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DATED: 24/10/2016

The Branch Manager


R.R.SEN & BROS. (P) LTD.
50 & 68, WORLD TRADE CENTRE,(G.F.)
BABER ROAD,
Connaught Place, New Delhi – 110001

Dear Sir,

I/We request you to remit Foreign Currency by Telegraphic Transfer as per details
hereunder :-

Name of the Remitter Mr. Raj Singh Yadav


Address & A-602, Mahajan Shree CGHS, Plot no. 13, Sector
23, Dwarka, Delhi – 110075

Telephone no. 9871670032


of the Remitter
Nationality Indian
Purpose of Remittance: Student education
Currency and amount USD 4000
Name of Beneficiary & Onika Yadav
Address USC, Los Angeles, CA-90007,USA
Bank Details USC Credit Union, Los Angeles, CA
Branch Code 322079557
Account Number 15741705
Account Type
IBAN No. ________ -
SWIFT CODE
Passport Details No. J9562281 Date of Issue: 27/07/2011
of Beneficiary
Place of issue: Jaipur Valid till: 26/07/2021

We certify that we are availing the foreign exchange for the purpose details of which are
mentioned above and shall be utilized for the same purpose and all expenses for the same
will be borne by us / me. We hereby declare that the transaction, details of which are
specifically mentioned above does not involve & is not designed for the purpose of any
contravention or evasion of the provisions of Sec 10 (5) ,Chapter 3 of the FEMA, 1999 or
any rule, regulation, notification, direction or order made there under.
We also hereby agree and undertake to give such information/documents as will reasonably
satisfy you about this transaction in terms of the above declaration.
We also undertake that if we refuse to comply with any such requirement or made any
unsatisfactory compliance therewith ,the AD shall in writing to undertake the transaction
and shall if it has reason to believe that any contravention/evasion is contemplated by me
repost the matter to RBI. I further certify that I have not availed exchange for the Above
purpose from any other AD.

Amount of Rs. 333449/- transferred online.

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