……………………

Date

…………..

Rs …………………….

I, X Yson of……………………..resident of………….promise to pay to A B, son
of……….resident of ………………….or order, the sum of Rs…………….(Rupees…………) in ten
equal instalments of Rs……….(Rupees ……….only) each payable on the first of every month
commencing from the first date of…………….January, 2001.

Signed X Y (Stamp)
(Signature across the stamp)