FORM-III

PRE - RECEIPT

Received with thanks a sum of Rs. _______________________________________ (Rupees ______________________________________________________________________) from the Development Commissioner (SSI), being the SSI-MDA grant towards (give the name of the activity with date) _________________________________________________________ sanctioned vide letter No._____________________________________ dated _______________ and paid vide Cheque No.*___________________________________ dated _______________



Signature
Name & Designation
Date: (With Office Seal)

* Details of cheque will be filled in by the Office of DC(SSI)