FORM C
[See para 12]
10% RELIEF BONDS, 1993
NOTICE OF CANCELLATION OF NOMINATION

I (Name and address) do hereby cancel the nomination dated made by me in respect of the following Bond and registered by the Public Debt Office on the (date).
Particulars of the Relief Bond

Date of issue	Distinguishing number	Amount (Rs.)

Place :                                                                          
Date :                                                                            Signature/thumb impression of the holder.
Signatures and addresses of witnesses:

1	2	3