts enclosed )
,3 Certified that i
imy spouse is not a CentralGovernment servant
ii) my spouse is a Central Govt. servant and that she/he has not claimed/will not claim
children's educational allowance in respect of our child/children.
4
Certified that during the period covered by the claim the child attended the schoo!
regularly and did not absent himselfherself from the school without proper leave for a
period exceeding one month.
In the event 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 payments, if any made.

Encl:
PLACE &Date: DEHRADUN (Signaturof the Govt. servant)
(4-Aril -2"24 Name :.
Designation:
ANKU2 Gup7A
Section :
IVE
EARN

PLA
YIN ANN MARY SCHOOL
Certificate Examinations, New Delhi, India
Affiliated to the Council for the Indian School
(UK) INDIA.
General Mahadeo Singh Road, Dehradun -248001
0135-2762923, 2769956
E-mail: annmaryschoolddn @yahoo.in | Phone:

TOWHOM IT MAY CONCERN

four thousand
This is to certify that a sum of Rs. 44,880 /- (Rupees Forty
for the period of
eight hundred eighty only) has been paid as tuition fee
31-03-2024) by
lst April 2023 to 31 March 2024 (From 01-04-2023 to
School.
Mr. Ankur Gupta F/o Parmika Gupta of Class UKG of Ann Mary

Dated: 02-04-2024

Accountant