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CERTIFICATE/DECLARATION

Particulars
Name of the borrower
Total exposure / borrowings with South Indian Bank
Total exposure/ borrowings to the banking system

Details of foreign currency exposures~*

Items having impact on Assets (#)

Particulars

Total Foreign Currency Exposure

Foreign Currency
exposure with Natural
Hedge

Foreign Currency
exposure Hedged by
derivatives

Unhedged Foreign
Currency Exposure

Unhedged Foreign Currency


Exposure

Amt in USD

Amt in USD

Amt in USD

Amt in USD

Amt. in Rs

Total Foreign Currency Exposure

Foreign Currency
exposure with Natural
Hedge

Foreign Currency
exposure Hedged by
derivatives

Unhedged Foreign
Currency Exposure

Unhedged Foreign Currency


Exposure

Amt in USD

Amt in USD

Amt in USD

Amt in USD

Amt. in Rs

Bills Receivables/ Sundry Debtors


Short term Loans and Advances in Foreign Currency
Deposits maintained in foreign currency
All other Foreign Currency monetary items which are required to be
restated on closing date in accordance with Accounting Standards

Items having impact on the Liablities(#)

Particulars
Bills Payable/ Sundry Creditors
Short term borrowings in FC
External Commercial Borrowings
All other Foreign Currency monetary items which are required to be
restated on closing date in accordance with Accounting Standards

ANNUAL EBID AS PER THE LATEST AUDITED QUARTERLY RESULTS CERTIFIED BY THE STATUTORY AUDITORS **
Particulars
Profit After Tax(A)
Add:Depreciation (B)
b) Interest on debt (C)
c) Lease Rentals (D)

Amount Rs.

EBID(A+B+C+D)

Declaration by the borrower


I do hereby declare that the facts stated above are true and correct.

Name of the Authorised Signatory

Auditor's Certificate
This is to certify that M/s ...................................................................................................'s total foreign currency exposures as on.... ...........................................amounts to USD.......................................Out of the
total foreign currency exposures , foreign currency exposures which are hedged by way of natural and financial hedge amounts to USD................................................ and USD............................... respectively. The total
foreign currency exposures as on.... ...........................which are unhedged amounts to USD.............................. ( Amt in Rs. )................................

Name of the auditor


Membership No.

Other Remarks
~ Refer RBI circulars 1) RBI/2013-14/620 - DBOD.No.BP.BC.116/21.06.200/2013-14 dt. 3rd June 2014 & RBI/2013-14/448 DBOD.No.BP.BC.85/21.06.200/2013-14 dt. 15th January 2014.
* Foreign Currency Exposures as defined by RBI refers to the gross sum of all items on the Balance sheet that have impact on profit & loss account due to movement in foreign exchange rates .In the case of foreign
currency exposures in currencies other than USD, the same has to be converted to USD using the current market rates.
# This is only an indicative list of items which can be included in computing unhedged foreign currency exposure. This can be elaborated to other areas wherein the entity is having unhedged foreign currency exposure
depending upon the nature of business/ services conducted by the entity.
** In case of private/unlisted companies, the audited EBID may not be available on a quarterly basis. In this context,RBI has advised that in case of unavailability of the audited results of the last quarter, latest audited
quarterly or yearly results available have to be used. The yearly EBID figure used should at least be of the last financial year. It is also clarified that the guidelines do not differentiate between limited audited results and
full audited results.

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