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  • Xxxx Cert Iom Form

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R No. and Date (Please give here details of Sanction Letters) 1. 2. 3. Certified that out of Rs. Purpose (As per details in SOE annexed) Dated: Amount (Amount of Sanctions) of grants in aids sanctioned during the Financial Year in favour of the VHC under Block....................... by the District Health Society vide letter nos. (given above) and Rs. on account of unspent balance of the previous year(s),.

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How to fill out the Xxxx Cert Iom Form online

Filling out the Xxxx Cert Iom Form online can be a straightforward process with the right guidance. This comprehensive guide will walk you through each section of the form, ensuring you provide all the necessary information accurately.

Follow the steps to successfully complete your form

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the name of the village in the designated field for 'Name of village'. This information is essential as it identifies the location relevant to the utilization certificate.
  3. Fill in the 'Name of PHC' (Primary Health Centre) to associate the form with the appropriate healthcare facility.
  4. Specify the month and year in the 'Month & Year' section. This is crucial for tracking the financial period of the certificate.
  5. In the 'Utilization Certificate for the Year' field, indicate the specific year for which the funds have been utilized.
  6. List the details of the sanction letters in the 'Sanction Letter No. and Date' section. You may add up to three entries to ensure all relevant information is captured.
  7. In the section labeled 'Certified that out of Rs.', input the amount of grants that were sanctioned during the financial year. This should align with your records.
  8. Fill in the purpose of the grants in the designated area as per the details in the Statement of Expenditure (SOE) annexed.
  9. Specify the total amount utilized, indicating Rs. followed by the specific monetary value.
  10. Document any unspent balance from previous years by entering the amount in the relevant field, ensuring you account for this accurately.
  11. At the end of the form, confirm the balance of unutilized funds and indicate that this will be adjusted towards the grants payable in the next financial year.
  12. Acknowledge that you have fulfilled all conditions associated with the grants and describe any checks you have exercised to verify the proper use of funds.
  13. Sign the form in the designated areas for both the Auxiliary Nurse Midwife (ANM) and the Gram Pradhan to validate the content.
  14. Once all fields are complete, review the information for accuracy, then save your changes. You may download, print, or share the completed form as needed.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232