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CERTIFICATE OF INWARD REMITTANCE _CIR_

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CERTIFICATE OF INWARD REMITTANCE _CIR_ Powered By Docstoc
					                                                                                                      APPENDIX 10.1

                           Certificate of Inward Remittance (CIR)
                       of Foreign Exchange No. CCYY-NNNNN-BBBB

                                         _________________
                                             Name of Issuing Bank


TO THE BANGKO SENTRAL NG PILIPINAS:

Part I.
          This is to certify that this Bank (mark applicable box/boxes)

   Received an inward remittance of foreign                    Converted FX into Pesos, with the following
    exchange (FX), with the following particulars:               particulars:

    1. Name of Remitter:                                         8. a) FX converted to Pesos:
       __________________________________                                Full Utilization of FX Received:
       __________________________________                                    ___________________________
       Global Custodian:        Yes        No                            Partial Utilization of FX Received:
    2. Country Code of Remitter:                                             ___________________________
       __________________________________                                    O/S Balance after this Utilization:
    3. Beneficiary of Foreign Currency Funds:                                ___________________________
       __________________________________                           b) Rate of Conversion, Pesos per
       __________________________________                               Foreign      Currency     ( before
    4. Remitting Foreign Bank:                                          charges): _______________________
       __________________________________                           c) Amount of Peso Proceeds (net of
       __________________________________                               charges): _______________________
       __________________________________                           d) Date Converted to Pesos:
    5. Date of Remittance: (___/___/___)                                _______________________________
    6. Remittance/Telegraphic Transfer Ref. No.:                    e) FX Receiving Bank’s Name (if other
       __________________________________                               than converting bank):
    7. FX Received:                                                     _______________________________
        Currency: ______________________                               CIR No.:________________________
        Total T/T Amount :________________                             T/T Ref. No. ____________________
        Amount Utilized :_________________                      9.    USD Equivalent (if foreign currency
        O/S Balance after this CIR                                   remitted is other than USD):
          Utilization: ______________________                         _________________________________

Part II.
   This is to certify that (mark and fill out applicable box):

   The said peso proceeds were deposited with this bank on _______________________________.
                                                                             date the proceeds were credited to client’s account
   The peso proceeds have been paid to the beneficiary under:
            MC No.: ______________________________.
            CC No.: ______________________________.
            PCHC Ref. : ___________________________.


      This certificate is issued for the sole purpose of obtaining a Bangko Sentral Registration
Document (BSRD) for the inward foreign investment of ___________________ this _____________.
                                                                  Name and Nationality of Investor          Date of this Certification

________________________________________________              ______________________________________________
        Name of Branch/Department in Head Office                  Signature of Authorized Officer Over Printed Name

Contact Telephone No.: ___________________                    _____________________________________
              Fax No.: ___________________                                                    Position

				
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