Consolidated Utilization Certificate & Bank Account Declaration

Name of the school or office

BRC / DPO name

District name

We have spent amounts from the following grants during the above period for the purpose mentioned in the grant order copies, and the closing balance of all grants held by the above-mentioned office or school as on the above date is Rs. 0.00

Sl.no	Nature of the grant	Opening balance	Amount received during the period	Amount spent during the period	Closing balance	Action

Certified that I have satisfied myself that the conditions on which the grant-in-aid was sanctioned have been fulfilled.

Date

Place

Authorized signatory

Name

Designation

Name of the school or office

District name

BRC name

This is to confirm that we have 1 bank account(s) only as on under the scheme of Samagra Shikshana Karnataka. Details of the bank accounts are as follows:

Sl.no	Name of the bank	Account number	Type of account	Purpose of usage	Closing balance as on above date	Action

Date

Place

Authorized signatory

Name

Designation

Consolidated activity-wise utilization certificate

Bank account declaration