FORM NO. 10H
[See rule 29A]

                                                                                                              ………..Bank
No……………..                                                                                Ref. No………………
                                                                                                           Date……………….
Certificate of foreign inward remittance

1. We certify that we have received the following remittance and proceeds thereof were paid :
(a) to the beneficiary M/s………………….(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……..for credit of beneficiary of M/s……….[Name and address] Account
2. Name and place of residence of remitter
3.  Name and address of remitting bank
4. Demand Draft / Telegraphic Transfer / Money Transfer No…...dated Foreign currency amount……….Rupee equivalent ………..(Rupees…………..) Favouring…….
5. Exchange rate applied
6. Purpose of remittance as stated by remitter * / beneficiary
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
Manager
Countersigned
(Name and designation)
(Address)
Certificate
I hereby certify that the above particulars contained in the certificate are true and correct to the best of my knowledge and belief and nothing has been concealed therein.
Place…………………
Date…………………….                                                            (Signature)