In the Name of Allah, the Most Gracious, the Most Merciful

Form (1/01/01)

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Central Bank of Jordan
CENTRAL BANK OF JORDAN

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Ref No: 10797 / 8/1/4
Date: 14/3/1418 AH
Approved: 19/7/1997 AD

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Memorandum to Licensed Banks

Ref No (W23/97)

Please find attached copies of the statements required under the provisions of Article (9) of the new Foreign Exchange Instructions issued in Official Gazette No. (4619) dated 16/7/1997. We request that these be filled out by your main centers, including all your branches' activities related to foreign currency transactions, and that they be provided to the Central Bank by the end of each month. This is in addition to the previous statements and forms stipulated in Article (8) of these Instructions, which remain in force.

Accept our highest respect,

The Secretary
(Signature)

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Attachments: (3)

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Central Bank of Jordan
Foreign Exchange Department
P.O. Box: 37 - Amman 11118

Form (8/6/18)

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Statement of Accounts Opened with Correspondents Abroad

During the month of for the year at the Bank

Date Account Opened	Name of Correspondent	City	Country

Bank Stamp and Authorized Signatories' Dates

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Central Bank of Jordan
Foreign Exchange Department
P.O. Box: 37 - Amman 11118

Form (8/7/17)

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Statement of Foreign Currency Payments Denominated in Jordanian Dinars

By Payment Regions During the Month of for the Year

In Jordanian Dinars

Purpose / Payment Regions	Arab Countries	European Union	Other Countries	United States	Japan	China	Other Countries	Total
101: For Purposes Not Mentioned:<br> - Against Jordanian Dinars<br> - Government<br> - Army<br> - Private Sector: - Resident - Non-resident<br> - From Residents' Foreign Currency Accounts:<br> - Government<br> - Army<br> - Private Sector
Second: Capital Transfers
Third: For Mentioned Purposes:<br> (1) Imports to the Kingdom (against Dinars and from Residents' Foreign Currency Accounts)<br> - Credits:<br> - Government<br> - Army<br> - Private Sector
(b) Goods:<br> - Government<br> - Army<br> - Private Sector
(c) Temporary Imports: (Credits and Bills)
(4) Free Zones and Transit:<br> - Credits<br> - Goods
Total
Total Unmentioned: Total Payments and Unpaid Payments, and Capital Transfers
Total Foreign Currency Transfers Paid and Unpaid for Government Entities, Public Institutions, and Diplomatic and Charitable Bodies (Exempt from Commission)
Net Foreign Currency Transfers Out for the Financier
Fourth: Jordanian Dinars Transfers Abroad (Resident)

Bank Stamp and Authorized Signatories' Dates

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Unmentioned Payments:

• Service transfers outside the Kingdom (such as Education, Travel, Medical Treatment, and Hajj)
• Freight charges, etc. (and food aid, wages of foreign workers and employees)

Mentioned Payments:

European Union:

• Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, Netherlands, Portugal, Spain, Sweden, United Kingdom

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Central Bank of Jordan
Foreign Exchange Department
P.O. Box: 37 Amman 11118

Form (8/6)

Detailed Statement of Export Proceeds Abroad

During the month of
For the year 19

Method of Remittance	Entity to Which the Remitted Amounts Belong	Source of Remitted Proceeds	Country of Origin of the Goods	Remitted Amounts	Outside the Kingdom	Outside the Currency
Cash	Other Entities / Reminder	Bank's Actual Assets	Cash Purchases Against Foreign Currencies	Against Dinars	Cash Credits in Currency Accounts	Old Denominated in Jordanian Dinars	Currency Type

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