NORARIES RULES 19564(3)

From

That,
He
Mr............................................
S/o
Shri......................................... is fite and proper person. To be
appointed as notary and we join in the prayer there of
Status

1. Magistrate

Name and
address of
Signatories

Profession
or
occupation
of the
Signatories

Name and
address of
the firm of
which
Signatories
and members

Mr. P.S.

JMFC

Distt. Court

Uikey

Dindori

Dindori

Signatories

2. Branch
Manager
3. Social
worker
4. Business
Man
5. Other/Medi
cal Officer
Applicant
...................................
......
...................................
.......
Advocate Dindori (M.P.)