FORM II - ACKNOWLEDGEMENT SLIP - Prevention of Money-Laundering (The Manner of Forwarding A Copy of The Order of Retention of Seized Property Along With The Material To The Adjudicating Authority And The Period of Its Retention) Rules, 2005

FORM II [See sub-rule (5) of rule 3] ACKNOWLEDGEMENT SLIP Serial Number..................... Received a sealed envelope bearing number....................... dated........... from............ [the designation of the authorized officer] on..................[date] at ............[time] Signature of the Adjudicating Authority/designated officer of the office of Adjudicating Authority ...................................................... Name of the Adjudicating Authority/designated officer of the office of Adjudicating Authority [Office seal] To .................................................................................... [the designation of the authorized officer] Address................................. ................................................... ...................................................