See Chapter 5 Para 10 APP.
5 10
FORM-C
DECLARATION FOR REMITTANCE RECEIVED FROM
FOREIGN COUNTRY OF AMOUNT EXCEEDING USD 10,000 OR
EQUIVALENT
I/We do hereby declare that I/we have received remittance of #29995#USD (TWENTY NINE
THOUSAND NINE HUNDRED NINETY FIVE UNITED STATE DOLLARS) remitted or to be remitted by
JPMORGAN CHASE BANK on account of AMT ENGINEERING JSC, UL LETNIKOVSKAYA 16 1A
1/23, MOSCOW,115114 for the purpose of REPLENISHMENT OF THE ACCOUNT FOR OFFICE
EXPENSE BRANCH OFFICE.
NELSON BAROI (AMT ENGINEERING)
(Name of Applicant)
Nationality Bangladesh
Date : 02-12-2024 Address Mission area, Kaptai, Rangamati
Signature and Stamp of the applicant
From-C : Inward Remittance exceeding USD 10,000 (Ten thousand) or equivalent.
Country of Ordering Amount in
Month Purpose
Customers (State Currency)
Coded by
Checked by
Purpose of remittance :FOR CIVIL PURPOSE OFFICE EXPENSE(BRANCH/LIAISON)
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 Authorised Dealer
Contd, P/2
See Chapter 5 Para 10 Page-2 APP. 5 10
(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.
Inward ID Outward Reference
AD Code Ref. Year AD Code Ref. Year
