CM

Name and address of the Money-changer	(Official letter-head of the money-changer should be used)
	RBI Licence No.:

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Cash Memo

Serial No.:

Date:

     We have sold today foreign currency to........................................................................... holder of                 (Name of the person)Passport No................................Nationality.................................. proceeding to............................                                                                                                                (destination)against Indian rupees as per details given below:

Details of foreign currency notes/coins sold

Currency sold	Amount	Rate	Rupee equivalent
(1)	(2)	(3)	(4)
Total Rs................................

Total amount in words:..................................................

	Stamp	....................................................
		(Signature of the Authorised Official)
		Name:............................................
		Designation:....................................