APPENDIX - 25A

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BANK CERTIFICATE OF PAYMENTS FOR DOMESTIC SUPPLIES

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NOTE: PLEASE SEE CHAPTER 6,7 AND 10 OF THE POLICY AND CHAPTER 6, 7 AND 10 OF THE PROCEDURE.

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To ______________________________ (Name and address of Licensing Authority). We ________________________ (Name and address of the domestic supplier) hereby declare that we have received payment through banking channel in respect of supplies given hereunder.

Invoice			Description of goods as given in the invoice	Details of payment received
No.	Date	FOR value		Cheque /DD/ Bank Reference No.	Date	Amount	Date of issue of this Certificate
[1]	[2]	[3]	[4]	[5]	[6]	[7]	[8]

(In table column 8 has been added vide PN.No. 43(RE-01), DT. 19/10/2001.)

(In above table Column No 5 has been amended vide P.N.No. 21(RE-01), Dt. 15/06/2001.)

We further declare that the aforesaid particulars are correct.   
                                                             
						Signature of the domestic supplier.	: ....................
						Name in block letters		: ....................
Place:										: ....................
						Designation			: ....................
										: ....................
						Full official address			: ....................
OfficialSeal/stamp					Full Residential address		: ....................

BANK"s CERTIFICATE

This is to certify that we have received the amount mentioned in column 7against invoice mentioned in column 1 above.

                         							(Signature of the Bankers)

                             						Full address of the Bankers
                             						______________________________
                             						Branch and City ________________
                             						
								Official Stamp.