Beruflich Dokumente
Kultur Dokumente
HOSTEL SUBSIDY
2. Certified that-
(a) My wife/husband is / is not a Govt service, is / is not drawing hostel subsidy in respect of
my child/ children
(b) The total number of children in respect of whom the Hostel Subsidy and children's
educational allowance have been claimed does not exceed three
(c) The child or children in respect of whom the Hostel Subsidy is claimed is / is not in receipt
of Scholarship which covers the Hostel expenses
(d) I undertake to inform my Employer forthwith in the event of my withdrawing the child
from the hostel and also in the event of there being any change in the particulars mentioned
earlier
(e) I undertake to produce the receipt for the payment of the Hostel Charges
at the time of preferring my initial claim and thereafter in the month of
________________ & _____________________ every year
Dated
HOSTEL SUBSIDY
…………………………………………..
...................................... School/College
6 Period during the year for which the child or children to stay in the hostel
(a)
(O
Signature of Principal/Headmaster
Seal of the School
Dated
From 3 to AO 15/90
CERTIFICATE
Signature
(Principal/Head of School)
Seal of the School
Fnrm 4 to AO 5/90
__________________________________School/ College
Principal/ Headmaster/Headmistress
Date (stamp of institution)
X Strike out whatever is not applicable
Note : Certificate from the head of the institute should be furnished in the month of
___________ and _____________ every year covering the periods as shown below.