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FORM-C (10000)

This document is a declaration form for remittances received from foreign countries amounting to US $10,000 or more. It requires details about the remittance, including the amount, currency, purpose, and information about the remitter and applicant. Additionally, it includes certification by an authorized dealer and notes that full details must be provided for capital nature remittances.

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smhossainsifat
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13 views

FORM-C (10000)

This document is a declaration form for remittances received from foreign countries amounting to US $10,000 or more. It requires details about the remittance, including the amount, currency, purpose, and information about the remitter and applicant. Additionally, it includes certification by an authorized dealer and notes that full details must be provided for capital nature remittances.

Uploaded by

smhossainsifat
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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See Chapter 5 Para 10 Form C

DECLARATION FOR REMITTANCE RECEIVED FROM FOREIGN


COUNTRY OF AMOUNT EQUIVALENT TO US $ 10,000/- AND ABOVE
I/We do hereby declare that I/we have received remittance
of (Amount and Currency in figures and in
words)
…………………………………………………………………………………………………. remitted or
to be remitted by on account of ……………………….…
(Name and address of remitting bank)
for the purpose of
(Name and address of remitter) (purpose of remittance)

(Name of Applicant)

Nationality…………………………..…………….

Date …………………… Address………………………………………

Signature and Stamp of the


applicant

Form 'C: Inward Remittance of Tk. equivalent to US $ 10000/- and above.


Month Country making Purpose Amount in
Payment (State Currency)

Coded by …………………………………………………..

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
(Space for use by the Bangladesh Bank)

BANGLADESH BANK
Foreign Exchange Policy Department

Date ………………………………………. Assistant Director

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.

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