........................
Date …………….
            Rs ………………... 
 
            On demand, we hereby promise to pay
to X Y, son of……………………resident of ………………or order the sum of Rs ……………….(Rupees…………….only)
 
Name and
address of drawers
1 .
2.
3.
 
............................(Stamp)
…………………………
…………………………
                                                                                                                                                                                                                                                Drawers
(Signatures
across the stamp)

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