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RTE - REIMBURSEMENT CLAIM FOR THE STUDENTS ADMITTED IN THE YEAR - 2013-14 -VERIFICATION FORMAT

District:
School Name and Address
No. of Children Admitted in 2013-14 :
No. of Children admitted in 2013-14 and continued in 2018-19 :
*Fee Fixed by the Committee for 2018-19 : LKG-UKG : Rs. I-V : Rs.
*If the school has not obained Fee Fixation order for 2018-19, Mention the amount as per 2017-18 fixation order

Class Studied / studying Whether Fee


Class collected from the
Sl No Name of the Child Father Name admitted in child for the class
2013-14 in 2018-19?
2013-14 2014-15 2015-16 2016-17 2017-18 2018-19
(Yes / No)

1
2
3
4
5
6
Total
Certificate
1) Certified that the above details are verified with the records and ascertained that the details are true.
2) Certified that the children are actually studying in the School
3) Certified that no fee has been collected on behalf of the children admitted under RTE Act from Parents / Guardian or from any one for whom the c
necessary certificates have been received from the parents/ schools to this effect
4) Certified that the fee collected from the parents on behalf of the children admitted under RTE Act have been refunded to the parents and the cert
obtained from the parents/ shools.
5) Certified that management of the school have given an undertaking that if the reimbursement claim is found to be false or incorrect at any stage or objected in t
refunded to the Government in one lump sum
6) Certified that the claim made by the management is correct.
It is recommended that the amount claimed by the School by way of reimbursement of fee for the children admitted under RTE Act may be r
to the school management
RECOMMENDATION OF THE COMMITTEE
Blcok Resource Teacher Block Educational Officer Head

District Educational Officer (For Matriculation Schools, Chief Educational Office


N&P Schools) N&P
ENTS ADMITTED IN THE YEAR - 2013-14 -VERIFICATION FORMAT - I

VI-VIII: Rs.
er for 2018-19, Mention the amount as per 2017-18 fixation order
Amount to be
Claimed by the
If 'Yes'
School for the
Actual Fee
class in 2018-19
Collected
(Refer Fee
Rs.
Committee order)
Rs.

Certificate

der RTE Act from Parents / Guardian or from any one for whom the claim is made and

mitted under RTE Act have been refunded to the parents and the certificate to that effect have been

ursement claim is found to be false or incorrect at any stage or objected in the audit, entire amount will be

ursement of fee for the children admitted under RTE Act may be released
NDATION OF THE COMMITTEE
Block Educational Officer Headmaster

Chief Educational Officer (For Matricualtion Schools,


N&P Schools)

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