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Signature & Official Stamp Signature & Thumb Impression
Signatures:_____________________________________ Page 1 of 3
Govt Officer & Guarantor
Govt Officer Guarantor
Signatures:_____________________________________ Page 2 of 3
Govt Officer & Guarantor
ACKNOWLEDGMENT
BEFORE ME, a Notary Public for and in _____________________ (city), this _______ day
of _______________ 2017, personally appeared and known to me as the same persons
who executed the foregoing instrument, they acknowledged before me that the same is
their free and voluntary act and deed, as well as the free and voluntary act and deed of
the principals herein represented.
This instrument consists of 03(three) pages, including this page whereon the
Acknowledgment is written, refer to the “Certificate of Financial Soundness of
Guarantor” which has been signed by the GOVT OFFICER & GUARANTOR together
with their instrumental witnesses at the bottom of the instrument and on each and
every page thereon.
NOTARY PUBLIC
Doc. No._________________;
Page No._________________;
Book No._________________;
Series of._________________.
Signatures:_____________________________________ Page 3 of 3
Govt Officer & Guarantor