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    R FORM (1)

    Uploaded by

    Habib Rice Products Ltd

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    R FORM (1)

    Uploaded by

    Habib Rice Products Ltd
    0 views1 page

    Copyright

    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    0 views1 page

    R FORM (1)

    Uploaded by

    Habib Rice Products Ltd

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 1

    APP.

    V 118

    FORM- R

    BANK AL HABIB LIMITED


    Branch: ______________________

    FOREIGN EXCHANGE REGULATION ACT, 1947

    DECLARATION IN RESPECT OF RECEIPTS ABOVE US$ 10,000/- (OR


    EQUIVALENT IN OTHER CURRENCY) FOR PURPOSES OTHER THAN
    EXPORTS AND FAMILY MAINTENANCE

    I/ We advise having received foreign exchange from:

    (a) Name & Address of the immediate Remitter:_________________________________

    (b) Residence country of immediate remitter: ___________________________________

    (c) Status of Immediate Remitter:_____________________________________________


    (Ultimate controlling parent UCP/, Head Office, Branch, Agent, Subsidiary,
    Associate, Individual etc)
    (d) Name of ultimate controlling parent (UCP): _________________________________
    (If different from (a).
    (e) Residence country of ultimate controlling parent (UCP)________________________

    For the purpose viz: _______________________________________________________


    Purpose code (insert the relevant code from the code guide)

    Amounting to ____________________________________________________________
    (Name of currency and amount in figures and words)

    Name of the Beneficiary: ___________________________________________________

    Principal business: ________________________________________________________

    National Tax number: _____________________________________________________

    Address of the Beneficiary: _________________________________________________

    (Signature of the beneficiary or his banker) (Stamp & Signature of Authorized Dealer)

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