ACKNOWLEDGMENT OF PART PAYMENT OF A DEBT

Date:__________
I___________ (Name), S/o. Sh.________ hereby acknowledgment that I have paid
Rs_____ in part payment of the debt of Rs._________(Rupees in words) borrowed by
me from sh._________ S/o Sh._____________ R/o____________ on a promote
executed by me in his favor on (Date)___________

__________
(Signature)