FORM NO 1
EXPENDITURE TAX
[See rule 4]
Certificate of payment of hotel charges by travel agent/airline in Indian currency
obtained by conversion of foreign exchange into Indian currency
Name of the travel agent/airline
Address
Licence Number
I/We hereby certify :
(i) that I/we have paid Bill No. of [Name of the hotel] dated on behalf of foreign tourist(s) in Indian currency;
(ii) that the aforesaid payment has been made out of Indian currency obtained by conversion of foreign exchange received in, or brought into, India through an authorised dealer;
(iii) that the details of foreign tourist(s) and other particulars stated below are correct :
(1) Reference/name of the group/traveler
(2) Name of the foreign agent, i.e., remitter
(3) Name and address of the authorised dealer
(4) Date(s) of receipt of foreign exchange by the authorised dealer
(5) Number, date and the amount of the bill of claim of the travel agent/airline on the overseas remitter
I hereby declare that I am giving this certificate in my capacity as [designation]
Place Signature
Date
Notes :
Licence number granted by the Reserve Bank of India under section 32 of the Foreign Exchange Regulation Act,1973, should be mentioned against this item.
Delete whichever is not applicable.