CM| Name and address of the Money-changer | (Official letter-head of the money-changer should be used)
|
| | RBI Licence No.: |
Cash Memo We have sold today foreign currency to........................................................................... holder of
(Name of the person)Passport No................................Nationality.................................. proceeding to............................
(destination)against Indian rupees as per details given below:
Details of foreign currency notes/coins sold| Currency sold | Amount | Rate | Rupee equivalent |
| (1) | (2) | (3) | (4) |
| | | | |
| Total Rs................................ |
Total amount in words:..................................................
| | | .................................................... |
| | | (Signature of the Authorised Official) |
| | | Name:............................................ |
| | | Designation:.................................... |