Form No 65 See Rule 170 A

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

  1. S. ________            Z.P. (works) Sub-Dn _____