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Debt Acknowledgement Form (IOU)

I, the undersigned ISMAIL NAUSHAD, Identity Number A122118 with permanent


residence on Thiburoazuge, Dh.Kudahuvadhoo (Hereinafter referred as the ‘Debtor’)
hereby confirm and acknowledge to China Communications Construction Company Ltd ,
Business register No .FC-0003/2016 with camp at Dh.Kudahuvadhoo (Hereinafter
referred as the ‘Creditor’) that I am indebted to said Creditor in the amount of 58300MVR
(MVR Fifty eight thousand and three hundred) as of the date set forth below. The
amount includes any and all legally permitted charges, such as accrued interest, up to the
dated set forth below.

I acknowledge and agree that I incurred said Debt and I am solely responsible for
repayment of it to Creditor. I also agree and acknowledge that I have no defense should the
Creditor use this document in a court of laws as a confession of judgment on my part
(where legally permissible).

I have promised and agreed to pay the entire amount or or part by part on or before by
________________________

This agreement has been signed on this date the ______ day of _______________________ in the
year 20_____

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Signature of Creditor Signature of Debtor Signature of Witness

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Printed Name Printed Name Printed Name

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Date Date Date

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