FORM I - ACKNOWLEDGEMENT SLIP - Prevention of Money-Laundering (The Manner of Forwarding A Copy of The Order of Provisional Attachment of Property Along With The Material, And Copy of The Reasons Along With The Material In Respect of Survey, To The Adjudicating Authority And Its Period of Retention) Rules, 2005

FORM I [See sub-rule (2) of rule 3] ACKNOWLEDGEMENT SLIP Serial Number....................... Received a copy of the provisional Attachment Order bearing number ................ dated................. along with the material containing ...............pages from the Director/the authorized officer on ............[date] at ............. [time] [Signature of the Adjudicating Authority] Date : ................................................................................. [Name of the Adjudicating Authority] [Office seal] To ......................................................... [Director or the authorised officer] Address....................................... ......................................................... .........................................................