Category

£

US

Can.

DM

Nether-

French

Japanese

Swedish

Swiss

All other

Total

$

$

lands

Franc

Yen

Krona

Franc

Currencies

Guilder

(together)

1

2

3

4

5

6

7

8

9

10

11

12

I.

SALES

(a)

Merchant Sales

(i)

Against imports of goods

(ii)

Others (including transactions in currency notes/travellers cheques)

(b)

Inter-bank Sales (including sales to RBI)

(c)

Total Sales

II.

PURCHASES

(a)

Merchant Purchases

(i)

Against export of goods

(ii)

Others (including transactions in currency notes/travellers cheques)

(b)

Inter-bank Purchases (including purchases from R B I)

(c)

Total Purchases

III.

OVERALL PROFIT

NOTES :

(1)

Please state the manner in which closing spot/forward positions have been valued in terms of Indian Rupees.

(2)

In regard to business of bills purchased/discounted, please state whether the interest realised has been included or excluded in the profits computed for the purpose of this statement.

(3)

Transactions financed in Rupees and the earnings thereon may be excluded.

Place:

........................

....................................................

Date :

........................

Stamp

Signature of authorised official

Name:

.........................................................

Designation:

...............................................

Name and Address

of Authorised Dealer:

.................................