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R-supl

Document type
Other
Dated

Supplementary statement of Non-Export Receipts

f_R_SUPL

R - Supplementary Return

Supplementary statement of Non-Export Receipts equivalent of Rs.1,00,000/- and above .

(to be submitted in duplicate)

[Item II.C.(ii) of R-Return (NOSTRO) / Col.8(b) of R-Return (VOSTRO]

A.D.Code No…………………………

R-Return (NOSTRO) / (VOSTRO)………….…….

 

 

 

for the period ended……….

 

(Currency Name)

(Swift Currency Code)

Name and address of the AD

……………………..…………………………………………….……...

 

 

Date of

Name and

Country of

Country

Amount

Purpose

Purpose

purchase

address of

residence

Code

#

 

code

 

beneficiary

of remitter

*

 

 

*

 

 

 

 

 

 

 

1

2

3

4

5

6

7

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*

for use of RBI

#

Amounts in rounded units of currency

 

 

 

 

Place………….

STAMP

(Signature of Authorised Official)

 

 

Name……………………………

Date…………..

 

Designation……………………..

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