(In Rs.

)
Expenditure Amount Income
1.Expenditure incurred for the purpose of
1.Grants -in -Aid/Subsidy
approved work undertaken under
received From:
NULM/SJSRY:

Social Mobilization& Institution

i (a) Central Share
Development (SM&ID)
Employment through Skill Training &
ii (b) State Share
Placement (EST&P)
iii Self-Employment Program (SEP) (c) Other Agencies
2. Interest received during the
year from the Bank
iv Capacity Building & Training (CB&T)
AccountsReceived during the
year.
3. Refund of unutilized grants by
Scheme of Shelters for Urban Homeless
v Implementing Agencies
(SUH)
(Surrender Amount)

vi Support to Urban Street Vendors (SUSV) 4. Miscellaneous Receipts

5. Excess Expenditure carried

vii IEC
over to Balance sheet
viii Innovative and innovation project

ix Administrative & Operational Expenses

2. Others (if, specify please)

3. Excess of Income over Expenditure carried
over to Balance Sheet.
Total - Total
 (In Rs.)
Amount

-
 (Amount in Rs)

Previous Year Current Year

CAPITAL FUND AND LIABILITIES Amount Amount
Accumulated Fund
Opening Balance
Add/Deduct
Balance Transferred From Income & Expenditure Account
Current Liabilities
(i) Outstanding Expenses/Payables
(ii) Any other Liability
Total - -
ASSETS
Fixed Assets
(i) Vehicles
(ii) Furniture & fixtures
(iii) Office Equipment
(iv) Computers & Peripherals
(v) Others etc.
Current Assets & advances
(i) Stock
(ii) Temporary Transfer of Funds to other schemes recoverable
(iii) Closing Balance
(a) Cash in Hand
(b) Cash at Bank
(c) Account Receivables and Advances recoverable
(i) Implementing Agencies
(ii) Other Agencies
(iii) Staff
(iv) Suppliers etc.
Total - -
 Name of the Purchase Current Year Date of Rate of
S.No. Net Value
Item value Purchase Purchase depreciation
1
2
3
4
5
6
7
8
9
10
Total - - -
Remarks
Sl. No. Item Sanction Order No. and Date of Receipt of Grants by ULB
TSP SCPSC OSP Misc.
1 Opening Balance as on 01.04.20… Amount in Rs

2 Fund Received in Current F.Y

A Central Share
i OSP
ii TSP
iii SCPSC
iv Sub Total (Aa+Ab+Ac)
B State Share
i OSP
ii TSP
iii SCPSC
iv Subtotal (Ba+Bb+Bc)
C Miscellaneous (interest/donation etc)
Grand Total (1+2A(iv)+ 2B(iv)+C)

Sl.No. Item Central Share State Share Total

Amount in Rs.
A B C D E=(C+D)
1 OSP
2 TSP
3 SCPSC
4 Miscellaneous (interest/donation etc)
Grand Total (1+2+3+4) - - -

Sl.No. Item Central Share State Share Total

Amount in Rs.
A B C D E=(C+D)
1 OSP
2 TSP
3 SCPSC
4 Miscellaneous (interest/donation etc)
Grand Total (1+2+3+4) - - -
Amount in Rs

-
 Unit (in Number)
S.No. Component
Target Achievement

A Social Mobilisation& Institution Development (SM&ID)

a Formation of SHG
b Number of SHGs Provided Revolving Fund
c Formation of ALF
d Number of ALFs Provided Revolving Fund
e Formation of CLF
g City Livelihood Center establishment
h Others (if, specify please)
B Employment through Skill Training & Placement (EST&P)
No. of candidate completed training (including Certification) as on
a
31.03.2017
b No. of candidate under training as on 31.03.2017
c No. of Candidate place through wage placement as on 31.03.2017

d No. of Candidate placed through self-employment as on 31.03.2017

e Others (if, specify please)

C Self Employment Program (SEP)
Subsidy to bank for loan disbursed for No. of Group Enterprises as on
a
31.03.17
Subsidy to bank for loan disbursed for No. of Individual Enterprises as
b
on 31.03.17
No. of SHG Subsidy to bank for loan disbursed under SHG-Bank
c
Linkage Program as on 31.03.17
d Others (if, specify please)
D Capacity Building & Training (CB&T)
a No. of Training to CMMU/ SMMU Staff
b No. of Training of Others

No. of Training to ALF Members

c

No. of Review Meetings

d
e No. of Workshopsorganised
f Others (if, specify please)

Scheme of Shelters for Urban Homeless (SUH)

E
a construction of new shelter home
b Refurbishment of existing shelters Homes
c No. of Shelter homes functional
d Others (if, specify please)
F Support to Urban Street Vendors
a Number of vendor Survey
b Number of vendor Identified
c Number of ID Card issued to Street Vendor
d Number of Basic Saving account opened for Street Vendors
e Number of Financial Literacy camp organized for Street Vendor
f Number of Training program organized for Street Vendors
g Number of Street vending plan started
h Number of street Vending plan completed
i Number of vendor market established
i Others (if, specify please)
G IEC
a No. of Promotional Activities
b No. of Hording
c No. of Wall Painting

d No. of printing of Poster/Banner/Pamphlets/Dairy/T-Shirts/ Caps etc

e Others (if, specify please)

Name of the ULB:
Expenditure between
Financial Year:
Amount in Rupee
Out of Total Exp.
S.No. Particular Total Exp.
SC ST Others Minority (15%) Woman (35%)
A B C D E F G H
1 SMID
2 EST&P
3 SEP
4 CB&T
5 SUH
6 SUSV
7 AO&E Bifurcation Not Required
8 IEC Bifurcation Not Required
Total (1 to 8)
Amount in Rupee

Disabled (3%)
I
YEAR:-
NAME OF THE ULB :
Remarks
S. No. ISSUES
(Yes/No/Narration)
Opening Balance & Closing Balance of the Receipts and Payments account
1
tallies with that of cash book
2 Opening Balance adopted tallies with Closing Balance of the last year
Whether grantee or other implementing agencies have diverted / inter-
transferred funds from one scheme to another Central Scheme or State
3
funded Scheme during the period in contravention to the existing
guidelines? If so details thereof.
Are there any mis-utilisation / unrelated expenditure and mis-appropriation
4 of funds by the grantee or other implementing agencies during the year? If
so details thereof.
5 There is only prescribed number of bank accounts for the scheme
6 There does not exist any minus balance at any stage during the year.
Where the Sanction Order of the Department/Directorate of Municipal
7 Administration specifies certain conditions at the time of release of funds,
whether the same has been fulfilled.
8 Scheme funds are being keptin ? (bank/ PL Account /post office etc)
9 Interest earned has been added to the scheme fund.
Whether interest money is being utilized strictly for the program purposes as
10
laid down in the existing guidelines
State share, as per programguidelines, for the year has been received
11
during the year
All receipts / refunds have been correctly accounted for and remitted in to
12
the Bank account of the scheme
13 Bank Reconciliation is being done regularly
14 Name and address of the previous Auditor.