To (name and address of drawee):
Accepted on (date)
by (drawee)
For domiciling only
Payable with
BILL OF EXCHANGE
, on (date) For
At
Pay this Bill of Exchange
to the order of
the amount of
(Company name and authorized signature(s) of drawers)
Issued at (place)
(Company name and authorized signature(s) of drawee)
