To Declaration of BASIC TRAVEL QUOTA (BTQ) YATRA ONLINE PRIVATE LIMITED (Company) Dated: Dear Sir/ Madam We hereby request the company to remit the payment/s vide Yatra reference nO. YT.evsvse to its overseas supplier for the services bought by me/us in foreign curreney (FCY). | / We hereby underlake to make ‘good the shortfall in funds, should the exchange rate move adversely on the date of such remittance. ‘SWNo-_| Passenger Name] Complete Address & Telephone Ne. | Passparl | Country’ [Name of | Amount ) Equivalent Ne. | Countries |" FC” | offoreign| INR “tobe. ‘exchange| Visted required 1 2 a 4 We declare that the total amount of foreign exchange purchased from, all sources in India during this Calendar year, including this application, is within the annual limit prescribed" by Reserve Sank of India for the said purposo(s). We hereby declare that this transaction does not involve, and is not designed for the purpase of any contravention or evasion of the provisions of the FEMA (Foreign Exchange Management Act, 1999) or of any rule, regulations, notification, direction or order made there under. VWe also confirm thal liwe amare af Indian nationality, We also hereby agree and undertake to give such information/documents as will reasonably satisfy you about this transaction in terms of the above dectaration. We also understand that if [We refuse to comply with any such requirement or make only unsatisfactory ‘compliance therewith, the Authorized Dealer shall refuse in writing to undertake the transaction and shall if it has reason to believe that any contravention/evasion is contemplated by melus, report the matter to Reserve Bank of India, Name & Signature of Passenger(s) Name: Name: Name: Name: Signature: Signature: Signature: Signature Documents Collected:- 1. Passport Copy (fst and adress page) 2. Visa Copy / Air tiecet Copy Name & Signature of Sales Consultant oe pate sto any cous (xcept Nepal at Bhs US § 10,000 one calendar year niu, For BosiessTeavel abroad USS 25000 pe tp azespective of the period of sty sual For attending conieence ot speciaized traning US $25,000 orate cates plete eer the FEMA geile,