Statement of Expenditure for the purpose of release of Funds Under Kishori Shakti Yojana

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 Projects

Sanctioned_____________________

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.