A-2
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- Other
- Dated
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- Documents & Forms
FORM A2 (For payments other than Intermediary trade)
FORM A2 | AD Code No__________________________________ |
| (for payments other than imports and remittances covering intermediary trade) | Form No.____________________________________ (To be filled in by the Authorised Dealer) |
| Serial No.____________________________________ (for use of Reserve Bank of India) | |
| Application for Remittance Abroad | Currency _______________ Amount______________ Equivalent to Rs.______________________________ (To be completed by Authorised Dealer) |
I/We wish to purchase/transfer ____________________________________________________________through (Name of currency and amount in words)________________________________________________________________________________ for payment to (Name and address of Authorised Dealer)______________________________________________________ by remitting the amount / by credit to the ac- (Name and address of the beneficiary)count of_________________________________________________________________________________for the(Full title of the account & country of non-resident bank and name of AD with whom account is maintained)purpose indicated below:(Remitter should put a tick (ü ) against an appropriate purpose code. In case of doubt/difficulty,consult your banker.)
| Code | Purpose | Code | Purpose |
|---|---|---|---|
| Capital Account Transactions | Insurance | ||
| S001 | Investment in shares abroad by residents | S501 | Life insurance premium |
| S002 | Investment in Debt Securities abroad by residents | S502 | General insurance premium |
| S003 | Investment is branches/subsidiaries abroad by residents | S503 | Reinsurance premium |
| S004 | Investment in real estate abroad by residents | S504 | Insurance commission |
| S005 | Repatriation of foreign investment in shares | S510* | Other insurance payments |
| S006 | Repatriation of foreign investment in Debt Securities | Other Services | |
| S007 | Repatriation of foreign investment in subsidiaries/ branches | S601 | Postal/Telecom services |
| S008 | Repatriation of foreign investment in real estate | S602 | Projects abroad |
| S009* | Loans to non-residents | S603 | Band charges/commission |
| S010* | Repayment of LT/MT loans | S604 | Soft/Hardware consultancy, services |
| S011* | Repatriation of NR deposits | S605 | Subscription to periodicals, Correspondence courses |
| S012 | Repayment of ST (6 m. to 1 Yr.) Loans | S606 | Computer and IT services |
| S013 | Repayment of loans/ODs by banks | S607 | Royalty, License fees |
| S014 | Notional sale for credit to NRI deposits | S608 | Professional service, Technical fees |
| S015* | Other capital account payments | S609* | Refunds and rebates on trade |
| Other import payments not covered by form A1 | S610* | Other remittances | |
| S103 | Imports by diplomatic mission | Government, Not included elsewhere | |
| S104 | Imports under intermediary trade | S701 | Maintenance of Indian Embassies |
| Travel | S702 | Remittance by Foreign Embassies | |
| S301 | Business travel | Transfers | |
| S302 | Travel for Medical purpose | S801 | Foreigners family maintenance |
| S303 | Travel for education | S802 | Private gift/donation |
| S304 | Basic Travel Quota (BTQ) | S803 | Grants/donations to charity by Govt |
| S305 | Travel for pilgrimage | S804 | Contribution by Govt. to international institutions |
| S310* | Other travel payments(Including credit card) | S810* | Other transfers |
| Transportation | Income | ||
| S 401 | Shipping transport - Remittance by fgn. cos. | S901 | Interest on NRI deposits |
| S402 | Air transport - Remittance by fgn. cos | S902 | Interest on loans |
| S403 | . Shipping transport - Remittance by Indian cos | S903 | Dividends, profits |
| S404 | Air transport - Remittance by Indian cos | S904 | Interest on debentures/bonds |
| S405 | Freight on imports | S905 | Interest on ODs in Nostro A/c |
| S406 | Freight on exports | S906 | Salary of Non-residents |
| S407 | Charter hire charges (Airline cos.) | S910* | Other income |
| S408 | Charter hire charges (Shipping cos.) | ||
| S409 | Booking of passage in foreign countries | ||
| S410* | Other transportation (e.g. demurrage, etc.) | ||
* Please give full details _________________________________________________________
I / We hereby declare that the statements made by me / us on this form are true and that I / we have not applied for an authorisation through any other bank.
I / We declare and understand that the foreign exchange to be acquired / payment to be ade by me /us pursuant to this application shall be used / made by me / us only for the purpose for which it is acquired / to be made and that the conditions subject to which the exchange/permission is granted will be complied with.
I/We desire to travel to __________via___________for the purpose of___________________ Passage has beenbooked through_________________________________________________ (Name of airline/shipping co.or passage agent)____________________The date of departure is ______________The exchange is required in the form of
| Currency | Amount | |
|---|---|---|
| Notes & Coins | _____________ | _____________ |
| TCs | _____________ | _____________ |
| Draft | _____________ | _____________ |
| Letter of Credit | _____________ | _____________ |
| Total | _____________ | _____________ |
Name of Applicant (s) ____________________________ Nationality of Applicant (s) _________________Address of Applicant (s) _______________________________________________________________________________________________________________________________________________________________________Date _________________ Signature of Applicant(s)/Authorised Official
(Space for comments of the Authorised Dealers)While forwarding the application to Reserve Bank ofIndia for approval, reference to ECM paragraph / ADcircular in terms of which the reference is made should invariably be cited.)Approval for similar remittances was obtained from the Reserve Bank of India vide permit No._________________ dated _________________.
| ______________________________________ |
| (Stamp and Signature of Authorised Official) |
| Name & Designation_____________________ |
| Name & Address of Authorised Dealer ______ |
Date ______________
- We hereby certify that
- the remittance has been made
In terms of authority delegated to authorised dealers vide paragraph__________ of the Exchange Control Manual and / or AD Circular No. ______________________ dated __________________________OR
In terms of Reserve Bank Permit No. ________________ dated ___________________ - all the Exchange Control regulations applicable to the remittance have been complied with.
- documentary evidence in support of the payment has been verified.
- payment to the beneficiary has been/will be made through _______________________________________________________________________________________________________________________
| ______________________________________ |
| (Stamp and Signature of Authorised Official) |
| Name & Designation_____________________ |
| Name & Address of Authorised Dealer ______ |
Date: ___________________