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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