Statement of transactions for the period ended  ___________________________________________

Authorised Dealer  ______________________________________________________________

Currency   ___________________________________________________

Barter Agreement with    ________________________________    dated  ________________

 D E B I T i . e . R E C E I P T S

For Bangladesh Bank's use

AMOUNT

Cr.

Lac

Th.

Unit

 1.  Exports (Schedule  A-1/0-1, A-2/0-2)

Raw Jute

8881

Jute goods

8882

Ready made Garments

8883

                                                                                          Others

8884

                                                                                                                Sub-Total:

2. Amounts of $ 2,000 & above covered by Form 'C' other than for exports (Schedule 'J/O-3)

9991

3. Other debits for amounts below $ 2,000 (IRV/O-4).

9992

                                                             Sub-Total:

4. Debit against transfers to other non-resident accounts (Schedule "L")

7010

5. Debit against sales of foreign currencies (Schedule 'M')

7011

*Opening Balance (Dr.)

7210

*Closing Balance  (Cr.)

7410

                                                                                         GRAND  TOTAL:

C R D I T i. e. P A Y M E N T S

   1.  Imports (Schedule E-2/P-2)

0000

2. Travel (Schedule E-3/P-3)

1001

3. Miscellaneous (Schedule E-4/P-4)

1002

                                                                                                                 Sub Total :

4.  Credit against transfers from other non-resident accounts (Schedule 'R')

3010

5.  Credit against purchases of foreign currencies **

3011

          *Opening Balance(Cr.)

3210

          *Closing Balance(Dr.) (Schedule 'N')

3410

GRAND TOTAL :