# FORM XIII

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


**(See Section 23 and Rule 25)**

##### <span style="color: rgb(34, 87, 122);">**FORM OF REGISTER OF SUBSCRIBERS TO BE MAINTAINED**</span>  


Office where the chit agreement of the chit is registered \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.  
The Registration number and year of registration of Chit Agreement of the chit \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_.

<table border="1" id="bkmrk-s.-no.according-toch" style="border-collapse: collapse; width: 100%; font-size: 16px;"><colgroup><col style="width: 16.6854%;"></col><col style="width: 16.6854%;"></col><col style="width: 16.6854%;"></col><col style="width: 16.6854%;"></col><col style="width: 16.6854%;"></col><col style="width: 16.6854%;"></col></colgroup><tbody><tr><td class="align-center" rowspan="2">S. No.  
according to  
chit  
agreement  
</td><td class="align-center" rowspan="2">Name and  
full address  
of the  
subscriber  
</td><td class="align-center" rowspan="2">Date of signing the chit agreement  
</td><td class="align-center" rowspan="2">Date of receipt of the copy of the chit agreement by the subscriber  
</td><td class="align-center" colspan="2">Chit Subscriber  
</td></tr><tr><td class="align-center">No. of tickets  
</td><td class="align-center">Amount  
</td></tr><tr><td class="align-center">1  
</td><td class="align-center">2  
</td><td class="align-center">3  
</td><td class="align-center">4  
</td><td class="align-center">5  
</td><td class="align-center">6  
</td></tr><tr><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center"> </td></tr></tbody></table>

**ASSIGNMENT**

<table border="1" id="bkmrk-name-and-address-of-" style="border-collapse: collapse; width: 100%; font-size: 16px;"><colgroup><col style="width: 20%;"></col><col style="width: 20%;"></col><col style="width: 20%;"></col><col style="width: 20%;"></col><col style="width: 20%;"></col></colgroup><tbody><tr><td class="align-center">Name and address of the assigned  
</td><td class="align-center">Date of assignment  
</td><td class="align-center">No. and fraction of tickets   
</td><td class="align-center">Amount (Rs.)   
</td><td class="align-center">Date on which the Foreman recognized the assignment  
</td></tr><tr><td class="align-center">7</td><td class="align-center">8</td><td class="align-center">9</td><td class="align-center">10</td><td class="align-center">11</td></tr><tr><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center"> </td></tr></tbody></table>

**SUBSTITUTION**

<table border="1" id="bkmrk-reason-for-the-remov" style="border-collapse: collapse; width: 100%; font-size: 16px;"><colgroup><col style="width: 12.4691%;"></col><col style="width: 12.4691%;"></col><col style="width: 12.4691%;"></col><col style="width: 12.4691%;"></col><col style="width: 12.4691%;"></col><col style="width: 12.4691%;"></col><col style="width: 12.4691%;"></col><col style="width: 12.4691%;"></col></colgroup><tbody><tr><td class="align-center">Reason for the removal of subscriber  
</td><td class="align-center">Date of removal   
</td><td class="align-center">Name &amp; address of the substituted subscriber  
</td><td class="align-center">Date of substitution  
</td><td class="align-center">Number &amp; fraction of tickets  
</td><td class="align-center">Amount  
</td><td class="align-center">Date of intimation of the substitution to the removed subscriber  
</td><td class="align-center">Remarks  
</td></tr><tr><td class="align-center">12</td><td class="align-center">13</td><td class="align-center">14</td><td class="align-center">15</td><td class="align-center">16</td><td class="align-center">17</td><td class="align-center">18</td><td class="align-center">19</td></tr><tr><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center">  
</td><td class="align-center"> </td></tr></tbody></table>