# FORM IV A

##### <span style="color: rgb(34, 87, 122);">**FORM IV – A**</span>  


<span style="color: rgb(0, 0, 0);">**(See Section 8(4) Rule 9)**</span>

##### <span style="color: rgb(34, 87, 122);">**FORM OF REPLY TO THE FOREMAN FOR COMPLIANCE OF HIS REQUEST FILED IN FORM IV**</span>  



FROM

OFFICE OF THE REGISTRAR OF CHITS

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

To

The Foreman,

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

 I, hereby acknowledge the receipt of Form of application filed by you (Foreman) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ for grant of permission to withdraw a sum of Rs. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Rupees in words) from the reserve fund.

 A sum of Rs. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Rupees in words) is in credit in your reserve fund account. Your request can be complied with for the circumstances stated in your application under which withdrawal from the reserve fund has become necessary and permission will be accorded in From IV on \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

 Your request cannot be complied with for the reasons for \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ (Reasons for refusal should be mentioned). An appeal U/s \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_lies with \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_within 30 days from the date of receipt of this order.

(Seal) Signature of the Registrar of Chits with date.