THE MANAGER
(Div of Stop N Shop Travels and Tours Pvt. Ltd.)
SNS BUREAU DE CHANGE
MUMBAI 400004


Dear Sir,
I / We wish to draw foreign exchange USD * (C/N * and T/C * ) against the Basic Travel Quota and USD as airport allowance.

I / We herebelow give details as required:

Name	*
Address	*
Nationality	Indian/
Passport Number	*
Date and Place of Issue	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 27 28 29 30 31 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC *
Name of Countries for visit	*
Date of Departure	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 27 28 29 30 31 JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC *
Ticket Number	*
Purpose of Visit	Private Visit Abroad
I declare that the exchange applied for above, together with the exchange already availed of under the Basic Travel Quoto during this Calender year does not exceed US $ 5000

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