Statement of transactions for the period ended_______________________________________________________

Name of Authorised Dealer_______________________________________________________

Currency___________________________________________________________________

P U R C H A S E S

For Bangladesh Bank's use

AMOUNT

Cr.

Lac

Th.

Unit

A.  From Abroad:-

1.  Exports (Schedule PA-1, A-2/0-2)

Raw Jute

8881

Jute goods

8882

Ready made Garments

8883

Others

8884

Sub-Total:

2. (a) Amounts equivalent to $ 2,000 and above other than for exports (covered by Form 'C' and Schedule J-1 attached). J-1 covers purpose codes from 0001 to 5999 of Cod-5.

    (b) Amounts equivalent to $ 2,000 and above other than for exports (covered by Form 'C' and Schedule J-2 attached). J-2 covers purpose codes from 6001 to 9999 of Code¾5.

9991

9992

3. (a) Amounts equivalent to below $ 2000 other than for exports (LRV-1 attached). IRV-I Cover Purpose codes from 0001 to 5999 of Code-5.

(b) Amounts equivalent to below. $ 2,000 other than for exports (IRV-2 attached) IRV-2 covers purpose codes from 6001 to 9999 of Code-5.

9993

9994

B. Exchange,  Transfers  and  Adjustments: ¾                                                                  Sub-Total:

4. Purchases from overseas branches and correspondents for credit of the Taka equivalent to non-resident bank account (Schedule 'H' attached ).

6010

5.  Purchases against sales of other foreign currencies (Schedule 'B')

6011

6. Purchases from other Authorised Dealers and Branches in Bangladesh maintaining a  separate currency  position (Schedule 'C').

6012

7. Purchases from Bangladesh Bank (Schedule 'D' ).

6013

8. Branch transactions adjusted through this Account (Schedule 'O').

6014

9. Purchases on account of others (State):
                                       i) ………………
                                      ii) ………………

6015

*Opening  Balance (Dr.)

6210

*Closing Balance (Cr.)

GRAND TOTAL:

6410

 SALES

A. Abroad :¾

1.  Imports (Schedule E-2/P-2)

Cash (Schedule E-2/P-2)

0000

Grants/Loans/sup. credits (Schedule EL1/2/3)

0001

2. Invisible (Schedule E-3/P-3). E-3/P-3 covers purpose codes from 0001 to 5999 of Code 7 ………

1001

3. Miscellaneous (Schedule E-4/P-4) E-4/P-4 covers purpose codes from 6001 of to 9999 of Code 7....

1002

Sub Total :

B. Exchanges, Transfers and Adjustments:

4.  Sales of foreign currencies to the debit of non-resident bank account**

2010

5.  Sales against purchases of other foreign currencies (Schedule 'F')

2011

6. Sales to other Authorised dealers and Branches in Bangladesh maintaining a separate currency  position (Schedule 'G')

 2012

7.  Sales to Bangladesh Bank (Schedule 'D')

2013

8.  Branch transactions adjusted through this account (Schedule 'P')

2015

9.  Sales on account of others (State) :
                                                           i)…..…………….
                                                          ii).……………….

2014

          *Opening Balance(Dr.)…………………………..

2210

          *Closing Balance(Cr.)……………………………

2410

GRAND TOTAL :

          **Total of currency must agree with those reported on Schedule 'M' attached to S-4 Statement.

          * Delete not applicable. 

Signature and Stamp of the Authorised Dealer