FORM GFR 19-A
(See Government of India's Decision (1) below Rule 150)
FORM OF UTILISATION CERTIFICATE
Sl. Letter No. and date Amount
No. (Rs)
1 No. KSHEC/RUSA 2191556
FUND/2015-16/389
DATED 14/09/2015
2 No. KSHEC/RUSA 283444
FUND/2015-16/593
DATED 16/12/2015
3 No. KSHEC/RUSA 3236538
FUND/2015-16 DATED 02-
02-2016
TOTAL 5711538
1. Certified that out of Rs 5711538 grants-in-aid sanctioned during the year 2015-
2016 Under RUSA under the Letter No’s mentioned in the table above, a sum of
Rs…………………… only has been utilized for which it was sanctioned and that the
balance of Rs………………… remaining unutilized as on 30th June 2016
02. Certified that I have satisfied myself that the conditions on which the grants-in-aid
was sanctioned have been duly / are being fulfilled and that I have exercised the
following check to see that the money was actually utilized for the purpose for which it was
sanctioned.
03. Kinds of Cheques exercised.
[Link]. CHEQUE NO. WITH DATE AMOUNT NAME OF
(RS.) VENDOR
& PURPOSE
1.
2.
3.
4.
.
Signature :
Designation :
Date :