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Download format of Request Slip for exchange of Old Bank Notes

After the RBI Ban on Bank Notes of Rs. 500 and Rs. 1000 RBI has issued guideline and format for exchange of such old Bank Notes of Rs. 500 and Rs. 1000  which are as follows:- 

(i) the specified bank notes of aggregate value of ₹ 4,000/- or below may be exchanged for any denomination of bank notes having legal tender character, with a requisition slip in the format specified by the Reserve Bank and proof of identity; the limit of ₹ 4,000/- for exchanging specified bank notes shall be reviewed after fifteen days from the date of commencement of this notification and appropriate orders may be issued, where necessary;

(iii) there shall not be any limit on the quantity or value of the specified bank notes to be credited to the account maintained with the bank by a person, where the specified bank notes are tendered; however, where compliance with extant Know Your Customer (KYC) norms is not complete in an account, the maximum value of specified bank notes as may be deposited shall be ₹ 50,000/-;

(iv) The equivalent value of specified bank notes tendered may be credited to an account maintained by the tenderer at any bank in accordance with standard banking procedure and on production of valid proof of Identity;

(v) the equivalent value of specified bank notes tendered may be credited to a third party account, provided specific authorisation therefor accorded by the third party is presented to the bank, following standard banking procedure and on production of valid proof of identity of the person actually tendering, as indicated in Annex-5;

Annex-5

Request Slip for exchange of Old Bank Notes in denominations of Rs. 500/- and Rs. 1000/-

Name of the Bank
Branch:
Name of the Tenderer (In capital Letters)
Identity Proof Original to be shown at the counter (Tick the one applicable)
Identification Number (Number mentioned in the Identity Proof submitted)
Details of Old High Denomination Bank Notes submitted for exchange Denomination No of Pieces Value
Rs. 500
Rs. 1000
TOTAL
Total value in words:
Signature of Tenderer  

 

Place:

Date:

Download word Format of Request Slip for exchange of Old Bank Notes in denominations of Rs. 500/- and Rs. 1000/-

Download PDF Format of Request Slip for exchange of Old Bank Notes in denominations of Rs. 500/- and Rs. 1000/-

Categories: Fema / RBI

View Comments (3)

  • I express my sincere thanks to Tax Guru for making every minute information available on the Net. You are really doing a great service to the Nation in this way. I wanted to have a format as per annexure 5 and I got this in no time. Once again thanks to you and the vibrant team.

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