Name of the authorised dealer : ..........................

AD Code No: .....................

Statement showing inflow/outflow of deposits under Resident Foreign Currency (RFC) Accounts Scheme for the month of .....................................

Opening

Inflows

Withdrawals

Closing balance

balance

[1+(2+3+4)-(5+6+7)

(Previous

Interest

Remittances

Transfers

Local

Remittances

Transfers

months

credited

from abroad

from NRE/

withdrawals/

to abroad

to NRE/

closing

FCHR A/cs.

other debits

FCHR A/cs.

balance)

(including

payment on

maturity)

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

Currency in which

Deposits are held:

(a)

US Dollar

(b)

Pound Sterling

(c)

Deutsche Mark

(d)

Japanese Yen

(e)

......................

(f)

......................

Note

:

Range of interest rate applied during the month (per cent per annum) ..........

Forwarded to the Chief General Manager, Exchange Control Department, (Central Statistical Division), Reserve Bank of India, Central Office, Mumbai-400001 in terms of paragraph 14E.10 of ECM.

Place:

Date :

Stamp

Signature of authorised official

Name

:

Designation

: