Printed Serial No______________________________                       Bank____________________________Ref.No._______________       Address ____________________     Date:_______________
Certificate of Foreign Inward RemittanceWe certify that we have received the following remittance and proceeds thereof were paid :

  * a) to the beneficiary M/s.________________________________________ on _______________________				     (name and address)  c 	By Cash                c 	By pay-order 	Current*    	Account with us*  c 	By Credit to 	Saving	     	            with our 			Cash Credit             ……………………..…......................... office for beneficiarys account.

* b) to ________________________   Bank,____________________     on _______________

for credit of beneficiary M/s. ______________________________s Account.  				    (name and address)
 _______________________________________________________________________________ Name and place of residence of remitter:
Name and address of remitting bank:______________________________________________
D.D./T.T./M.T. No._________________________________________dated________________________
Foreign currency amount_____________________________Rupee equivalent ____________________
(Rupees_________________________________________________________________________________)
Favouring ______________________________________________________________________________
Rate applied ___________________________________________________________________________
Purpose of remittance as stated by remitter*  _______________________________________ 			         beneficiary	
      We also certify that the payment thereof has* been received in non-convertible rupees or under any special				          has nottrade or payments agreement.

      We confirm that we have obtained reimbursement in an approved manner.