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[AD/MA 22/1999]
FLM 8
[Paragraph 23(i) of FLM]
Summary statement of purchases from and sales to public of foreign
currency notes during the month of ............... 19........Name and address of money changer............................................
RBI Licence No. ______________
| | | U.S.$ | £ | DM | JY etc. |
| A. | Opening balance | | | | |
| 1. | Purchases of foreign currency notes from(a) Pubic
(b) RMCs/FFMCs/ADs including imports | | | | |
| B. | Total Purchases (a) + (b) | | | | |
| 2. | Sales of foreign currency notes under(i) BTQ
(ii) Business Visits
(iii) Sales to other FFMCs/ADs including exports | | | | |
| C. | Total Sales [ (i) + (ii) + (iii) ] | | | | |
| 3. | Closing balance (A + B - C) | | | | |
We hereby certify that the statement is a true and correct account of all transactions undertaken during the month in accordance with the Exchange Control Regulations.
Place: ________________
Date: _________________ |
| ___________________________
(Signature of Authorised Official)
Name: _______________________
Designation: _______________________ |