FORM NO. 10CCAE
[See sub-rule (6) of rule 18BBA]
Certificate from a person making payment to an assessee, engaged in the business of a hotel, or of a tour operator or of a travel agent, out of Indian currency obtained by conversion of foreign exchange received from or on behalf of a foreign tourist or a group of tourists

Name of the hotel/tour operator/travel agent ________________________________________________making
the payment received from or on behalf of foreign tourist or a group of tourists Address______________________________________License number___________ granted by the Reserve Bank of
India under section 32 of the Foreign Exchange Regulation Act, 1973 (46 of 1973).
I/We hereby certify that -
(a) that I/we have paid Bill No.__________of_________________________________[Name of the
hotel/tour operator/travel agent] dated_____________on behalf of foreign tourist or a group of tourists
in Indian currency;
(b) that the aforesaid payment has been made out of Indian currency obtained by conversion of foreign exchange received in, or brought into, India through an authorised dealer, the details of which are as follows:-
(i) Currency ______________________
(ii) Amount of foreign exchange ______________________
(iii) Details of draft (including number, date and bank on which drawn) _______________
(c) that the details of the foreign tourist/group of tourists are as follows:-
(i) Reference/name of the group/traveler ______________________________________
(ii) Name of the foreign agent, that is remitter __________________________________
(iii) Name and address of the authorised dealer __________________________________
(iv) Date of receipt of foreign exchange by the authorised dealer ____________________
(v) Number, date and the amount of the bill of claim of tour operator/travel agent on overseas remitter. ______________________________________________
I hereby declare that the above particulars are true and correct to the best of my knowledge and belief and nothing has been concealed therein and this certificate is given in my capacity as_________________________________ [Designation]
Place ______________
Date _______________ Signature