To be issued on the Letter Head of Chartered Accountant
Date: ___ / ___ / ______
TO WHOMSOEVER IT MAY CONCERN
We have examined the books of accounts, bank statements, vouchers, supporting documents and other relevant records of:
Name of Entity / Organization: ______________________________
Registered Address: ________________________________________
PAN: _______________________
GSTIN (if applicable): _____________________
Pursuant to the records and information produced before us and according to the explanations given to us by the management, we hereby certify that the funds amounting to INR __________________ received from ____________________________________________ for the purpose of ____________________________________________ have been utilized as under:
STATEMENT OF FUND UTILIZATION
| Sr. No. | Particulars | Amount (INR) |
| 1 | Funds Received | __________ |
| 2 | Utilized towards Purchase of Fixed Assets | __________ |
| 3 | Utilized towards Working Capital | __________ |
| 4 | Utilized towards Operational Expenses | __________ |
| 5 | Utilized towards Project Expenses | __________ |
| 6 | Other Utilization (Specify) | __________ |
| Total Funds Utilized | __________ | |
| Balance / Unutilized Funds | __________ |
Based on our examination of the records and information made available to us, the aforesaid funds have been utilized for the purpose for which they were sanctioned/released, subject to the observations and explanations referred to above.
This certificate has been issued on the basis of books of accounts and other relevant records produced before us. We have not carried out any independent investigation beyond the examination of such records and supporting documents.
This certificate is issued at the specific request of the management/entity for submission to ____________________________________________ and should not be used for any other purpose without our prior written consent.
For M/s __________________ & Co.
Chartered Accountants
Firm Registration No.: __________________
Signature: ___________________________
(Name of Chartered Accountant)
Membership No.: _____________________
Place: _______________________________
Date: ________________________________
UDIN: _____________________________