APPLICATION FORM FOR THE RELEASE OF SECURITY AS PRESCRIBED UNDER RULES 22(1) OF THE DELHI | |
1. Name of the Foreman and address | : |
2. Registration No. of chit | : |
3. Amount of Chit | : |
4. Date of Commencement | : |
5. Date of Termination | : |
6. Amount of Security | : |
7. Nature of Security | : |
8. Purpose of Security | : |
9. Have the claims of all the prized subscriber been fully cleared off | : |
10. If not, give details of the prized subscriber whose account have not been settled finally. |
: |
11. Whether the prized amount in the | : |
a) Case of any defaulting prized subscriber has been deposited and intimated to him/her/them. | : |
b) Ticket number of the paid/prized defaulters with amount due and and action taken in each case by Foreman. | : |
12. Number of defaulting/removed subscriber | : |
13. Amount received from each defaulting subscribers and its desposal | : |
14. Whether the dues payable under the Act/Rules to Registrar have been made | : |
15. If not, give the nature and extent of defualts. | : |
16. Whether Balance Sheet filed | : |
17. Whether request made for final release or for re-apropriation | : |
I hereby declare that the above contents are true to the best of my knowledge and belief and affidavit to this effect has furnished.
Signature and Seal of Foreman/Manager
/GeneralAttorney of the Company.