FORMAT FOR COMPLETION REPORT & PAYMENT OF IAY HOUSE

COMPLETION REPORT – I

This is to certify that Shri/Smt/Kri___________________________________________________________________

S/o, D/o, w/o, ___________________________resident of _______________________________________________

G.P.U has constructed a new house under IAY.Physical Verification has been conducted by Me/Us and work is found

satisfactory.

RURAL DEVELOPMENT ASSISTANT PANCHAYAT SEAL & SIGNATURE

RURAL MANAGEMENT& DEV. DEPTT.

BLOCK DEVELOPMENT . OFFICER

__________________________ BAC
RURAL MANAGEMENT& DEV. DETT.

COMPLETION REPORT – II

This is to certify that Shri/Smt/Kri__________________________________________________________________

S/o, D/o, w/o, ___________________________resident of ______________________________________________

G.P.U has completed the construction of house under IAY as per norms. I have conducted physical Verification and

work is found satisfactory.

As such, the final bill as detailed below may be released.

1. Date of Sanction: - ______________________________

2. Sanction Amount: - Rs. 38,500/-

3. Advance (-): - Rs. 10,000/-

4. GCI Sheets 24 (nos): (as per store clearance enclosed)

(-): - Rs. _________________________

TOTAL: - Rs. _________________________

5. Date of Completion: _______________________________

JUNIOR ENGINEER ASSISTANT ENGINEER

_________________SUB-DIVISION ____________SUB DIVISION
RURAL MANAGEMENT& DEV. DEPTT. RURAL MANAGEMENT & DEV.DEPTT.

COUNTERSIGNED

DISTRICT DEVELOPMENT OFFICER

EAST DISTRICT
RM&DD.

Pay order for Rs._______/-(Rupees____________________________________) only, as final payment.

DISTRICT DEVELOPMENT OFFICER

EAST DISTRICT
RM&DD.