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TTFOREX-BTQ

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									   APPLICATION FOR RELEASE OF FOREIGN EXCHANGE UNDER BASIC TRAVEL QUOTA (BTQ)
      (A.P. (DIR Series) Circular No. 57 dated March 09’ 2009 upto $ 10,000/- or its equivalent per financial year)

The Manager
TT Forex
Branch : ____________________
Date : ___/___/_____

Dear Sir / Madam

I request you to release foreign exchange under BASIC TRAVEL QUOTA as per the details
given below:

Full Name               : _______________________________________________________
Address                 : _______________________________________________________
Telephone No            : ______________________ Email Id _________________________

 Nationality       : INDIAN
              Passport Details                                              Travel Details
 Passport Number         :______________                      Ticket Number          : ______________
 Passport Place of Issue :______________                      Date of Travel         : ______________
 Date Of Issue           :______________                      Name of the Airlines : ______________
 Date Of Expiry          : ______________                     Countries to be Visited : ______________

 Foreign Currency Required :
                               DECLARATION – cum – UNDERTAKING
            [ Under Section 10(5), Chapter III of The Foreign Exchange Management Act, 1999]

I/We hereby declare that the transaction the details of which are specifically mentioned in the Schedule hereunder does
not involve, and is not designed for the purpose of any contravention or evasion of the provisions of the aforesaid Act
or of any rule, regulation, notification, direction or order made thereunder.

I/We also hereby agree and undertake to give such information / documents as will reasonably satisfy you about this
transaction in terms of the above declaration.

I/We also understand that if I/We refuse to comply with any such requirement or make only unsatisfactory compliance
therewith, the Authorised Money Changer shall refuse in writing to undertake the transaction and shall if it has reason
to believe that any contravention / evasion is contemplated by me/us report the matter to Reserve Bank of India.

I declare that the total amount of foreign exchange purchased from, all sources in India during this financial year
including this application is within USD 10000 (USD Ten Thousand only) the annual limit prescribed by Reserve Bank
of India for the said purpose.

Name & Signature of Applicant (Passenger)

Name        : _____________________________

Signature:._____________________________

For Office Use Only : Documents Collected:-

1. Passport Copy
2. Visa Copy
3. Ticket / Boarding Pass Copy

Name and Signature of Forex Executive: _______________________________________________

								
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