Pa`itBaUit kI vaapsaI hotu p`p~

(Proforma for Refund of Security Deposit)

1. AiQakarI ka naama va pd :
2. ipta ka naama :
3. ivaBaaga maoM inayaui@t kI itiqa :
4. vat-maana gaòD maoM inayaui@t kI itiqa :
5. maUla pd pr inayaui@t kI itiqa ko saaqa baad maoM ga`hNa :
ikyao gayao pd
6. saovaa kala :
7. @yaa AiQakarI ko iva$w kao[ AnauSaasanaa%mak kaya- :
vaahI laimbat yaa Avaoixat hO?yaid haи tao ApraQa kI
Pa`kRit saiht saMixaPt ivavarNa doM.
8. @yaa pUva- maoM AiQakarI kaya-/vyavahar p`itkUla payaa :
gayaa hO? yaid haи tao dMD kI saImaa va Pa`kRit saiht
saMixaPt ivavarNa doM.
9. AiQakarI kI trf sao ivaBaaga kao doya raiSa yaid :
kao[ hao tao.
10. p`itBaUit jamaa ka ivavarNa va iksa AiQakarI ko
pasa igarvaI rKI ga[- hO.(iDmaaMD D/aFT saM0 va :
itiqa/paosTla Aa^Dr saM0) kRpyaa iDmaaMD D/aFT kI
p`it saMlagna kroM.
11. isafairSa

Pa`aqaI-
qaI- ko hstaxar
isafairSa
isafairSa krnao vaalao Pa` aiQakarI ko hstaxar va maaohr maaobaa[la na0:
na0
kayaa-
kayaalaya-laya faona naM0: