( Print out with company letter head )

The Manager Date:

Cox & Kings Ltd
Chennai.

Dear Sir,

Sub: Surrender of Foreign Exchange

We would like to surrender the excess foreign exchange purchased for the business visit
of our company official/s the details are given hereunder.

Name of the Staff travelled

JANDHYALA JAGMOHAN VIJAY
Passport No.
M7717059
Date of Issue 25/03/2015

Place of Issue HYDERABAD

Details of foreign currencies / travel

card / travellers checks surrendered
Travel card no.& Value in foreign 4065 8300 0353 8463 & 1226.03 USD
currency
Remarks (if any)

Kindly issue us a cheque favouring the company at agreed rate and arrange to collect
the above currencies/travellers cheques.

Thanking you

Yours faithfully

For (Company name)

Authorised Signatory