APPLICATION FOR THE GRANT OF EDUCATION ADVANCE @@@@@ 1 (a) Name (in BLOCK LETTERS) : (b) Designation, Department and office : where employed ( c) Basic pay : (d) Scale of pay : (e) Net salary received : 2 Date of Birth : 3 Whether services are regularized or not? : If so, total period service rendered. 4 Total no. of living children : S.No. Names of the children Age Class in which studying Academic year 1. 2. 5 Name of the institution where the child/ children are studying : DECLARATION 1. I solemnly declare that the information furnished by me in reply to the various items indicated above is true to the best of my knowledge and belief. 2. I certify that A. My wife/husband is not a Government servant. B. Neither I nor my wife/husband who is Government servant has applied for/obtained advance. Station : Signature of the : applicant Date : Designation : Place of work : No advance is pending recovery. Sign.of Incharge of Accounts wing
