FORM No. 2
EXPENDITURE TAX
[See rule 4]
Certificate of payment of hotel charges by the nationals of Czechoslovakia, German
Democratic Republic, Poland, Romania and the USSR

Name of the person incurring expenditure in the hotel
Permanent address
Passport No.
Date of arrival in India
Expected date of departure
I/We hereby certify that I/we have paid bill No. of [Name of the hotel] dated
in Indian currency obtained by conversion of foreign exchange into Indian currency.
Place . Signature
Date .
Delete whichever is not applicable.