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Get Distance Certificate For Hostel

FORM 3 Para 25 HOSTEL SUBSIDY Certified that my child Shri/Kumari. is studying in. was admitted to hostel of the school on Certificate from the Head of the School attached. a* My wife/husband is/is not in Government 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 the number as provided in the orders. I undertake to inform my employer forthwith in the event of my withdrawing the child from the hostel and also about any change in the particulars mentioned earlier. Signature of the Government servant Name in block letter. Designation Office. Date FORM 4 Name of the School and Place School Name of the Boarder. Name of Parent. Class to which admitted. Date of admission in the hostel. Period during the year for which the child would continue to stay in the hostel. a* My wife/husband is/is not in Government 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 the number as provided in the orders. The total number of children in respect of whom the hostel subsidy and children s educational allowance have been claimed does not exceed the number as provided in the orders. I undertake to inform my employer forthwith in the event of my withdrawing the child from the hostel and also about any change in the particulars mentioned earlier. I undertake to inform my employer forthwith in the event of my withdrawing the child from the hostel and also about any change in the particulars mentioned earlier. Signature of the Government servant Name in block letter. Designation Office. Date FORM 4 Name of the School and Place School Name of the Boarder. Signature of the Government servant Name in block letter. Designation Office. Date FORM 4 Name of the School and Place School Name of the Boarder. Name of Parent. Class to which admitted. Date of admission in the hostel. Period during the year for which the child would continue to stay in the hostel. a* My wife/husband is/is not in Government 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 the number as provided in the orders. I undertake to inform my employer forthwith in the event of my withdrawing the child from the hostel and also about any change in the particulars mentioned earlier. The total number of children in respect of whom the hostel subsidy and children s educational allowance have been claimed does not exceed the number as provided in the orders. I undertake to inform my employer forthwith in the event of my withdrawing the child from the hostel and also about any change in the particulars mentioned earlier. Signature of the Government servant Name in block letter. Designation Office. Date FORM 4 Name of the School and Place School Name of the Boarder.

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