Proforma UC

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FORM GFR 19-A

[See Rule 212(1)]

Utilization Certificate
Sl.
No.

Letter No. & Date

Amount
(Rs.)

Certified that out of

of grants-in-aid sanctioned during

the year 20.. - .. in favour of .(name of


IA/SPV) by Coir Board under the Ministry of MSME, Govt. of India
as per the letter Nos. given in the margin and

`..

lakhs on

account of unspent balance of the previous year, a sum of


`..

lakhs

has

been

utilized

for

of.for

the
which

purpose
it

was

sanctioned and that the balance of `. lakhs remaining


unutilized at the end of the year has been surrendered to
Government through Coir Board (Vide No. , dated)/will be
adjusted towards the grants in aid payable during the next financial
year.

----------Certified that the quantified and qualitative targets have been


achieved against funds utilized during the year 20..-..

2.
Certified that I have satisfied myself that the conditions on which the Grants-in-aid sanctioned
have been duly fulfilled/are being fulfilled and that I have exercised the following checks to see that
money was actually utilized for the purpose for which it was sanctioned.
Kinds of Checks exercised
1.
2.
3.

Place:

Signature

Date:

DESIGNATION

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