Form SDF Declaration Under the Foreign Exchange Management Act 1999

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Form 1

DECLARATION –cum-UNDERTAKING

(Under Section 10(5), Chapter III of The Foreign Exchange Management Act, 1999)

     I/We hereby declare that the transaction the details of which are specifically mentioned in the Schedule hereunder does not involve, and to the best of our knowledge and belief is not designed/intended or will result in 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 understand 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 Reserve Bank of India.

    *I/We further declare that the undersigned has/have the authority to give this declaration and undertaking on behalf of the firm/company.

________________________

                                                                                                    Signature of the Applicant

                                                                                                     for Foreign Exchange.

Place: MUMBAI

Date :11.08.2013

*Applicable when the declaration/undertaking is signed on behalf of the firm/company.

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SCHEDULE

Remittance of CHF.522288.60 To M/s LARA TECHNOLOGY AG, SWITZERLAND in terms of our Purchase order no 4700000088 dt 19.07.13, duly

Amended on 22.07.2013 vide no 001

All foreign exchange transactions as may be entrusted by us to the Bank from time to time.

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For Office use

NOTE: (Details of information/documentary evidence to be verified/recorded separately for each transaction).