ACKNOWLEDGMENT
I hereby acknowledgement that a sum of Rs………………………./-
(Rupees in word……………………………………………………………………………)
Is due from me to Shri/ Mr/
Mrs/Miss…………………………………………………………………….
S/o…………………………………………………………………………
R/o……………………………………………………………………
S/d……………………………………………………….
S/o. Shri…………………………………………………
Date:………………….
Address:………………………………………………..
…………………………………………………………..
…………………………………………………………..

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