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Annexure-II
(EXCHANGE COMPANIES LETTER HEAD)
Details of FCYs other than U.S. Dollars Being Exported
Name of the designated / authorized
currency carrier: _________________________________________________________
Passport No._____________________________________________________________
Airline’s name and Flight No. through
which exports are being made:_______________________________________________
Date of Departure of Flight through which
Exports are being made: ______________________________
Scheduled Departure Time: ______________________________
No. of distinctively identifiable Packets
Containing FCYs being carried: ______________________________
Details of Each Bundle:
Packet # 1:
| S. No | Name of FCY
|
Denomination | No. of Pieces/notes | Amount in FCY | Conversion Rate | Equivalent Amount in U.S. Dollars |
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 |
Packet # 2:
| S. No | Name of FCY
|
Denomination | No. of Pieces/notes | Amount in FCY | Conversion Rate | Equivalent Amount in U.S. Dollars |
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 |
Packet # 3:
| S. No | Name of FCY
|
Denomination | No. of Pieces/notes | Amount in FCY | Conversion Rate | Equivalent Amount in U.S. Dollars |
| 1 | ||||||
| 2 | ||||||
| 3 | ||||||
| 4 | ||||||
| 5 |
Signature of Declarent / Courier Authorized Signature
Signature & Seal of Custom Official
Signature & Seal of SBP Officer
Verifying the number of Bundles/ packets
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