FORMAT E

UTILISATION CERTIFICATE (2 copies)
FOR THE FINANCIAL YEAR …… 

1.	Title of the project/scheme			:	

2.	Name of the institution			:	

3.	Principal Investigator				:

4.	Dept. of Scientific & Industrial Research’s	:	
	letter No. and date of sanctioning the project

5.	Amount brought forward from the previous	:
	financial year quoting DSIR letter No. &
	date in which the authority to carry forward
	the said amount was given

6.	Amount received during the financial year	:	
	for non-recurring & recurring expenditure		
	please give the information for non-		
	recurring & recurring separately with No.
	and date of DSIR’s sanction letter)

7.	Amount of revenue earned and transferred	:		
	to the project fund with …………..as per details
	in the annexed receipt and expenditure statement

8.	Total amount that was available for 		:	
	expenditure (excluding commitments) incurred
	during the financial year (Add item 5 + 6 +7)

9.	Actual expenditure (excluding commitments):	
	incurred during the financial year
 (as per the detailed in the annexed
	Receipt & expenditure statement)

10.	Balance amount available at the end of 	:	
	Financial Year

11.	Unspent balance refunded, if any		:
	(please give details of cheque/draft No. etc)

12.	Amount to be carried forward to the next
	financial year (if applicable)			:

								Contd…..2/-

					-: 2:-

Certified that the expenditure of Rs.               /- (Rupees …………….   only) mentioned against Sr. No. 9 is duly taken from the accounts maintained separately for the Project and has been incurred on the approved Project/Scheme for the purpose for which it was sanctioned.

Also certified that all the movable and immovable assets individually exceeding Rs. 1,000/- in value, acquired wholly or substantially out of DSIR grant, have been recorded in the assets register.

Date:
FORM GFR 19 – A

Form of Utilization Certificate

Sl. No	Letter no. and date	Amount	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.	

Total			

Signature & Seal of 

Principal Investigator	      Registrar/Director		   Finance Officer
			      Head of Institution

						Chartered Accountant 
					(in case of Registered Societies/ Associations)

(To be filled by DSIR)

Certified that we have satisfied our self that the conditions on which the grant-in-aid was sanctioned have been duly fulfilled/are being fulfilled and that we have exercised the following checks to see that the money was actually utilized for the purpose for which it was sanctioned.

Date: 
Project Officer
Counter signed by the Head of Department

Date:
			
					(Project Officer Accepted and countersigned)