NAME OF THE INSTITUTE

INSTITUTE ADDRESS
(LETTER HEAD)
Contact No. / Phone:
Email ID:
GST No.:

GFR 12 – A [(See Rule 238 (1))]

UTILIZATION CERTIFICATE (UC) FOR THE YEAR 20__ - 20__ in respect of GRANTS RECEIVED as on _____________
Is the UC Audited (Provisional/Audited)

1. Name of the grant receiving Organization:

2. Name of Principal Investigator (PI):
3. NMICPS TiHAN FOUNDATION, IIT Hyderabad Sanction order no. & date:
4. Title of the Project:
5. Grants position at the beginning of the financial year (Grants released by)
(i) Cash In Hand/Bank /Carry forward from previous
financial year : Rs.
(ii) Others, If any : Rs.
(iii) Total : Rs.
6. Details of Grants received, expenditure incurred and closing balances: (Actuals)
Unspent
Balance of Interest
Grants deposited Total Expendi
Interest Closing
received back to Available ture
Earned Grants received during the year Balances
previous NMICPS TiHAN funds incurre
thereon (5-6)
years [figure FOUNDATION, (1+2-3+4) d
as at Sl. No. IIT Hyderabad
7(iii)]
1 2 3 4 5 6 7
20__ - Sanction Date Amount (iii) 20__ - 20__ -
20__ - 20__ 20__-20__ 20__ - 20__
20__ No. (i) (ii) 20__ 20__

Component wise utilization of grants:

Grant-in-aid–General Total

Details of grants position at the end of the year

(i) Cash in Hand/Bank : Rs.
(ii) Interest if any : Rs.
(iii) Balance (Carry forward to next financial year) : Rs.

Principal Investigator Head of the Institute Chartered Accountant

Name of the Institute Name of the Institute Membership No.: __________
Date: ________________
 GFR 12 – A [(See Rule 238 (1))]
UTILIZATION CERTIFICATE (UC) FOR THE YEAR 20__ - 20__ in respect of GRANTS RECEIVED as on
____________
Is the UC AUDITED (Provisional/Audited)

Certified that I have satisfied that the conditions on which grants were sanctioned have been duly
fulfilled/are being fulfilled and that I have exercised following checks to see that the money has been
actually utilized for the purpose for which it was sanctioned:

(i) The main accounts and other subsidiary accounts and registers (including assets registers) are
maintained as prescribed in the relevant Act/Rules/Standing instructions (mention the Act/Rules)
and have been duly audited by designated auditors. The figures depicted above tally with the audited
figures mentioned in financial statements/accounts.
(ii) There exist internal controls for safeguarding public funds/assets, watching outcomes and
achievements of physical targets against the financial inputs, ensuring quality in asset creation etc. &
the periodic evaluation of internal controls is exercised to ensure their effectiveness.
(iii) To the best of our knowledge and belief, no transactions have been entered that are in violation of
relevant Act/Rules/standing instructions and scheme guidelines.
(iv) The responsibilities among the key functionaries for execution of the scheme have been assigned in
clear terms and are not general in nature.
(v) The benefits were extended to the intended beneficiaries and only such areas/districts were covered
where the scheme was
(vi) The expenditure on various components of the scheme was in the proportions as per Annexure – I &
Annexure – II authorized as per the scheme guidelines and terms and conditions of the grants-in-aid.

Date:
Place:

Principal Investigator Head of the Institute Chartered Accountant

Name of the Institute Name of the Institute Membership No.: __________
Date: ________________
 Annexure - I

REQUEST FOR GRANT INSTALMENT WITH UP-TO-DATE STATEMENT OF EXPENDITURE

1. NMICPS TiHAN Foundation Sanction Order No and date :

2. Name of the PI :
3. Total Project Cost :
4. Revised Project Cost, (if applicable) :
5. Date of Commencement :
6. Statement of Expenditure :

(Month wise expenditure incurred during Financial Year 20__ - 20__)

Month & year Expenditure Incurred (₹)

April, 20__
May, 20__
Jun, 20__
Jul, 20__
Aug, 20__
Sep, 20__
Oct, 20__
Nov, 20__
Dec, 20__
Jan, 20__
Feb, 20__
Mar, 20__
Total

7. Grant received in each year

a. 1st Financial Year :
b. 2nd Financial Year :
c. Interest, If any :
d. Total (a+b+c) :
 Annexure - II

Statement of Expenditure

(From __________ to _________)

Total Funds Allocated

Expenditure Incurred
(Indicate sanctioned or revised) (III) Total Balance as on
Sr Sanctioned Total Requirement
1st Year Expenditure ________________
No Heads Sanctioned of Funds for Remarks
1st Year 2nd Year Total __________ to (IV+V) (III-VI)
(I) (II) (₹) 2nd Year (V) the Next Grant
Receipt Receipt Receipt _________ (VI) (VII)
(IV)

1 BUDGET HEAD

2 BUDGET HEAD

3 BUDGET HEAD

4 BUDGET HEAD

5 BUDGET HEAD

6 BUDGET HEAD
INTEREST
7
EARNED
Total

Principal Investigator Head of the Institute Chartered Accountant

Name of the Institute Name of the Institute Membership No.: _____________
* DOS – Date of Start of project
Note:

1. Expenditure under the sanctioned heads, at any point of time, should not exceed funds allocated under that head, without prior approval of NMICPS TiHAN FOUNDATION, IIT Hyderabad i.e., Figures in
Column (VII) should not exceed corresponding figures in Column (III)
2. Utilization Certificate (Annexure II) for each financial year has to be enclosed along with request for carry-forward permission to the next financial year.