Request for Outward Remittance from NRE / FCNR (B) Account
I / We ____________________________________________________ <name of account holder
(s)> request you to debit my / our ___________________________________________ <please
specify NRE savings bank / NRE time deposit / FCNR (B) account> bearing account number
_______________________ with ______________________ <amount & currency> and transfer
it to my / our overseas beneficiary through SWIFT mechanism, as per the details given below:
Beneficiary’s Name*
Beneficiary’s Address*
Beneficiary’s Account Number*
Beneficiary’s Bank Name*
Beneficiary’s Bank Branch Name*
Beneficiary’s Bank Branch SWIFT code*
Beneficiary Bank’s Correspondent Bank’s Name
Beneficiary Bank’s Correspondent Bank’s SWIFT code
Purpose of Remittance*
#
Foreign Bank charges to be borne by*
(*Mandatory fields
#
Not required for remittance from FCNR (B) account)
Please fill and enclose form A2 (as per page no 2 & 3), if amount of remittance from NRE account
exceeds USD 5000 or equivalent. It is not required if remittance is sent from FCNR (B) account.
Declarations cum Undertakings:
1. I / We declare that this transaction(s) does not involve and is not designed for the purpose of any contravention or
evasion of the provisions of the FEMA, 1999 or of any rule regulation, notification, direction or order made
thereunder. I/We also hereby agree and undertake to give such information / documents before the Bank undertakes
the transaction(s) and as may be required from time to time as will reasonable satisfy you about the transaction(s) in
terms of the declaration. I / We also understand that if I / We refuse to comply with any such requirement or make
unsatisfactory compliance therewith, the Bank shall refuse in writing to undertake the transaction and shall if it has
reason to believe that any contravention / evasion is contemplated by me / us may report the matter to the Reserve
Bank of India.
2. I have read, understood and agree to abide by the terms & conditions relating to service requested by me/us, as may
be in force from time to time. Please debit my/our account for the service related charges.
Date: ___________________
Place: ___________________
Signature of 1
st
Applicant
Signature of 2
nd
Applicant
FOR BRANCH USE: Branch Code: ____________
Receipt Date: ___/___/_____ Action Taken on: ___/___/_____ Signature
Customer Acknowledgement Copy (To be returned to the customer, if submitting it in person)
A/c No: _____________________ A/c Holder Name: ________________________________
Type of request: Request for Outward Remittance from NRE / FCNR (B) Account
Date of receipt: ___/___/_____
Signature of authorised official
NRI-12.1
FORM A2
Application cum Declaration Form
(To be completed by the applicant)
AD Code No.__________________________
(For payments other
Form No._____________________________
than imports and
(To be filled in by the Authorised Dealer)
remittances covering
intermediary trade)
Currency_____ Amount ___Equivalent to Rs. ____
Application for
(To be completed by the Authorised Dealer)
Remittance Abroad
I/We _____________________________________________________________
(Name of applicant remitter)
PAN No. __________________________________________________________
(For remittances exceeding USD 25,000 and for all capital account transactions)
Address___________________________________________________________
authorize
__________________________________________________________________
(Name of AD branch)
To debit my Savings Bank/ Current/ RFC/ EEFC A/c. No. ____________________
together with their charges and
* a) Issue a draft : Beneficiary's Name
_________________________________
Address _________________________________
*
b) Effect the foreign exchange remittance directly –
1)
Beneficiary's Name
__________________________________
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.
Whether under LRS
Purpose Code
Description
No.
(Yes/No)
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 purposes.
Details of the remittances made/transactions effected under the Liberalised Remittance
Scheme in the current financial year (April- March) ..……..
Sl.
Date
Amount
Name and address of AD branch/FFMC through which
No
the transaction has been effected
2. # The total amount of foreign exchange purchased from or remitted through, all sources in India
during this calendar year including this application is within USD _______________________ (USD
____________) the annual limit prescribed by Reserve Bank of India for the said purpose.
3. # Foreign exchange purchased from you is for the purpose indicated above.
# (Strike out whichever is not applicable)
Signature of the applicant
(Name)
Date:
Certificate by the Authorised Dealer
This is to certify that the remittance is not being made by/ to ineligible entities and that the
remittance is in conformity with the instructions issued by the Reserve Bank from time to time
under the Scheme.
Name and designation of the authorised official:
Stamp and seal
Signature:
Date:
Place:
Annex (Purpose Codes for Reporting under FETERS)
A. Payment Purposes (for use in BOP file)
Gr. No.
Purpose Group
Purpose
Description
Name
Code
00
Capital Account
S0017
Acquisition of non-produced non-financial assets (Purchase of intangible
assets like patents, copyrights, trademarks etc., land acquired by
government, use of natural resources) – Government
S0019
Acquisition of non-produced non-financial assets (Purchase of intangible
assets like patents, copyrights, trademarks etc., use of natural
resources) – Non-Government
S0026
Capital transfers ( Guarantees payments, Investment Grand given by
the government/international organisation, exceptionally large Non-life
insurance claims) – Government
S0027
Capital transfers ( Guarantees payments, Investment Grand given by
the Non-government, exceptionally large Non-life insurance claims) –
Non-Government
S0099
Other capital payments not included elsewhere
Financial Account
Foreign Direct
S0003
Indian Direct investment abroad (in branches & wholly owned
Investments
subsidiaries) in equity Shares
S0004
Indian Direct investment abroad (in subsidiaries and associates) in debt
instruments
S0005
Indian investment abroad – in real estate
S0006
Repatriation of Foreign Direct Investment made by overseas Investors in
India – in equity shares
S0007
Repatriation of Foreign 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
S0001
Indian Portfolio investment abroad – in equity shares
Investments
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
S0011
Loans extended to Non-Residents
Commercial
S0012
Repayment of long & medium term loans with original maturity above
Borrowings
one year received from Non-Residents
Short term
S0013
Repayment of short term loans with original maturity up to one year
Loans
received from Non-Residents
Banking Capital
S0014
Repatriation of Non-Resident Deposits (FCNR(B)/NR(E)RA etc)
S0015
Repayment of loans & overdrafts taken by ADs on their own account.
S0016
Sale of a foreign currency against another foreign currency
Financial
S0020
Payments made on account of margin payments, premium payment and
Derivatives and
settlement amount etc. under Financial derivative transactions.
Others
S0021
Payments made on account of sale of share under Employee stock
Option
S0022
Investment in Indian Depositories Receipts (IDRs)
Gr. No.
Purpose Group
Purpose
Description
Name
Code
S0023
Opening of foreign currency account abroad with a bank
External
S0024
External Assistance extended by India. e.g. Loans and advances
Assistance
extended by India to Foreign governments under various agreements
S0025
Repayments made on account of External Assistance received by India.
01
Imports
S0101
Advance payment against imports made to countries other than Nepal
and Bhutan
S0102
Payment towards imports- settlement of invoice other than Nepal and
Bhutan
S0103
Imports by diplomatic missions other than Nepal and Bhutan
S0104
Intermediary trade/transit trade, i.e., third country export passing through
India
S0108
Goods acquired under merchanting / Payment against import leg of
merchanting trade*
S0109
Payments made for Imports from Nepal and Bhutan, if any
02
Transport
S0201
Payments for surplus freight/passenger fare by foreign shipping
companies operating in India
S0202
Payment for operating expenses of Indian shipping companies operating
abroad
S0203
Freight on imports – Shipping companies
S0204
Freight on exports – Shipping companies
S0205
Operational leasing/Rental of Vessels (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 / Rental of Vessels (with crew) – Airline companies
S0212
Booking of passages abroad – Airlines companies
S0214
Payments on account of stevedoring, demurrage, port handling charges
etc.(Shipping companies)
S0215
Payments on account of stevedoring, demurrage, port handling charges,
etc.(Airlines companies)
S0216
Payments for Passenger - Shipping companies
S0217
Other payments by Shipping companies
S0218
Payments for Passenger - Airlines companies
S0219
Other Payments by Airlines companies
S0220
Payments on account of freight under other modes of transport (Internal
Waterways, Roadways, 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
Gr. No.
Purpose Group
Purpose
Description
Name
Code
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
S0501
Construction of projects abroad by Indian companies including import of
Services
goods at project site abroad
S0502
Cost of construction etc. of projects executed by foreign companies in
India.
06
Insurance and
S0601
Life Insurance premium except term insurance
Pension Services
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 insurance; and life insurance
(only term insurance)
S0608
Life Insurance Claim Settlements
S0609
Standardised guarantee services
S0610
Premium for pension funds
S0611
Periodic pension entitlements e.g. monthly quarterly or yearly payments
of pension amounts by Indian Pension Fund Companies.
