ANNEXURE I(a)

DECLARATION-CUM-UNDERTAKING

From:a Date

To:
The Manager
City Union Bank Limited

Sub: Declaration under Section 10(5), Chapter ll of the Foreign Exchange

Management Act, 1999.

We hereby declare that the transaction, the details of which are specifically mentioned in the
schedule hereunder, does not involve, and is not designed for the purpose of any contravention
or evasion of the provsions of the Foreign Exchange Management Act, 1999, or any rule,
regulation, notification, direction, or order made there under.

We further agree to give you all such information/particulars as may be required by you and
called for by you to determine whether such transaction contravenes any of the Foreign
Exchange Management Act or any other rule, regulation, notification or order made there under.

/We hereby declare that all the information/particulars given by us are true and correct to the
best of mylour knowledge and information.
We also understand and agree that if VWe refuse to comply with any such requirement or make
only unsatisfactory compliance therewith, the bank is always at liberty to refuse in writing to
undertake the transaction and shall if it has reason to believe that any contravention/evasion is
contemplated by me/us report the matter to Reserve Bank of India.

* IWe here by declare that the undersigned has/have the authority to give this declaration and
undertaking on behalf of the firm/com pany. For SUNRISE REPRESENTATIONS
Place:
Date: Dell
.Praprietor...
Signature of the Applicant for Foreign Exchange
*Applicable when the declaration/undertaking is signed on behalfof the fin/company.
SCHEDULE

NA TURE/PUPOSE OF
FOREIGNEXCHANGE TRANASCTION

AMOUNT OF FORE IGN E XCHANGE

BENEFICIARY

For offce use: Delails of Documentary evidence verified.

To, RLPRESENIATIONS
The Bank Manager,
Citi Bank,
Janakpuri, New Delhi
Sub: Amount to be credited in m/s Sunrise Representation's current account
Dear Sir.

I am holding a current account in City Union Bank the details are given below:
Company Name : Sunrise Representations
Account No - 510909010087022
Customer D- 5344397
Branch code - 208
Branch Address - B1/30 Groundfloor Janakpuri East-110058
Swift/BICcode - CIUBINSM

Sunrise Representations is a Sales &Marketing company and provide sales &marketing

services to overseas hotels & resorts

We havereceived Sales & Marketing expenses of USD 486 from Redfox Event Company,
Bangkok, Thailand. We will provide you invoice copy which we have charged from our
principal client.
Irequest you to kindly credit this amount in my current account. Details are already
given above.

Ishall be grateful.
For SUNRISE REPRESENIa
Thanks & Best Regards,

Nisha Shrivastva
Director
Sunrise Representations

A176, FF, Hari Nagar, New Delhi-110064.

Email- nisha @sunrisereps.com, care@sunrisereps.com, Website- www.sunrisereps.com
 CUB
Disposal Instruction for Handling Foreign Inward Renittances

The Branch Manager

City Union Bank Ltd.
Branch

Dear Sir,
I/We authorise you to credit the foreign inward rermittances received in my/our favour, as per the below
mentioned details:

Currency Arnount

Name of the Remitter

USpolo
Conversion details
1.Convert to INR and credit to A/C

2 Convert % to INR,credit to our A/c and creit

%,credit to our EEFC A/c

3.Credit 100% to our EEFCA/C

4.Convert to INR by utilizing the following forward Contracts:

SI.No Forward contract No Amount toutilised
1.
2.
3.
4.

Purpose of Remittance 1.Advance Remittance for Exports

D 2.Export Bills directy sent to buyer or tO us
3.Merchant Trade

4.0thers (PlSpecify)

ror SUNRISEREPASEYi. Page i of 2

Proprietor
I/We enclose herewith underlying documents/contracts/invoices as applicable.
Declarations by the customer
In respect of advance against exports, I/we undertake that I/we am/are under an obligation to
ensure that the shipment of goods is made within one year from the date of receipt of advance
payment.
In the event my/our inability to make the shipment partly or fully within one year from the date of receipt
of advance payment, no remittance towards refund of unutilised portion of advance payment or towards
payment of interest, shall be made after the expiry of the said period of one year, without the prior
approval of the Reserve Bank. The documents covering the shipment will be submitted to City Union
Bank Ltd. within 21 days from the date of shipment.
I/we alsodeclare that the transaction does not have linkage with any Specially Designated Nationals and
Blocked Persons (SDN)/countries listed under OFAC in any manner. If the transaction involves linkage
with any Specially Designated Nationals and Blocked Persons (SDN)/COuntries listed under OFAC in any
manner, I/we undertake not to hold City Union Bank Ltd. responsible for any of its action or inaction in
respect of the OFAC-linked transactions. Further, I/we declare that the transaction does not involve
payment from/to aThird Party. If the transaction involves payment from/to a Third party, I/we undertake
to comply with theextant guidelines from RBI / the Bank in this regard.
In respect ofMerchanting Trade, I/we declare to abide by the extant quidelines of RBI and we attach
herewith the Merchanting Trade Declaration as per Bank's format.
Applicable for cases attracting provisions of FCRA:
I/we have been allotted FCRA registration number by Ministry of Home Affairs (copy
enclosed). I/we declare that the foreign contribution
(remittance) received is not pertaining to election,
correspondent, columnist, cartoonist, editor, owner, printer or publisher of a registered newspaper,
judges, government servants or employees of any corporation, members of any legislature, political party
or office bearer thereof.

Declaration-cum-undertaking under Sec 10(5), Chapter IIIof FEMA, 1999

I/We hereby declare that the transaction details of which are mentioned above does not involve, and is
not designed for the purpose of any contravention or evasion of the provisions of the aforesaid Act or of
any rule, regulation, notification, direction or order made thereunder. I/We also hereby agree and
undertake to give such information /documents as will reasonably satisfy you about this transaction in
terms of the above declaration. I/We also undertake that if I/we refuse to comply with any
such
requirement or make only unsatisfactory compliance therewith, the Bank shall refuse in writing to
undertake the transaction and shall if it has reason to believe that any contravention evasion is
contemplated by me / us report the matter to RBI. I/We further declare that the undersigned has the
authority to give this application, declaration and undertaking on behalf of the firm/company.

ror SUNRISENanking youláæH

Date: Xoursfaithfully,
Place:
NDalle Signature oY the applicant)
Proprietor.
(Director/Partner/Proprietor/Individual
NISH )
Name:
Address:A-16 r
Page 2 of 2
10/01/24 REPRESENIATIONS

Redfox Event Company

3/TH/Bangkok, Thailand

No -0127
INVOICE

Towards Monthly retainer (consultation) fee of Sales &Marketing USD 486

services

Grand Total USD 486

Bank Details cUNRISE REPRESEINlAio

Sunrise Representations
CUB (City Union Bank) Ltd.
Salol3eprietor
IFSC code -CiUBO000208

Account No 510909010087022
Customer ID -5344397
Branch code - 208
Branch Address - B1/30 Groundfloor Janakpuri East-110058
Swift/BICcode - CIUBIN5M

A176, FF, Hari Nagar, New Delhi-110064.

Email- nisha@sunrisereps.com, care@sunrisereps.com, Website- www.sunrisereps.com