Certificate of Attendance to an Officer of Government summoned as a
witness in a suit to which the Government is a party
(Order XVI, Rule 4-A)

This is to certify that (Name) ………………………… (Designation) ………………. Being a   servant of the Government of India/of the Government of …………. (Name of State) was summoned to give evidence in his official capacity on behalf of the plaintiff/defendant ………….. in the above and was in attendance in this Court from the ………. day of ….…….. to the ..….. day of …….. 20….. ‘(inclusive) and that a sum of Rupees……… has been paid into Court by the plaintiff/defendant ………towards his Traveling and subsistence allowance for ……….. day according to ………….has been …………… the scale  prescribed by the Government of India/Government of ……..……………….. (Name of State) and that the said amount has been/will be ……………. remitted to the Government treasury at …….. to be  credited to Government under the head XXI-D ……………….Miscellaneous Fees and dated the  ………. Day of ……. 20…..
(Presiding Judge or Chief Ministerial Officer”)
(2-3-1942 and 28-5-1985)