S0612
Invoking of standardised guarantees
07
Financial Services
S0701
Financial intermediation, except investment banking - Bank charges,
collection charges, LC charges etc.
S0702
Investment banking – brokerage, under writing commission etc.
S0703
Auxiliary services – charges on operation & regulatory fees, custodial
services, depository services etc.
08
Telecommunicatio
S0801
Hardware consultancy/implementation
n, Computer &
S0802
Software consultancy / implementation
Information
S0803
Data base, data processing charges
Services
S0804
Repair and maintenance of computer and software
S0805
News agency services
S0806
Other information services- Subscription to newspapers, periodicals
S0807
Off-site software imports
S0808
Telecommunication services including electronic mail services and voice
mail services
S0809
Satellite services including space shuttle and rockets etc.
09
Charges for the
S0901
Franchises services
use
of
S0902
Payment for use, through licensing arrangements, of produced originals
intellectual
or prototypes (such as manuscripts and films), patents, copyrights,
property (not
trademarks and industrial processes etc.
included elsewhere)
10
Other Business
S1002
Trade related services – commission on exports / imports
Services
Gr. No.
Purpose Group
Purpose
Description
Name
Code
S1003
Operational leasing services (other than financial leasing) without
operating crew, including charter hire- Airlines companies
S1004
Legal services
S1005
Accounting, auditing, book-keeping services
S1006
Business and management consultancy and public relations services
S1007
Advertising, trade fair service
S1008
Research & Development services
S1009
Architectural services
S1010
Agricultural services like protection against insects & disease, increasing
of harvest yields, forestry services.
S1011
Payments for maintenance of offices abroad
S1013
Environmental Services
S1014
Engineering Services
S1015
Tax consulting services
S1016
Market research and public opinion polling service
S1017
Publishing and printing services
S1018
Mining services like on–site processing services analysis of ores etc.
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 companies
S1023
Other Technical Services including scientific/space services.
S1099
Other services not included elsewhere
11
Personal, Cultural
S1101
Audio-visual and related services like Motion picture and video tape
&
production, distribution and projection services.
Recreational
S1103
Radio and television production, distribution and transmission services
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
S1201
Maintenance of Indian embassies abroad
included
S1202
Remittances by foreign embassies in India
elsewhere
13
Secondary
S1301
Remittance for family maintenance and savings
Income
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.
S1307
Outflows on account of migrant transfers including personal effects
8
Gr. No.
Purpose Group
Purpose
Description
Name
Code
14
Primary Income
S1401
Compensation of employees
S1402
Remittance towards interest on Non-Resident deposits
(FCNR(B)/NR(E)RA, etc.)
S1403
Remittance towards interest on loans from Non-Residents (ST/MT/LT
loans) e.g. External Commercial Borrowings, Trade Credits, etc.
S1405
Remittance towards interest payment by ADs on their own account (to
VOSTRO a/c holders or the OD on NOSTRO a/c.)
S1408
Remittance of profit by FDI enterprises in India (by branches of foreign
companies including bank branches)
S1409
Remittance of dividends by FDI enterprises in India (other than
branches) on equity and investment fund shares
S1410
Payment of interest by FDI enterprises in India to their Parent company
abroad.
S1411
Remittance of interest income on account of Portfolio Investment in India
S1412
Remittance of dividends on account of Portfolio Investment in India on
equity and investment fund shares
15
Others
S1501
Refunds / rebates / reduction in invoice value on account of exports
S1502
Reversal of wrong entries, refunds of amount remitted for non-exports
S1503
Payments by residents for international bidding
S1504
Notional sales when export bills negotiated/ purchased/ discounted are
dishonored/ crystallised/ cancelled and reversed from suspense account
S1505
Deemed Imports (exports between SEZ, EPZs and Domestic tariff
areas)
16
Maintenance and
S1601
Payments on account of maintenance and repair services rendered for
repair services
Vessels, ships, boats, warships, etc.
(not included
S1602
Payments on account of maintenance and repair services rendered for
elsewhere)
aircrafts, space shuttles, rockets, military aircrafts, helicopters, etc.
17
Manufacturing
S1701
Payments for processing of goods
services (goods
for processing)