3. Form or certificate under sub-section (1) of section 3.

Form 'A'
Form 'A'
( See rule 2)
Certificate under sub-section (1) of section 3.
1.
Party to the Agreement referred to in sub-section (1) of
section 3 or where the Agreement so provides his heir or legal
representative in case the party is dead.
2.
The amount of the financial assistance granted to the party.
3.
Date when the charge, pledge, mortgage or other incumbrance
created to secure repayment of the amount of financial
assistance.
4.
Date when the loan was advanced.
5.
The nature of the transaction and terms of the loan or
advance.
6.
Total amount of loan or advance or any instalment thereof due
(including interest thereon).
7.
Payments, if any, made by the party and the date of each of
such payments.
8.
Net amount due on the date of certificate.
9.
Description of the property on which charge, pledge, mortgage,
or other incumbrance is created.
The Authorised Officer, The Managing Director The Chairman, The Local Agent.