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iv)

Date of first payment

(YYY/MM/DD)

Date of final payment

(YYYY/MM/DD)

(If instalments are of unequal amount or are not regular, furnish details of each instalment with date and amount in the following format by way of a separate sheet)

No.

Date (YYYY/MM/DD)

Currency

Principal

Interest

We hereby certify that the particulars furnished above are true and correct to the best of our knowledge and belief.

We confirm that prior approval of Reserve Bank of India/Authorised Dealer was obtained by us by submitting applications in form ECB 3 in respect of all the remittances made by us as described above.

Place :

Stamp

(Signature of Authorised Official of

Date :

the borrower/lessee)

Name :

Designation :

[Certificate by an Authorised Dealer]

We hereby certify that the information furnished above with regard to debt servicing, outstandings and repayment schedule is true and correct as per our record.

Place :

Stamp

(Signature of Authorised Official

Date :

Name

Designation

Name & Address of

Authorised Dealer

Uniform Code No.

[Space for use of the ReserveBank of India]

This statement has been scrutinised as perinstructions contained in the Book of Instructions and circulars issued fromtime to time and found to be in order. Code numbers against items nos.2, 3, 4,8, 9 and 10(iii) have been supplied in the relevant boxes. Further, theidentification details of the loan/credit in question have been agreed with thecorresponding entries in the statement furnished earlier to DESACS vide Form 83.Information supplied in this statement has been posted in the register in Form85.

Assistant Manager

Date

Reserve Bank of India,

Exchange Control Department,

ANNEXURE TO ECB 2

Details of utilisation of foreign currency loan/credit

[This supplementary statement should be submitted with ECB 2 with a complete set of documentary evidence in support of utilisation of loan/credit, till such time the loan/credit has been fully utilised and all the relative documents submitted to Reserve Bank]

Report for the period ended________________

1. Name of the borrower :

2. FCL Registration No. :

3. Government Loan Key No./ :

Sanction No.

We state that we were permitted to raise aforeign currency loan/credit

for ________________from______________________________________________________

(amount)

for the purpose_________________________________________________________________

We hereby certify that the amount ofloan/credit has been utilised by us fully/partly for the approved purposestrictly in accordance with the terms and conditions of the loan approved byGovernment of India and Reserve Bank of India.

The details of utilisation are as under:

1. Loan utilised for the purpose of -

A) If it is for Imports -

(a) Description of goods imported :

(b) Value of imports :

in support of above imports

(Enclose the following documents)

i) Original Invoice No. & date :

ii) EC copy of Bill of entry :

for Home Consumption

(No. & date)

iii) EC copy of import licence, :

if any - No. & date

iv) Others (specify)

B) If it is for a purpose other than for

imports, please state -

(a) Purpose :

(b) How actually the foreign currency :

has been disposed/utilised?

[Enclose relevant documents)

2. Any other information -

3. The unutilised amount of loan stands parkedin our account No._____________________

with_________________________________________________________________________

(Name and address of bank)

and its utilisation will be reported in thenext ECB 2 statement(s). We note that if we decide not to utilise this balanceamount, we shall report the details to Reserve Bank and seek furtherinstructions.

4. We certify that the information furnishedabove is true and correct. No material information which may affect the ReserveBank decision to allow the remittances connected with this loan/credit, has beenwithheld by us.

5.* We certify that we sanction and disburseforeign currency loans to our customers/borrowers strictly in accordance withthe terms and conditions approved by Government of India and Reserve Bank ofIndia and ensure that the funds are utilised by those borrowers for the purposefor which the loans are disbursed to them.

Date: ___________

[Affix here stamp/seal of the

corporate office of the

authorised signatory]

_____________________________

(Authorised signatory)

Name: __________________________

Designation: __________________________

Full address: __________________________

__________________________

* [For financial institutions who are permittedto raise foreign currency loans for on-lending purposes]

[Statutory Auditors/CharteredAccountants Certificate

We hereby certify that the foreign currencyloan/credit permitted to be raised by RBI vide its letterNo.____________________________________ dated___________________________

and bearing Registration No.______________________________________ has been raised by

______________________________________ from__________________________________

(Name of the borrower) (Name of lender/lessor)

and duly accounted for in its books of accountand related record. Further, the loan has been utilised by the said borrower forthe declared purpose of______________________________________________________________________________

as approved by Government of India vide itsletter No._________________________________

dated _________________. We have verified allthe relevant documents and record connected with the utilisation of loan/creditand found these to be in order in accordance with the terms and conditions ofapproval granted by Reserve Bank as also the provisions of Exchange ControlManual, 1993 Edition and to our satisfaction.

(Authorised Signatory)

Place :

Name

Stamp

Address

Date :

Registration No.

[ FOR OFFICE USE ]

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