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APPLICATION FOR DRAWAL OF FOREIGN EXCHANGE

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..... _____________________ 2) Name and address of the bank __________________________________ 3) Account No. __________________________________ * c) Issue travelers cheques for __________________________________ * d) Issue foreign currency notes for __________________________________ Amount (specify currency) __________________________________ * (Strike out whichever is not applicable) for the purpose/s indicated below Sr. No. Whether under LRS (Yes/No) Purpose Code Description As per the Annex (Remitter should put a tick (√) against an appropriate purpose code. In case of doubt/ difficulty, the AD bank should be consulted). Declaration (Under FEMA 1999) 1. # I, ………………. …………(Name), hereby declare that the total amount of foreign exchange purchased from or remitted through, all sources in India during the financial year including this application is within the overall limit of the Liberalised Remittance Scheme prescribed by the Reserve Bank of India and certify that the source of funds for making the said remittance belongs to me and the foreign exchange will not be used for prohibited purpos .....

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..... n Direct Investment in made by overseas Investors India - in debt instruments S0008 Repatriation of Foreign Direct Investment made by overseas Investors in India - in real estate Foreign Portfolio Investments S0001 Indian Portfolio investment abroad - in equity shares S0002 Indian Portfolio investment abroad - in debt instruments S0009 Repatriation of Foreign Portfolio Investment made by overseas Investors in India - in equity shares S0010 Repatriation of Foreign Portfolio Investment made by overseas Investors in India - in debt instruments External Commercial Borrowings S0011 Loans extended to Non-Residents S0012 Repayment of long & medium term loans with original maturity above one year received from Non-Residents Short term Loans S0013 Repayment of short term loans with original maturity up to one year received from Non-Residents Banking Capital S0014 Repatriation of Non-Resident Deposits (FCNR(B)/NR(E)RA S0015 Repayment of loans & overdrafts taken by ADs on their own S0016 Sale of a foreign currency against another foreign currency Gr. No. Purpose Group Name Purpose Code Description Financial Derivatives and Others S0020 Payments made on account .....

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..... s, Railways, Pipeline transports and others) S0221 Payments on account of passenger fare under other modes of transport (Internal Waterways, Roadways, Railways, Pipeline transports and others) S0222 Postal & Courier services by Air S0223 Postal & Courier services by Sea S0224 Postal & Courier services by others 03 Travel S0301 Business travel. S0303 Travel for pilgrimage S0304 Travel for medical treatment S0305 Travel for education (including fees, hostel expenses etc.) S0306 Other travel (including holiday trips and payments for settling international credit cards transactions) 05 Construction Services S0501 Construction of projects abroad by Indian companies including import of goods at project site abroad S0502 cost of construction etc. of projects executed by foreign companies in India. 06 Insurance and Pension Services S0601 Life Insurance premium except term insurance S0602 Freight insurance - relating to import & export of goods S0603 Other general insurance premium including reinsurance premium; and term life insurance premium S0605 Auxiliary services including commission on insurance S0607 Insurance claim Settlement of non-life insuran .....

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..... ices analysis of S1020 Commission agent services S1021 Wholesale and retailing trade services. S1022 Operational leasing services (other than financial leasing) without operating crew, including charter hire- Shipping S1023 Other Technical Services including scientific/space services. S1099 Other services not included elsewhere Gr. No. Purpose Group Name Purpose Code Description 11 Personal, Cultural & Recreational services S1101 Audio-visual and related services like Motion picture and video tape production, distribution and projection services. S1103 Radio and television production, distribution and transmission services S1104 Entertainment services S1105 Museums, library and archival services S1106 Recreation and sporting activities services S1107 Education (e.g. fees for correspondence courses abroad) S1108 Health Service (payment towards services received from hospitals, doctors, nurses, paramedical and similar services etc. rendered remotely or on-site) S1109 Other Personal, Cultural & Recreational services 12 Govt. not included elsewhere (G.n.i.e.) S1201 Maintenance of Indian embassies abroad S1202 Remittances by foreign embassies in Ind .....

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..... ar No. 50 dated 11-02-2016 before it was read as, "Form A2 Application cum Declaration (To be completed by the applicant) Application for drawal of foreign exchange * Details of the applicant - * Name : ____________________________ * Address : ____________________________________________ * Account No. : _____________________ Details of the foreign exchange required * Amount (Specify currency) : ___________________ * Purpose : __________________________________ I authorise you to debit my Saving Bank/Current/RFC/EEFC Account No._________________ together with your charges and * a) Issue a draft : Beneficiary's Name ________________________ Address ________________________________ * b) Effect the foreign exchange remittance directly - * Beneficiary's Name : _________________________________ * Name and address of the Bank : _______________________ * Account No. : ____________________ * c) Issue travellers cheques for _____________________________ * d) Issue foreign currency notes for _________________________ * (Strike out whichever is not applicable) Signature Declaration (Under FEMA 1999) I, ____________________ .....

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..... operating expenses of Indian shipping companies operating abroad. S0203 Freight on imports - Shipping companies S0204 Freight on exports - Shipping companies S0205 Operational leasing (with crew) -Shipping companies S0206 Booking of passages abroad -Shipping companies S0207 Payments for surplus freight/passenger fare by foreign Airlines companies operating in India, S0208 Operating expenses of Indian Airlines companies operating abroad S0209 Freight on imports - Airlines companies S0210 Freight on exports - Airlines companies S0211 Operational leasing (with crew) -Airlines companies S0212 Booking of passages abroad - Airlines companies S0213 Payments on account of stevedoring, demurrage, port handling charges etc. Travel (03) S0301 Remittance towards Business travel. S0302 Travel under basic travel quota (BTQ) S0303 Travel for pilgrimage S0304 Travel for medical treatment S0305 Travel for education (including fees, hostel expenses etc.) S0306 Other travel (international credit cards) Communication Services (04) S0401 Postal services S0402 Courier services S0403 Telecommunication services S0404 Satellite services Construction Services .....

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..... s abroad S1012 Distribution services S1013 Environmental services S1019 Other services not included elsewhere Personal, Cultural and Recreational Services (11) S1101 Audio-visual and related services -services and associated fees related to production of motion pictures, rentals, fees received by actors, directors, producers and fees for distribution rights. S1102 Personal, cultural services such as those related to museums, libraries, archives and sporting activities; fees for correspondence courses abroad. Government not included elsewhere (g.n.i.e.) (12) S1201 Maintenance of Indian embassies abroad SI 202 Remittances by foreign embassies in India Transfers (13) S1301 Remittance by non-residents towards family maintenance and savings S1302 Remittance towards personal gifts and donations S1303 Remittance towards donations to religious and charitable institutions abroad S1304 Remittance towards grants and donations to other governments and charitable institutions established by the governments. S1305 Contributions/donations by the Government to international institutions S1306 Remittance towards payment / refund of taxes. Income (14) S1401 Co .....

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