FORM II - 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 II [See sub-rule (2) of rule 4] ACKNOWLEDGEMENT SLIP Serial Number............... Received a copy of letter No............. dated................ along with the reasons and the material containing..........pages from the ................................[designation of the authority from whom received] on .............[date] at................[time] [Signature of the Adjudicating Authority] Date: ................................................................................. [Name of the Adjudicating Authority] [Office seal] To ...................................................... [Authority] Address....................................... ............................................................ ............................................................