Special report on rupee dealings with overseas

Banks for the month of

Name & address of Authorised Dealer:

Uniform Code No

Date of

Amount of

Name of

Date of

Foreign

Rate

Cross

Name of

Remarks

sale/purchase

Overseas

currency

rate

authorised dealer

Transaction

of Indian rupees

bank/branch

delivery

Amount

branch at which

Indian rupee was

Sale

Purchase

credited/debited³

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

.

.

31.

Total for

the month

Forwarded to the Chief General Manager, Exchange Control Department, Reserve Bank of India, Central Office, Forex Markets Division, Mumbai 400 001 in terms of paragraph 5A.16 of ECM.

Place:

Stamp

(Signature of authorised official)

Date :

Name :

Designation :

Note:

A NIL statement should be forwarded if no transactions exceeding Rs.300 lakhs have taken place during the month.