Name in Full
(in block letters) |
______________________________________________________________ |
| Address |
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________ Pin Code |
|
| I have paid/ remitted the subscription of Rs ......................... On .......................................... in cash/ by M.O./ P.O./ Bank Draft/ Cheque to your ......................................................................................... |
| |
Mumbai Office / Your Kendra |
| Place : ............................................ |
Yours faithfully, |
| Date : ............................................ |
(Signature) |
* Strike out whichever not apply. |
√ Strike out whichever not apply. |
