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STATEMENT OF EXPENDITURE FOR THE PURPOSE OF RELEASE OF FUNDS UNDER KISHORI SHAKTI YOJANA (KSY) Name of the State_____________ Financial Year________________ Quarter No________________ PART A I. Physical 1. Number of KSY ProjectsSanctioned_____________________ Operational_____________________ PART B II. FINANCIAL KSY Funds released during previous Financial Year by GOI Rs.___________ Expenditure incurred in previous Financial Year Rs.___________ Unutilized balance (or excess expenditure) of previous Financial Year Rs.___________ Opening Balance for the current Financial Year Rs.__________ PART C 1. Opening Balance for the Quarter Rs_________ 2. Funds received from GOI during the quarter Rs_________ 3. Total funds available during the quarter (1+2) Rs_________ 4. Funds utilized during the Quarter Rs._________ 5. Closing Balance at the end of the quarter (3-4) Rs__________ 6. Cumulative funds utilized during the year Rs__________
UTILIZATION CERTIFICATE Certified that out of the total amount of Rs.____, available* under Kishori Shakti Yojana (KSY) upto the end of quarter (--------) in the financial year 200_ - 200_, a sum of Rs.___________________ has been utilized, during the quarter (----------) as per schematic norms and for the same purpose for which the amount was released.
Signature of the Authorized Officer * Amount available would include the opening balance for the quarter and the amount released received during the quarter.
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