Green Form

(Photocopy of this form can also be used)

A-4 size paper

FEDERAL EMPLOYEES BENEVOLENT AND GROUP INSURANCE FUNDS

BENEVOLENT FUND BUILDING, BLOCK C-II, NEAR ZERO POINT,
[Link] NO.2035, ISLAMABAD

FEB & GIF APPLICATION FOR REIMBURSEMENT OF ANNUAL/SEMESTERS FEE

(For children of serving employees studying in BS to MS / MPhil level Degree
Programmes specified under Rule 25-A of FEB & GIF Rules, 1972)
PART-A
PARTICULARS OF EMPLOYEE
1 Name of Employee
a)
(in block letters)

b) Father/Husband’s Name

2 CNIC No. of Employee

3 CNIC No. of Spouse
Parent Department; with complete
4
Postal address and contact No.
Present Department; with complete
5
Postal address and contact No.
6 Designation
7 Place of Posting
a) Basic Pay Scale
8
b) Status of employee Gazetted Non-Gazetted
Bank Account title:

Bank A/C title and No. for credit of Bank Name: Branch: City:
9
grant
Account
No.
Particulars of the fee Amount
reimbursement, if any, received last
10 year from the FEB & GIF Class/Degree programme
Semester / Year

EMPLOYEE’S UNDERTAKING
I hereby solemnly affirm that:
i) The application is submitted for the first time for reimbursement of fee for the year
ii) I have been contributing to Benevolent Fund & Group Insurance Fund as per prescribed rates.
iii) The above information is correct to the best of my knowledge and belief and in case of any incorrect
information, I shall be responsible.

Dated:____________
(Signature of the employee)
PART-B
(To be filled in by the Head of Department of the employee)
F. No._____________________ Dated:-_______________

Certified that Mr./Mrs.………………………….…………holds the post of …………………..… in this office and that
his / her basic pay scale at present is BS-……... (Gazetted/Non-Gazetted) and is a regular contributor of B.F & GIF at
current prescribed rates. The contents / information at Part-A above is correct as per record of this office and he is
neither a deputationist from any provincial government nor an Armed forces uniform wearing employee

( )
Signature and by name Stamp of
Head of the Department/Authorized Officer
 (Page-2)
PART-C
1. PARTICULARS OF STUDENT
1 Full name of the Student
(in block letters)
2 Father’s name

2. PARTICULARS OF PRESENT STUDY

(In case of semester
Name and address of Date of
Name of HEC recognized system, please write Duration of
the Degree commencement of
Public Sector University / No. of present the Degree
institution where Programme the academic
College / Institute semester e.g. 1st, programme
studying session
2nd, 3rd……)

3. DETAIL OF LAST CERTIFICATE/DEGREE PASSED FROM BOARD/HEC RECOGNIZED UNIVERSITY

Name of last
Name and address Academic Passed in Annual
examination Board / University
of the Institution Session / Supplementary
passed
last attended examination

4. POSTAL ADDRESS AND CONTACT NO. OF EMPLOYEE

Postal Address:

Telephone No. Mobile No.

Email (if any):
(Signature of the Student)
PART-D
(To be filled in by the Head of the Educational Institution where the student is enrolled)
1. Certified that Mr./Miss …………………………...………. S/o/D/o ………………….…………………..is a bonafide student of
this college / institution / university, studying in Degree programme of………..…………. in …………… year / semester and
that the particulars furnished by him/her in Part “C” of this application form are correct.

2. Certified that Mr./Miss …………………………...………. S/o/D/o ………………….………………. is not failed in any of the
subject(s) of last passed study year / last two semesters against which reimbursement of fee is being applied by the
student / employee.

3. Certified that this is a public sector college / institution / university and is recognized by Higher Education Commission.

4. Certified that Mr./Miss……………………..…… is a regular student of this Institute / University and has not got admission
on self finance basis.
Postal Address and Contact No. of College / Institution / University:

Signature and by name Stamp of

Head of College / Institution / University

Note:- It is clarified that if your child is studying in professional disciplines in public sector universities / colleges / institutes as specified in Rule 25-A
then you are allowed to apply either for the benefit of Fee Reimbursement or for the benefit of Stipend (rate of educational stipend in professional
studies at present is Rs. 40,000 per academic year per student on obtaining 70% marks), for your maximum of two children in a financial year. Both
of the benefits are not allowed / paid at a time to a student. The educational benefit (either stipend or re-imbursement of fee) once applied to FEB &
GIF for a student shall not be changed during the whole prescribed tenure/period of studies / degree programme.
Attested photo copies on A-4 size paper of the following documents along with covering/forwarding letter of department are to be submitted with this
application:
Documents about employee Documents about Student
1. CNIC of employee. 1. For degree programmes, copies of annual / semester result verified by Vice Chancellor / Controller / Dy. Controller / Asstt.
2. In case of female employee, Controller (examination) / Registrar / Dy. Registrar / Asstt. Registrar or any authorized officer of the University / College /
CNIC of her Husband. Institute.
(Both sides of all CNIC’s must 2. For degree programmes, copies of transcript / detailed marks sheet verified by Vice Chancellor / Controller / Dy. Controller /
be copied on A-4 size Asstt. Controller (examination) / Registrar / Dy. Registrar / Asstt. Registrar or any authorized officer of the University /
paper(s)). College / Institute.
3. Latest pay slip of employee 3. CNIC or Form ‘B’ of the student. (Both sides of CNIC must be copied on A-4 size paper).
attested by head of office / 4. University / college / Institution admission offer letter.
DDO showing complete detail 5. Original Bank paid fee Challans for fee reimbursement pasted on A-4 size paper along with 2 Photocopies on A-4 size
of BF & GI deductions (02 paper.
copies). 6. In case of detail of fee is not given on fee challans, a certificate from the university / college / institute regarding detail of fee
4. In case of deputationist, copy 7. In case of online fee payment directly in the university account, fee challan showing detail of fee along with university verified
of deputation order / copy of student ledger showing university A/C No. and detail of amount of fee deposited for the specific semester for which
notification. reimbursement is being applied and copy of bank manager’s verified statement of a/c of the applicant showing transfer of
5. List of family members. semester fee into the university’s a/c are required.

Federal Employees Benevolent & Group Insurance Funds Benevolent Fund Building, Block A-1 Near Zero point, Islamabad.
For further information/complaint, please visit our website i.e. [Link].051-9252164