# FORM XIV

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


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

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


Office where the Chit agreement of the chit is registered \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Registration number of the chit agreement \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Section I – Receipt and Payments in respect of subscriber

Number of Subscriber \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of Subscriber \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Number of Tickets taken \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Chit Amount \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Rs. \_\_\_\_\_\_\_\_\_\_\_\_\_\_

<table border="1" id="bkmrk-date-number-of-insta" style="border-collapse: collapse; width: 99.1358%; font-size: 16px;"><colgroup><col style="width: 20.0247%;"></col><col style="width: 20.0247%;"></col><col style="width: 20.0247%;"></col><col style="width: 20.0247%;"></col><col style="width: 20.0247%;"></col></colgroup><tbody><tr><td class="align-center">Date</td><td class="align-center">Number of Installment</td><td class="align-center">On what account  
received or paid by the  
foreman</td><td class="align-center">Amount of subscription for each  
instalment</td><td class="align-center">Dividend due to the  
subscriber for  
each instalment</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></tr><tr><td>  
</td><td>  
</td><td>  
</td><td>  
</td><td> </td></tr></tbody></table>

<table border="1" id="bkmrk-amount-paid-by-the-s" style="border-collapse: collapse; width: 100%; height: 122.984px; font-size: 16px;"><colgroup><col style="width: 14.3387%;"></col><col style="width: 14.3387%;"></col><col style="width: 14.3387%;"></col><col style="width: 14.3387%;"></col><col style="width: 14.3387%;"></col><col style="width: 14.3387%;"></col><col style="width: 14.3387%;"></col></colgroup><tbody><tr style="height: 31.6875px;"><td class="align-center" colspan="2" style="height: 31.6875px;">Amount paid by the subscriber</td><td class="align-center" rowspan="2" style="height: 63.3906px;">Amount received  
back by  
subscriber</td><td class="align-center" rowspan="2" style="height: 63.3906px;">General  
number in  
the Day  
Book</td><td class="align-center" colspan="2" style="height: 31.6875px;">Signature of</td><td class="align-center" rowspan="2" style="height: 63.3906px;">Remarks</td></tr><tr style="height: 31.7031px;"><td class="align-center" style="height: 31.7031px;">Share Amount</td><td class="align-center" style="height: 31.7031px;">Interest</td><td class="align-center" style="height: 31.7031px;">Subscriber</td><td class="align-center" style="height: 31.7031px;">Foreman</td></tr><tr style="height: 29.7969px;"><td class="align-center" style="height: 29.7969px;">6</td><td class="align-center" style="height: 29.7969px;">7</td><td class="align-center" style="height: 29.7969px;">8</td><td class="align-center" style="height: 29.7969px;">9</td><td class="align-center" style="height: 29.7969px;">10</td><td class="align-center" style="height: 29.7969px;">11</td><td class="align-center" style="height: 29.7969px;">12</td></tr><tr style="height: 29.7969px;"><td class="align-center" style="height: 29.7969px;">  
</td><td class="align-center" style="height: 29.7969px;">  
</td><td class="align-center" style="height: 29.7969px;">  
</td><td class="align-center" style="height: 29.7969px;">  
</td><td class="align-center" style="height: 29.7969px;">  
</td><td class="align-center" style="height: 29.7969px;">  
</td><td class="align-center" style="height: 29.7969px;"> </td></tr></tbody></table>

Section – II – Deposit and Withdrawal Account of the foreman \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

Name of the Bank in which money is deposited \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

<table border="1" id="bkmrk-date%C2%A0-for-what-purpo" style="border-collapse: collapse; width: 100%; font-size: 16px;"><colgroup><col style="width: 14.834%;"></col><col style="width: 18.5405%;"></col><col style="width: 16.6873%;"></col><col style="width: 16.6873%;"></col><col style="width: 16.6873%;"></col><col style="width: 16.6873%;"></col></colgroup><tbody><tr><td class="align-center">Date   
</td><td class="align-center">For what purpose  
deposited or withdrawn</td><td class="align-center">Amount  
deposited</td><td class="align-center">Interest  
accruing</td><td class="align-center">Balance after each  
transaction</td><td class="align-center">Amount  
withdrawn</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>

<table border="1" id="bkmrk-balance-number-in-th" style="border-collapse: collapse; width: 100%; font-size: 16px;"><colgroup><col style="width: 24.9383%;"></col><col style="width: 24.9383%;"></col><col style="width: 24.9383%;"></col><col style="width: 24.9383%;"></col></colgroup><tbody><tr><td class="align-center">Balance</td><td class="align-center">Number in the Day Book</td><td class="align-center">Signature of the Foreman</td><td class="align-center">Remarks</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></tr><tr><td>  
</td><td>  
</td><td>  
</td><td> </td></tr></tbody></table>