| Proforma - A - III |
CERTIFICATE OF UTILIZATION
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| We hereby certify that the scholarships to the following students under Shiksha Sahayog Yojana have been disbursed during the year as per details given below : |
| |
Sr.
No. |
Name of the Student |
Class |
Name of the
Institutions /
School |
Amount |
Date of
Disbursement |
| 1 |
2 |
3 |
4 |
5 |
6 |
| |
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|
|
|
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| |
| DATE |
SEAL |
SIGNATURE OF AUTHORIZED
OFFICER OF THE NODAL AGENCY |
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