Slip
[AD/MA 22/1999]

FLM 8
[Paragraph 23(i) of FLM]

Summary statement of purchases from and sales to public of foreign
currency notes during the month of ............... 19........
Name and address of money changer............................................

RBI Licence No. ______________

Â	Â	U.S.$	£	DM	JY etc.
A.	Opening balance	Â	Â	Â	Â
1.	Purchases of foreign currency notes from (a) Pubic (b) RMCs/FFMCs/ADs including imports	Â	Â	Â	Â
B.	Total Purchases (a) + (b)	Â	Â	Â	Â
2.	Sales of foreign currency notes under (i) BTQ (ii) Business Visits (iii) Sales to other FFMCs/ADs including exports	Â	Â	Â	Â
C.	Total Sales [ (i) + (ii) + (iii) ]	Â	Â	Â	Â
3.	Closing balance (A + B - C)	Â	Â	Â	Â

We hereby certify that the statement is a true and correct account of all transactions undertaken during the month in accordance with the Exchange Control Regulations.

Place: ________________ Date: _________________

STAMP

___________________________ (Signature of Authorised Official) Name: _______________________ Designation: _______________________