Notice of Dishonour (or Protest) of Bill of Exchange to Drawer

(Section 93 of the Negotiable Instruments Act 1881)

To

Drawer

Dear Sir,

Take notice that a bill of exchange for Rs. …………………………… drawn by you under date………., on ………………, the drawee and payable to me or order ……………………….. days after date ………….., has been dishonoured by non-payment (or non-acceptance) which has been noted and protested (if a foreign bill), and that you are held responsible therefor.

Yours faithfully

Date (Payee)