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Lae
See Chapter 5 Para 10
IWe do hereby declare that I/We have received remittance of Jey 45 00000,00
Date
DECLARATION FOR REMITTANCE RECEIVED FROM FOREIGN
COUNTRY OF AMOUNT EQUIVALENT TO US S 20,000/- OR
EQUIVALENT
JPY ondy]
To be remitted by MUPGi BANk, LTD.
(Name and address of remitter)
(Name and address of remitting bank)
76 MINANI, 4 NISH, c HU6 -kU,
SArPskO-SHI,40LKA} Do, Jopan forthe purpose of
Date
(Amount and Currency in figures and in words)
641"7/2023
FORM-C
Purpose of remittance
Country of ordering
Customers
on account of K070 MURA VAMT
APP. 5
a/o7/ 2o23
Equity Purehose woney
Form C: nward Remittance exceeding USD20,000/-(Twenty Thousand) or equivalent.
Month Purpose
Faily Purehage wioney
(Name of Applicant)
10
[Farty five
(Purpose of remittance)
remitted or
Nationality
Address Sapp ono CG,Hokyaido, Japan
Me. Koza Myrca kami
Japanese ((Passpart No. TR 8437312)
Signature and Stamp of the applicant
Amount in (State Currency)
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 thedeclaration made on this form.
Coded by
Checked by
Signature and Stamp of the
Authorized Dealer
Contd. P/2
Lac
See Chapter 5 Para 10
Tobe remitted by MUFG BANk) LTD,
Date
DECLARATION FOR REMITTANCE RECEIVED
COUNTRY OF AMOUNT EQUIVALENT TO USS20,000/- OR
EQUIVALENT
IWe do hereby declare that /We have received remittance of JPY 700,000. 00 Si Seven
(Name and address of remitter)
(Name and address of remitting bank)
7-4 MINAMI 4 NISH), CHU0-v
SALRARO- sH1, HOkRASDO depen for the purpose of
(Amount and Currency in figures and in words)
040/2023
Date
FORM-C
Purpose of remittance
Country of ordering
Customers
on account of
04/07/20 23
Nationality
Address
APP. 5
ROM FOREIGN
Purpose
F uity Pureehase Money.
Form C: Inward Remittance exceeding USD 20,000/-(Twenty Thousand) or equivalent.
Month
MICRO NET Co LTD,
Eaiy Punehese morney
10
(Name of Applicant)
remitted or
(Purpose of remittance)
Japanope (Pass pert No. TR e497312)
Sagporro it Hskkaido, Japan
Signature and Stamp of the applicant
Mre. Ko20 Murakami
Amount in (State Currency)
We hereby certify that we are satisfied as tothe 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.
Coded by
Checked by
Signature and Stamp of the
Authorized Dealer
Contd. P/2