MONTHLY UTILISATION CERTIFICATE OF ADDITIONAL NUTRITION FOOD ITEMS IN MID DAY MEAL

NAME OF THE SCHOOL

NAME OF THE BLOCK
DISE CODE CIRCLE NAME
NAME OF THE DISTRICT SANSAD NO
SCHOOL CATEGORY SUBDIVISION

Details of Additional Nutrition for Month of ___________________ 2023.

No. of students availing

Item given as additional Expenditure for
Date & Day the benefit of
nutrition additional nutrition(RS)
additional nutriton

Total Expenditure of the Month

Amount received during Expeniture during the

Opening Balance Closing Balance
the month month

Certified that an amount of Rs ________________ has been utilized during the month of
_________________ 2023 for providing additional nutrition to the MDM takers of my school.

Signature of MDM in-charge Signature of HOI/HM with seal