Statement showing inflow / outflow of deposits under Foreign Currency (Non-Resident)

Accounts (Banks) Scheme for the month of

US$

GB£

DM

JP¥

A)

Opening Balance : (Previous months closing balance)

Principal

i)

6 Months & above but less than 1 year

ii)

1 Year & above but less than 2 years

iii)

2 Years & above but less than 3 years

iv)

3 years only

v)

Total A(i) to A(iv)

B)

Inflow :

i)

6 Months & above but less than 1 year

ii)

1 Year & above but less than 2 years

iii)

2 Years & above but less than 3 years

iv)

3 years only

v)

Interest Credited

vi)

Total B(i) to B(v)

C)

Outflow :

i)

6 Months & above but less than 1 year

ii)

1 Year & above but less than 2 years

iii)

2 Years & above but less than 3 years

iv)

3 years only

v)

Interest remitted

vi)

Total C(i) to C(v)

D)

Closing Balance :

Principal

i)

6 Months & above but less than 1 year

ii)

1 Year & above but less than 2 years

iii)

2 Years & above but less than 3 years

iv)

3 years only

*

v)

Total D(i) to D(iv)

* D(v) = A(v) + B(vi) - C(vi)

Place:

Date :

Stamp

Signature of authorised official

Name

:

Designation

: