Format for Utilization Certificate

FORM GFR 19-A
[See Government of India’s Decision (1) below Rule 150]
Form of Utilization Certificate

Sr.No.

Letter No. and date

Amount

 

 

 

 

 

 

 

 

 

   

 

 

 
    

Total

      


1. Certified that out of Rs……of grants-in-aid sanctioned during the year……in favour of ……under this Ministry/Department Letter No. given in the 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 be adjusted towards the grants-in-aid payable during the next year…

2. Certified that I have satisfied myself that the conditions on which the grants –in- aid was sanctioned have been duly fulfilled/ are being fulfilled and that I have exercised the following checks to see that the money was actually utilized for the purpose for which it was sanctioned.

Kinds of checks exercised

1.
2.
3.
4.
5.

Signature……………….
Designation…………….
Date……………...……

[G.I., M.F., O.M. No. F.14 (1)-E. II(A)/73, dated the 23rd April, 1975.]