Statement of Foreign Currency Balances held
abroad as on …………………………….
Name of
Authorised Dealer
…………………………………………………………………………………………….
|
SL
No.
|
Name
of Currency
|
Balance
field abroad as on - - - (as per the books of foreign
correspondents)
|
Equivalent
in U.S. Dollar
|
Remarks
if any
|
|
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
|
Pound
Sterlling
U.S.
Dollar
Canadian
Dollar
Australian
Dollar
Hongkong
Dollar
Deutsche
Mark
Swiss
France
French
Franc
Japanese
Yen
Indian
Rupee
|
|
|
|
Date
……….………….
Signature and Stamp of the
Authorised Dealer |
|
|
|
|
|
|
|
|
|
|
|
|