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Para 10
See Chapter 5
10
APP. 5
FORM-C
DECLARATION FOR REMITTANCE RECEIVED FROM FOREIGN COUNTRY OF AMOUNT EXCEEDING TO USD 10,000/- OR EQUIVALENT
I/We do hereby declare that I/We have received remittance of ________________________________ Only)
(Amount and Currency in figures and in words)
remitted or to be remitted by ____________________________________________________________________
___________________________________________
(Name and address of remitting bank)
on account of __________________________________________________________________________________________
_________________________________for the purpose of (Name and address of remitter) (Purpose of remittance)
Atsushi Oizumi
Country Manager
SOHGO SECUIRTY SERVICES CO., LTD.
(A/C No.: 2132114025270)
(Name of Applicant)
Nationality: Japanese
Date: Address: Ataturk Tower, Flat # 11/A (Lift # 10), 22 Kemal Ataturk Avenue, Banani, Dhaka-1213
Signature and Stamp of the applicant Form C: Inward Remittance exceeding USD 10,000/- (Ten Thousand) or equivalent.
Coded by
Month
Country of ordering Customers
Purpose
Amount in (State Currency)
Checked by
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
Authorized Dealer
Contd. P/2
Page-2
Para 10
See Chapter 5
10
APP. 5
(Space for use by the Bangladesh Bank)
BANGLADESH BANK
Foreign Exchange Policy Department
Assistant Director
Dated.................................
Note: Full details must be given for all remittances which are of capital nature. In the case of amounts for investment in Bangladesh in shares or business, the reasons why the investment is required must be clearly indicated. In the case of the remittance of the sale proceeds of securities the name of the true owner of the securities must be given and also the approximate date of purchase.
Inward ID
AD Code
Ref.
Year
Outward Reference
AD Code
Ref.
Year