FORM NO. 65
(See Rule 170)
COMPLETION CERTIFICATE
[FOR ORIGINAL WORKS]
___________________________________
Name of Work:-_________________________________________________________________
________________________________________________________________
Authority: – ______________________________________________________________________
Estimate Cost Rs: – __________________________/-
Plan No. _________________________ T. S. No. ________________________________________
This is to certify that the work maintained above was completed on __________________ and handed over on ____________and that there have been no materials deviations from the sanctioned plan specifications other than those sanctioned by component authority.
Certified that the above work is completed as per measurements recorded in M. B. No. _________Page No. ______________ to _________ that the total final valuation is Rs.______________________In words Rs.___________________________________________________________________________
Sectional Engineer Deputy Engineer
- S. ________ Z.P. (works) Sub-Dn _____