…………………………… …………………………… Signed Date
Deponent understand the contents of this declaration.
………………………………………………… Commissioner for Oaths
FORM A Regulation 25 (3) (CONFIDENTIAL) BANK OF UGANDA
MONEY REMITTANCE (SEND) FORM The Foreign Exchange Act, 2004 Send Form 25(3) Serial No: ………….
To be completed for every transaction for foreign exchange being remitted (as a send service).
Name of Authorized dealer .............................……………………… Value Date.............………………………….……………………….. Sender's details: Name of sender...........................................................…..................... Address in Uganda .........................................………................... Occupation ..........................................……….............................. Nationality......................Passport No/ID/Driving Permit No. .............. Currency Instrument (Mode of Amount Exchange Commission Amount transmission) Rate in UShs.
Total in Uganda Shillings Beneficiary's details: (i) Reference...........................................………...………………… (ii) Name..................................................………...……………… (iii) Address.................................................………...……………… (iv) Telephone. ................................................………...…………… (v) E-mail ................................................………...……………… (vi) Destination country...............................................………...… (vii) Bank details* *...............................................………...……… Purpose: .................................................................................................
Declaration by sender: I declare that the information I have provided on this money remittances send form is true and correct. Signature of sender................................................................................. Date.........................................................................................................
Authorised dealer's undertaking: The money remitting company undertakes to ensure that the funds are remitted to the specified recipient. The money sender may obtain a confirmation of receipt of the said funds on request.
* * Where it is applicable. * Instrument or mode of transmission may include Swift, TT, Card or as may be specified.
FORM B Regulation 25(3) (CONFIDENTIAL) BANK OF UGANDA MONEY REMITTANCE (RECEIVE) FORM The Foreign Exchange Act, 2004
Receive Form 25 (3) Serial No: ……………. To be completed by the customer/authorized dealer for foreign exchange being transmitted/remitted (as a receive service).
Name of Authorized dealer.....................……………………………...
Value Date..............………….………………………………………..
Beneficiary's details......................…………………….……………
Name....................………...……………………………………………
Address in Uganda....................................……………………………
Telephone. ……………………...............................................………...
E-mail....................………………………...........................………...
Source country..........................………………………………………
Code...............................................………...…………………………
Passport No/ID/Driving Permit No.. .....……………………...............
Source: ……………………………………………………………… Currency Instrument (Mode of Amount Exchange Commission Amount transmission) Rate in UShs.
Total in Uganda Shillings
Sender's details: Name.............................................................…………….....................
Address.........................................………........…...............................
Occupation ..........................................…………….............................. Nationality...............................................…………………………......
Declaration by beneficiary: I declare that the information I have provided on this money remittances receive form is true and correct to the best of my knowledge and belief.
Signature of Customer............................................……………...........
Date............................................................................……………........
Authorized dealer's undertaking: The money remitting company undertakes to ensure that the funds are remitted to the specified recipient. The money sender can obtain a confirmation of receipt of the said funds on request.
FORM A Regulation 27(1)(a)
DAILY FOREX BUREAU BUYING AND SELLING RATES
From : Name of authorised dealer …………………………………………………………………
I/We herewith submit the rates for …………………. Date…………… Currency PURCHASES SALES
Cash TCs Draft Cheques TT Cash TCs Draft Cheques TT
……………………………………… Signature of Forex Bureau Operator Stamp…………………..
FORM R Regulation 27(1) (b) and (c) To: Director, Non Banking Financial Institutions Dept., Bank of Uganda, P.O. Box 7120, Kampala Tel: 041 258441/6, 258739, Fax No. 258739
Monthly/Weekly Returns of Purchases of Foreign Currencies (Inflows)
Week/Month Ended: ……………………
Name of authorised dealer: …………………………………………
Form R CURRENCY Source of Funds USD GBP € KeS Key for Currencies