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2
बहार गजट (असाधारण), 7 फरवर) 2014
(2)
lcls uhps
"Counter signature by sanctioning Authority /Officer Authorised
by him."
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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