ORIENT EXCHANGE & FINANCIAL SERVICES (P) LTD.
F, GROUND FLOOR, DCM BUILDING,
16, BARAKHAMBA ROAD, (NEAR METRO GATE NO. 3 )
NEW DELHI- 110001
RBI LIC. NO.: BLR - AD II – 0022-2023
Outward Remittance Form cum Receipt
Details of the Application given by the Customer to Remit Foreign Exchange Abroad:
Sender Name : MANISH
Sender Address : H NO 205 2ND FLOOR POCKET B 8 SECTOR 3 ROHINI DELHI 110085 INDIA
Passport No. : S7449053
Remitter Name Remitter PAN Remitter Relation
MANISH FBRPM3459L SELF
Benificiary Name : FSBEI OF HE MAI National Research University 20736H72950
Benificiary Address : 125993 Moscow Volokolamskoe shosse 4
Bank : Bank of Russia General Department of the Central Federal District
Address
: Federal treasury department in Moscow
Bank A/C No. : 03214643000000017300 ABA NO/ IBAN /BSB/ :
Swift Code : 004525988 SORT Code (if any)
Issue Date : 12/12/2018 Exp. Date : 11/12/2028
Cell/Contact : Purpose : EDUCATION
Originating
: NEW DELHI
Branch
Sr. No. of
: 5205383
Remittance
Remittance : RUSSIAN RUBBY TT ORTT 50,000.00 1.17000/1 58,500.00
Total Amount : 58,500.00
CENTRAL GST : 52.65
HANDLING FEES : 50.00
CENTRAL GST : 4.50
STATE GST : 4.50
ROUNDING OFF : 0.44
STATE GST : 52.65
CGST ON TT CHARGES : 36.63
TT CHARGES : 407.00
SGST ON TT CHARGES : 36.63
Total (Including Tax): : 645.00
Total (In words) : RUPEES FIFTY NINE THOUSAND ONE HUNDRED FOURTY FIVE ONLY Net Amount : 59,145.00
Receipt Details : Recd. 59145.00 By Chq. (QRHDFC) , Cheque No: 511, Cheque Dt: 01/09/2025, Drawn On: AXIS, Branch: DELHI
Please confirm the details given above are correct.
In case of any discrepancy, please inform us the discrepancy before leaving the counter.
We confirm having received all the documents including A2 pertaining to the above remittance request.
Customer Signature Name and Signature of the Officer
EXECUTIVE OPERATIONS
Place : NEW DELHI
Date : 01/09/2025