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1 2 Year to Period which of the grant utilizat relates ion 4 5 Amount sanctioned Rs. 3 Date of payment Purpose of the grant Amount spent Unspent balance Remarks 6 7 8 9 10 1. Certified that out of the grant-in-aid of Rs ..sanctioned during the year....................................in favour of................................................................. as per the orders mentioned above, and Rs.............................. on account of unspent balance o.

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