Scheme (Financial) authentication Form

Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8249111

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8249111
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Meromgutu Munda Tola
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Bandgaon/ Meromgutu/ Meromgutu
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 12
7. FHTC provided in these schemes : 13
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.413 lakhs
F. Community Contribution (@5.00 %) : 0.021 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.551 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.571 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8247621

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8247621
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Anandpur Runghikocha Hunda Hunda Toli
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Anandpur/ Rudhikhoch/ Unduda
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 8
7. FHTC provided in these schemes : 9
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.536 lakhs
F. Community Contribution (@5.00 %) : 0.027 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.548 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.574 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8247686

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8247686
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Anandpur Robokera Khatangbeda
Jayprakash Tola
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Anandpur/ Robkera/ Khatangbera
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 12
7. FHTC provided in these schemes : 18
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.495 lakhs
F. Community Contribution (@5.00 %) : 0.025 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.549 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.573 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8246822

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8246822
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Goilkera Kumhar Toli Nayak Tola Nag Toli
Bedang Tola
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Goelkera/ Goilkera/ Goilkera Bazar
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 12
7. FHTC provided in these schemes : 21
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.495 lakhs
F. Community Contribution (@5.00 %) : 0.025 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.549 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.573 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8344056

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8344056
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Nakti Khas 2
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Bandgaon/ Nakti/ Nakti
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 12
7. FHTC provided in these schemes : 14
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.495 lakhs
F. Community Contribution (@5.00 %) : 0.025 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.549 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.573 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8343993

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8343993
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Surbuda Douparam Adivwasi Tola
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Chakradharpur/ Surgura/ Duarparom
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 12
7. FHTC provided in these schemes : 15
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.578 lakhs
F. Community Contribution (@5.00 %) : 0.029 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.547 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.575 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8246220

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8246220
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Gulkeda Burusai
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Chakradharpur/ Gulkera/ Gulkera
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 8
7. FHTC provided in these schemes : 12
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.536 lakhs
F. Community Contribution (@5.00 %) : 0.027 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.548 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.574 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8253821

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8253821
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Champwa Darog Munda Tola
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Bandgaon/ Champwa/ Darong
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 10
7. FHTC provided in these schemes : 14
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.413 lakhs
F. Community Contribution (@5.00 %) : 0.021 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.551 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.571 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8245191

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8245191
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Surbuda Toyara
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Chakradharpur/ Surgura/ Toera
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 12
7. FHTC provided in these schemes : 14
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.495 lakhs
F. Community Contribution (@5.00 %) : 0.025 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.549 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.573 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________
 Scheme (Financial) authentication Form
Government of Jharkhand
Print date : 02.07.2024

Certificate for Scheme ID : 8246231

in accordance with letter no. No.W-11011/49/2021-Water-DDWS, dated 10.01.2024 of NJJM
(To be signed and authenticated at the appropriate level indicated in para 4 of letter dated 10.01.2024)
A. Static Data (auto fetched from the system):
1. Scheme ID : 8246231
2. Scheme name : Retrofitting Existing St/sc Solar Based Mrwss Gulkeda Khas
3. District/ Block/ Panchayat/ Village: West Singhbhum/ Chakradharpur/ Gulkera/ Gulkera
4. SLSSC Date: 02/03/2021
5. Admin Sanction Number : 179/02.03.2021
6. HHs planned in these schemes : 12
7. FHTC provided in these schemes : 15
8. Service Level (lpcd) : 55
9. Work order dated (if issued) : 29/05/2021
10. Total cost of scheme entered in IMIS (based on work order date) : 1.122 lakhs
In case the cost mentioned above (at Sr. No.10), includes inadmissible expenses like O&M, centage, cost of
land, higher service level & urban components, etc., please provides details as below :
B. Inadmissible expenses (reported by the State):
(Para 7.10 of Operational Guidelines for the implementation of JAL JEEVAN MISSION)
11. Costs towards O&M, if any : 0.000 lakhs
12. Costs on account of centage/supervision charge : 0.000 lakhs
13. Costs on account of Land : 0.000 lakhs
14. Construction/renovation/repair of building, office building extension of building, residential building,
vehicle etc. : 0.000 lakhs
15. Cost apportioned for creating infrastructure for provisioning higher service levels i.e. > 55 lpcd : 0.000
lakhs
16. Cost apportioned to infrastructure provisioned for supplying water to urban household if the scheme is
planned also to cover urban households : 0.000 lakhs
17. Amount of Price escalation/ variation : 0.000 lakhs
18. Any other inadmissible cost, if any : 0.000 lakhs
C. Total Inadmissible cost (calculated by the system) [Sum of B(11) to B(18)] : 0.000 lakhs
D. Cost attributed to JJM (After deducting (C) from A(10)) : 1.122 lakhs
E. Cost of in-village infrastructure (admissible under JJM) (reported by State) : 0.660 lakhs
F. Community Contribution (@5.00 %) : 0.033 lakhs
G. Central share under JJM (to be auto calculated by system (from Total Cost at D - Community Contribution
at F) using funding pattern) : 0.545 lakhs
H. State share under JJM [Total Cost(D) - Central Share(G)] : 0.577 lakhs
2. It is hereby certified that information mentioned from (B) to (H) is correct.

Place___________________
Date___________________

Signature with stamp

Name : _____________________
Designation : Collector/ CEO ZP/ EnC/ CE/ SE
Department of_____________________