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ANNEXURE – D : Formats for Payment, Inspection, Assessment, Certification & Utilization Certificate

Author:Kaushalkar|November 14th, 2018


Utilization Certificate for Government Agency / Department

Utilization Certificate for the Month ________________FY ________________

Sanction Order  
Date of Sanction  
Details of Sanction  
Sl No Amount Sanctioned Amount Released Purpose Amount Spent Balance

Certified that I have satisfied myself that the conditions on which the amount was sanctioned have been duly 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. Progress Reports As Per Guidelines  




Signature, Name & Designation of the Head of the Government Agency / Department

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