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Union of India - Section

Section 14th in The Payment And Settlement Systems Regulations, 2008

14th. Floor RBI Central Office Building

Shaheed Bhagat Singh MargMumbai -400001Dear Sir,Application For Authorisation For Setting Up A Payment SystemWe hereby submit an application under sub-section (1) of section 5 of the Payment and Settlement Systems Act, 2007 for authorisation to set up a payment system. The required information and documents have been furnished as per instructions.We declare that to the best of our knowledge and belief the information furnished in the statements/annexes enclosed are true/correct and complete.A electronic funds transfer transaction No ...................or cheque or payment order or demand draft No .....................dated for an amount of Rs. 10,000 (Rupees Ten Thousand only) as non-refundable application fees is enclosed with the application.Yours faithfully............Signature:Name:Designation:Company Seal:DatePlace:Encl: sheetsApplication For Authorisation To Set Up Payment System