FORM III A
FORM OF NOTING FOR DISHONOUR
[Section 8]
(To be entered in the Notarial Register)
(Copy of the bill and endorsements)
 
On the ___________ day of ______________ 19_____ the above bill was, at the request of____________ (here give the name), presented by me for acceptance to ____________ (here give the name), the drawee personally (at his residence or usual place of business) in____________ (town or village) and, I received, the following answer :-
_____________________________________________________________
(The said bill, is therefore, noted for non-acceptance)
Signature of Notary
Place and date _________________
(This note is to be signed in the margin by the notary’s clerk also if he presented the bill).