ACKNOWLEDGEMENT SLIP

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...., And Copy of The Reasons Along With The Material In Respect of Survey, To The Adjudicating Authority And Its Period of Retention) Rules, 2005<br>FORM I [See sub-rule (2) of rule 3] ACKNOWLEDGEMENT ....

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............................... [Name of the Adjudicating Authority] [Office seal] To ......................................................... [Director or the authorised officer] Address..............