[ ON CUSTOMER’S LETTER HEAD]

Date:_____/ _____/ _____

To,

The Regional Commercial Manager,

General Mills India P. Ltd.

Delhi
Subject: NO DUES CERTIFICATE

Ref.: Customer Buyer Code_____________

Dear Sir,

I,_____________________________________ Proprietor/Partner/Director/Authorised Signatory of

M/s_________________________________________ hereby submitted that I/we have reconciled

our books with your ledger till Dated __________________________ (JC - ____).

After reconciliation I/We do hereby confirm that there are NO DUES/CLAIMS of any nature what so

ever apart from details mentioned below: -

S. No. Nature of Claim JC/Year (Period) Amount Submitted to Submitted on

I further declare that the above is true and correct as per our books of accounts and record, and
understand that these issues/list is subject to verification and approval by the Company.

Thanking You,

Yours truly,

For __________________________________
(Signature & Stamp)

Signing Person Name: -

Signing Person Designation: -