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2

बहार गजट (असाधारण), 7 फरवर) 2014

(2)

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"Counter signature by sanctioning Authority /Officer Authorised

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BTC FORM - 42A

FORM FOR UTILIZATION CERTIFICATE

(See Rule 271)

Not Payable at treasury

Major Head ..........................................

Sub Major Head ..................................

Minor Head ........................................

Sub Head ...........................................

Treasury Code ...........................................

DDO Code .................................................

Bill Code ................................................

UTILIZATION CERTIFICATE No / Bill No . ........................................ Date- ............................

OFFICE OF ...................................... MONTH OF ....................................... 20 ...........

1. Certified that out of Rs....................................... of Grants-in aid sanctioned

during the year.......................... in favour of ............................... under this Department

letter no. given in the table below and Rs........................................ on account of unspent

balance of the previous year, a sum of Rs................................... has been utilized for the

purpose for which it was sanctioned and that the balance of Rs.........................................

remained unutilized at the end of the year................................ has been surrendered to the

Govt. vide letter No.................. dated.................................../will be adjusted towards the

grants-in aid payable during the next financial year.

A. For the Grant to Government Offices for various schemes.

Certified that the remaining undrawn grant amount Rs. …………………………………………

…………………….

(in

words)………………………………………………………………………………………………

……………………………….. has been surrendered vide letter no. …………………………. dated

…………………………… and the remaining drawn grant amount Rs. ……………………………………….

…………………………. has been deposited in the treasury vide challan no. ……………………… dated

………………….., has been sent along with the surrender letter.

2. Kinds of checks exercised. (Audited Accounts, Cash Book, Asset Register,

Distribution Register, Stock Register, Purchase Register etc.)

i.

...................................................

ii.

.....................................................

iii.

.....................................................

v.

Others

3

बहार गजट (असाधारण), 7 फरवर) 2014

3. Particulars of Grants-in-aid:

Sl. No.

Sanction/

Allotment

letter No. and date

Name of the grantee

Institution/

Office

Purpose of the

grant/name of

scheme

Bill No. Date

Amount of grants

drawn

T.V. No. & date

Amount

UC

Balance

amount

Amount Surrendered

(with letter no. &

date)

Challan No. & Date

1

2

3

4

5

6

7

8

9

10

11

Signature & Stamp of Grantee

Agency/Institution/Office

This is certified that –

1. Audited Accounts Report has been obtained from the Grantee Agency/Institution

& the same has been kept in this office.

2. This Grantee Agency/Institution has been exempted from producing Audited

Accounts Reports & in this case, Utilization Certificate is being countersigned on the basis

of checking of ……………………………………………………………………………………………………………………

……………………………………….. Books of Accounts/Records.

Counter Signature & Stamp by Sanctioning

Authority/Officer authorized by him

Signature & Stamp of Drawing &

Disbursing Officer for the Grant-in-Aid

—————

अधी.क, सिचवालय मुिणालय,

बहार, पटना ारा ूकािशत एवं मु3ित।

बहार गजट (असाधारण) 139-571+10-ड)0ट)0पी0।

Website: http://egazette.bih.nic.in