3a FORMAT FOR DECLARATION CUM UNDERTAKING (Under Section 10 (5), Chapter Il of Foreign Exchange Management Act, 1909) I/We hereby declare thet the transaction(s) the details of which are specifically mentioned in the Schedule hereunder does not involve and is not designed for the purpose of any contravention or evasion of the Provisions of the aforesaid Act or of Rule, Regulation, Notification, Direction or Order made thereuncéer. 1/We also hereby agree and undertake to give such informations / documents, before the Bank undertakes the transacton(s) and as may be required from time to ie as wil reasonably satisty you about the transaction(s) in terms of the above declaration. 17 We also understand that it|/ We refuse to comply with any such requirement or make unsatisfactory compliance therewith, the Bank shall refuse in writing to undertake the transaction and shall if t has reason tobelieve that any contravention / evasion is contemplated by me/us, report the matter to Reserve Bank of India. *1/We further declare that the undersigned have / has the authority to give this declaration and undertaking on behalf of the Firm / Company. Place : Bangalore Date ‘Signature of the pcan for Forign Exchange (win Company Seal) * Applicable when the declaration / undertaking is signed on behalf ofthe Firm / Company, ‘SCHEDULE Nature / Purpose of Foreign Exchange transactions ‘Amount of Foreign exchange to be released Beneficiary FOR OFFICE USE : DETAILS OF DOCUMENTARY EVIDENCE VERIFIED: For STATE BANK OF INDIA Asst. General Manager Jayanagar lind Block, Bangalore - 560 001