Summary statement of operations on EEFC Accounts

for the quarter ended .....................................

Name & Address of

:

Authorised Dealer

A.D. Code No

:

1.

No. of EEFC A/c. holders at the

beginning of the quarter

2.

No. of EEFC A/c. holders at the

close of the quarter

Currency

Amount

(in 000s)

3.

Opening balance

4.

Total credits

5.

Total debits

(a)

Remittances out of India

(b)

Conversion into rupees

6.

Closing balance

Place :

Stamp

(Signature of Authorised Official)

:

Name

:

Designation

: