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SCHEDULE 'N'
PERIOD : _____________________________________________________________________
AUTHORISED DEALER : ________________________________________________________
CURRENCY : __________________________________________________________________
| Name and address of the bank | Amount | Type of Balance | For State Bank Use | |||
| Million | Th. | Units | (Credit/Debit) | Country | * Purpose | |
| Total | ||||||
* In case of credit balance use Purpose Code 7410 and for debit balance use the Code No. 3410
Stamp and Signature of the Authorised Dealer
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