# FORM XI

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


<span style="color: rgb(0, 0, 0);">**(See Rule 16(3))**</span>

##### <span style="color: rgb(34, 87, 122);">**CERTIFICATE OF SUFFICIENCY OF SECURITY**</span>  


Office of the  
Registrar of Chits,

Place :  
Date :

In the case of  
 1. Cash / Government security  
 I hereby certify that I have satisfied myself that the amount / Government security mentioned herein and deposited in the approved bank / transferred in my name (should it be in Registrar’s name or on behalf of Government of Andhra Pradesh) is adequate and that the same is accepted U/s 20 of the Chit Funds Act, 1982 (Central Act 40 of 1982).

  
(Seal) Signature of the  
 Registrar of Chits.