Annex XII
( see Para A 9 (a) (ii) of the Master Circular on Risk Management and Inter-bank dealings dated July 2, 2007)

Statement – Details of Forward cover undertaken by FII clients
Month –

Part A – Details of forward cover (without rebooking) outstanding
Name of FII
Current Market Value (USD mio)
Eligibility for Forward Contracts Booked Forward Contracts Cancelled
Forward cover During the month
Cumulative Total – Year to Date
During the month
Cumulative total
– Year to date
Total forward cover outstanding
Part B – Details of transactions permitted to be cancelled and rebooked
Name of FII
Market Value as determined at start of year
Eligibility for Forward Contracts Booked Forward Contracts Cancelled
Forward cover During the month
Cumulative Total – Year to
Date During the month Cumulative
total – Year to date
Total forward cover outstanding
Name of the AD Category – I bank :
Signature of the Authorised official :
Date :
Stamp :