Certificate of foreign inward remittance

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....-------- (Name and address) on ------------------------------------. By Cash ---------------------------- By Pay-Order --------------------------------. By Credit to Current/ Saving/ Cash Credit Account with us/ with our ------------------------------------ office for beneficiary's account, or (b) to ---------------------------------- Bank ------------------------------------ on ------------....

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....---------. We also certify that the payment thereof has/has * not been received in non-convertible rupees or under any special trade or payments agreement. We confirm that we have obtained reimbursement in any manner approved by Reserve Bank of India and according to the laws. For ------------------------- Bank *Strike out whichever is inapplicable To ----------------------------- ---------....