Notice of Dishonour of Cheque
(Section 93 of the Negotiable Instruments Act 1881)
To
AB (Drawer)
Dear Sir
Please take notice that a cheque No…………dated the…….day of……, drawn by you on the………Bank for Rs…………, payable to CD of etc. or order (when required, add and endorsed by the said CD to EF of etc.), has been dishonoured by non-payment, and that you are held responsible therefor.
(Date)
                                                                                       Yours faithfully 
                                                                                           CD (or EF)