SPG 2
(Paragraph 8 B.13)

…………………..Shipping Co.Ltd.:

Statement showing details of debits and credits to foreign currency account
No……………. maintained with…………. for the quarter ended 31st March/30th
June/30th September/ 31st December, 19……

(Transcript received from the foreign bank to be enclosed)

Currency…………………

Sr.No.	Date	Debit	Credit	Balance	Place where payment made	Purpose	Documentary evidence	Remarks
(1)	(2)	(3)	(4)	(5)	(6)	(7)	(8)	(9)

      We hereby certify that the information contained in this statement is true and correct in every respect to the best of our knowledge and belief and this statement gives complete information of operations on all our foreign currency accounts allowed to be maintained.

Place:..............................	Stamp	_____________________________________
Date :..............................		Signature of authorised official
		Name:............................................
		Designation:....................................

---

NOTE:

The statement should be submitted within 15 days from the close of the quarter to which it relates.

(Note:- see
1. A.P.(Dir Sr.)Cir. No.17/2001-RB, dt.15/12/2001)