Having completely read or caused to be read full understood the rules governing the conduct of the chit herein printed , a copy of which was signed and delivered to you, and which is proposed to be commenced from the.................................................................................day of ...............................................................................and assented the same. I/We send sum of Rs. .................................................(Rupees .............................................................................only) by money order/Cheque/remittance/ in cash less the fixed discount and commission Rs....................... being payment of one ticket valued at Rs. ...........................due for the first instalment. I request you to allot me the ticket

Declaration in the case of minor

The Kuri is joined in the name of my son / daughter and the kuri is subscription from belonging to me and reserve the right to independently
deal with the kuri, its, paid-up subscription or prize money and other benefits attached to the Kuri in whatever manner I like to do.

Yours Faithfully