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A3

Document type
Other
Dated

FORM A3(Transfer of Rupees)

(To be printed on White paper)

FORM A3

(To be completed for transfer of rupeesfrom/to the account of a non-residentbank other than for transactionswith the public in India)
A. D. Code No. ___________________________
Form No._________________________________
(To be filled by authorised dealer)
Serial No._________________________________
(for use of Reserve Bank of India)
We have effected/seek permission to effect the following transfer.________________________________________________________________________________________________From the account of_____________________________________________________________________________                           (Full title of account of non-resident bank debited, stating________________________________ at ___________________________________________________________country of residence)                  (Name of authorised dealer with whom account is kept)for transfer to_________________________________________________________________________________                       (Full title of account of non-resident bank credited, stating____________________ at ________________________________________________________________________country of residence)        (Name of authorised dealer with whom account is kept)Amount Rs._______________ _____________________________________________________________________            (in figures)                           (in words)The purpose of the transfer is_________________________________________________________________________________________________________________________________________________________________   We certify that Exchange Control regulations relating to the above transfer have been compliedwith. Similar transaction was approved by the Reserve Bank vide approval No.................... dated ............
(Signature of Authorised Official)
Name
Stamp Designation
Name and Address of
Date:.................... Authorised dealer



NOTES:	1.	Where accounts of non-resident banks are put in funds against purchase of foreign 		currency, the transferor portion of the form may be completed indicating merely 		"Against Purchase of _____________   ______________"				       (currency)      (amount)	2.	Where debits to accounts of non-resident banks are made towards sale of foreign 		currency to them, the transferee portion of the form may be completed indicating 		merely "Against sale of _____________  ____________"					(currency)    (amount)	3.	While forwarding the application to Reserve Bank for approval, reference to Exchange 		Control Manual paragraph/AD circular in terms of which the reference is being made 		should invariably be cited.

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