Utilization Certificate GFR-12-C Form of Utilization Certificate

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Utilization Certificate

GFR-12-C

Form of Utilization Certificate

S.no Letter No and Amount Certified that out of Rs. _________ of grant sanctioned
date during the year _________________________in the favor of
___________ under this Ministry/Department Letter No.
given in margin and Rs. ________________ on account of
unspent balance of the previous year, a sum of Rs.
___________________ has been utilized for the purpose of
_______________for which it was sanctioned and that the
balance of Rs. _____________remaining unutilized at the
end of the year has been surrendered to government
(vide no _________dated ________________)/will adjusted
towards grants-in-aid payable during the next year
____________

1. Certified that I have satisfied myself that the condition on which grant-in-aid was sanctioned
have been duly fulfilled / are being fulfilled and I have exercised the following check to see
that the money was actually utilized for which it was sanctioned

Kind of check exercised

1.
2.
3.
4.
5.

Signature ………………………………….

Designation …………………………….

Date. ………………………………………

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