(Currency Name)
(Currency Code)
Return of operation of VOSTRO Accounts for the fortnight ended
.
(Date DD-MM-YYYY in Numerals)
(To be submitted, in duplicate, as at the close of business on the 15th and the last day of each month)
Name and address
A.D.Code No.
of the Authorised
Licence No.
Dealer
Serial No. of the Return
Name, Place and
Opening
Credits
Debits
Closing
Number of forms
Country of bank
Balance
branch or
Transactions with Public
Funding
Total
Withdra-
A1
A2
A3
Correspondent
Imports
Others
Transa-
Exports
Payments to Public
wal Tra-
(supported
ctions
(3)+
Below
Rs. 1.00
nsactions
(7)+
by forms
(suppor-
(4)+
lakh &
(8)+
ted by
(5)
lakh.
above
(9)
forms
below
Rs. 5.00
by supple-
(A3)
lakhs &
mentary
lakhs
statement)
(1)
(2)
(3)
(4)
(6)
(7)
(8)
(10)
(11)
(12)
(13)
(14)
(a)
(b)
A)
Banks
Sub-Total (A)
B)
Private Exchange Houses
Sub-Total (B)
GRAND TOTAL
We hereby certify that
the figures reported in the above Return are true and correct.
all the transactions effected by us and by our branches on the non-resident bank accounts maintained by us during the reporting period to which this Return relates have been reported in this Return.
(c)
all the remittance forms alongwith SCH1 and SCH@, ENC statements and GR/PP/SOFTEX forms alongwith SCH 3 covering the transactions effected during the reporting period have been attached herewith;
(d)
no remittance forms and GR PP/SOFTEX forms pertaining to any of the previous periods or the current period are outstanding with us; and
(e)
a supplementary statement in respect of Col.8(b) of the Return is enclosed;
(f)
all the Returns pertaining to the earlier periods have been submitted to the Reserve Bank.
# Signature _
Place:
Name and Designated of Authorised Official
STAMP
Name of the AD & branch
Date :
[# This certificate must invariably be signed by the official holding charge of the branch for the time being or by person of status not lower than Scale IV Officer]