SCHEDULE

[See section 2 (kk) and section 26-A] OFFICE OF THE MANAGER/MANAGING DIRECTOR............................ Certified-- (1) that a sum of Rs.....................................has been granted to Shri/Smt............................r/o..............................Tehsil..................... District....................................for....................................................; (2) that a further sum of Rs.....................................has become recoverable from the said loanee by way of interest chargeable at the rate of..............................................; (3) that the said Shri/Smt......................................................has/ have not refunded either the principal or the interest recoverable from him/her and is reluctant to do so; and (4) that the total sum of Rs.....................................(Rupees................... as principal and Rs.....................................as interest) has become recoverable from him/her; Now, therefore, it is requested that the said sum of Rs..................................................(Rupees............................................) along with the collection charges may kindly be recovered as arrears of land revenue under section 26-A of the Himachal Pradesh Scheduled Castes and Scheduled Tribes Development Corporation Act, 1979. Manager/Managing Director, ............................................Bank. To The Collector, ..............................District.