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    Form C PDF

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    S M Labu Hassan
    This document is a declaration form for receiving a remittance exceeding $10,000 or equivalent from a foreign country. The declaration states that the applicant received a remittance of [amount] [currency] that was remitted from [remitting bank name and address]. The funds were received from [remitter name and address] and the purpose of the remittance is noted. The applicant signs and dates the form, which is also signed and stamped by the authorized dealer to verify the applicant's identity and declaration.

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    Form C PDF

    Uploaded by

    S M Labu Hassan
    125 views1 page
    This document is a declaration form for receiving a remittance exceeding $10,000 or equivalent from a foreign country. The declaration states that the applicant received a remittance of [amount] [currency] that was remitted from [remitting bank name and address]. The funds were received from [remitter name and address] and the purpose of the remittance is noted. The applicant signs and dates the form, which is also signed and stamped by the authorized dealer to verify the applicant's identity and declaration.

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    FORM-C (1).pdf

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    This document is a declaration form for receiving a remittance exceeding $10,000 or equivalent from a foreign country. The declaration states that the applicant received a remittance of [amount] [currency] that was remitted from [remitting bank name and address]. The funds were received from [remitter name and address] and the purpose of the remittance is noted. The applicant signs and dates the form, which is also signed and stamped by the authorized dealer to verify the applicant's identity and declaration.

    Copyright:

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

    Form C PDF

    Uploaded by

    S M Labu Hassan
    This document is a declaration form for receiving a remittance exceeding $10,000 or equivalent from a foreign country. The declaration states that the applicant received a remittance of [amount] [currency] that was remitted from [remitting bank name and address]. The funds were received from [remitter name and address] and the purpose of the remittance is noted. The applicant signs and dates the form, which is also signed and stamped by the authorized dealer to verify the applicant's identity and declaration.

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    See Chapter 5 Para'10 APP.

    5 10
    FORtV,I-c

    DECLARATION FOR REMITTANCE RECEIVED FROM FOREIGN


    COUNTRY OF AMOUNT EXCEEDING USD 1O,OOO OR EQUIVALENT

    l/We do hereby declare that l/we have received rerniltance of fr0, # oLJan ct /uo
    (Amount and Currency in figures and in words)

    a'n ttr'e ,leye US remitted or

    $Ku
    Aot'{Kn account , -lgA/t1vnfr elr
    ro be remrrre oov HcKu
    (name and address of remitting bank)

    ln'PW,*o tL'S St rcv iC € Fee .

    K/,nt n?n ilO , purpose


    (purpose of rem ittance)
    name and address of remitter)
    .9,n , le n'il)Al, bztaL
    (Name of Applicant)

    Nationality
    out" ..27. :. .0,7. :.), A 4 A 0q"E
    Signature and Stamp of the applicant

    From-C : lnward Remittance exceeding usD 10,000 en or equivalent.

    Country of Ordering Amount in


    lVlonth Purpose
    Custorlers (State Currency)

    bv

    -C*ettealy

    Purpose of remittance

    We hereby certify that we are satisfied as to the identity of the applicant and that we have
    seen

    documentary evidence which satisfies us as to the bonafides of the declaration made on this
    form.

    Date Signature and StamP of the


    Authorlsed Dealer
    Contd, P/2

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