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Dated

Statement of sale of foreign currency for travel purposes

TRA
(Item 15(i) of Guide for Compilation of R-Return)

Statement of sale of foreign currency for travel purposes

[To be prepared based on Forms A2 and submitted along with the relative R-Return]

Name of A.D ........... AD Branch Code......... Foreign Currency......... Fortnight ended..........


Sr. No. of the application form Country /ies to be visited Purpose Code Date Name and Nationality of the applicant Particulars of payment in Foreign Currency Rupee Equivalent Remarks
Name Swift Code   Notes and coins Travellers cheque Drafts Letter of Credit Total
1 2 3 4 5 6 7 8 9 10 11 12 13
                         
      Total              


Certificate to be furnished by the Authorised Dealer

We hereby certify that (a) the remittances have been made in terms of Authority delegated to Authorised Dealers vide provisions of ECM 1993 and/or AD Circulars or Reserve Bank permits, (b) all the Exchange Control Regulations applicable to the remittances have been complied with (c) documentary evidence in support of the payments have been verified.

 
(STAMP)
(Signature of the Authorised Official)
  Name
  Designation:

Date___________________:

Purpose Codes :

S301- Business Travel, S302- Travel for Medical Purpose, S303- Travel for Education, S304- Basic Travel Quota (BTQ),

S305- Travel for Pilgrimage, S310- Other Travel Payments (including Credit Card).

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