………………..
……………………
Date ………………………..
Rs . ………………………
………………………… days after sight pay to Shri N, etc. or order the sum of Rs . ……………
(Rupees………………………… only) with interest at………………………… per cent per
annum.

X (Stamp)
(Drawer)
(Signature accross the stamp)

To
A B, etc. (Drawee)