Appendix-12 of Volume -2

SCHEDULE  'J - 2' / '0 - 3
(Covers Purpose Codes From 6001 - 9999)

Period ____________________________________________________________
Name of Authorised Dealer ________________________________________________
Currency ________________________________________________________

 

 

 

 

 

 

Serial

No.

Encashment certificate

Amount

Code Number

No.

Date

Cr.

Lac

Th.

Unit

Country

Purpose

 

 

 

 

 

 

 

 

 

 

 

 

 

                                     TOTAL:

 

 

Signature and Stamp of                                                           Coded by:
Authorised Dealer                                                                    Checked by:
Date ............................ ...........