CM

Name and address of the Money-changer (Official letter-head of the
money-changer should be used)
RBI Licence No.:

Cash Memo

Serial No.: Date:
We have sold today foreign currency to........................................... holder of Passport No............
(Name of the person)
Nationality................ proceeding to.......................... against Indian rupees as per details
(destination)
given below:
Details of foreign currency notes/coins sold
Currency Amount Rate Rupee
sold equivalent
(1) (2) (3) (4)
Total Rs..............
Total amount in words:..................................................
Stamp (Signature of Authorised Official)
Name: ..................................................
Designation: ........................................