Application
cum Declaration
(To
be completed by the applicant)
Application
for drawal of foreign exchange
I.
Details
of the applicant -
a.
Name
: ____________________________
b.
Address
: ____________________________________________
c.
Account
No. :
_____________________
II.
Details
of the foreign exchange required
1.
Amount
(Specify currency) : ___________________
2.
Purpose
: __________________________________
III.
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 -
1.
Beneficiary's
Name
: _________________________________
2.
Name
and address of the Bank
: _______________________
3.
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, _________________________ declare that -
*
1)
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 ________________________
___________________________________________________________only)
the annual limit prescribed by Reserve Bank of
*
2)
Foreign exchange purchased from you is for the purpose indicated above.
·
(Strike
out whichever is not applicable)
Signature
Name
_____________
Date
:
|
AD
Code No. ________________________________ Form
No. ___________________________________ |
Currency
________________ Amount
________________ |
Equivalent
to Rs._______________ (To
be filled in by Authorised Dealer)
|
ADs
should put a tick ([)
against an appropriate purpose code. (In
case of doubt/difficulty, consult customer/RBI.)
|
Code |
|
Purpose
|
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Capital
Account Transactions (00) |
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S0001 |
|
Indian
investment abroad in equity capital
(shares) |
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S0002 |
|
Indian
investment abroad in debt securities |
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S0003 |
|
Indian
investment abroad in branches |
|
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|
S0004 |
|
Indian
investment abroad in subsidiaries
and associates |
|
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S0005 |
|
Indian
investment abroad in real estate |
|
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|
S0006 |
|
Repatriation
of Foreign Direct Investment
in |
|
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|
S0007 |
|
Repatriation
of Foreign Direct Investment
in |
|
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|
S0008 |
|
Repatriation
of Foreign Direct Investment in |
|
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|
S0009 |
|
Repatriation
of Foreign Portfolio Investment
in |
|
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|
S0010 |
|
Repatriation
of Foreign Portfolio Investment
in |
|
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|
S0011 |
|
Loans
extended to Non-Residents |
|
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|
S0012 |
|
Repayment
of long and medium-term loans with original maturity above one year
received from Non-Residents. |
|
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|
S0013 |
|
Repayment
of short-term loans with original maturity up to one year received from
Non-Residents. |
|
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|
S0014 |
|
Repatriation
of Non-Resident Deposits (FCNRB/NRERA
etc) |
|
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|
S0015 |
|
Repayment
of loans & overdrafts taken
by ADs on their own account. |
|
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|
S0016 |
|
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|
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|
S0017 |
|
Purchase
of intangible assets like patents,
copyrights, trade marks etc. |
|
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|
S0018 |
|
Other
capital payments not included elsewhere |
|
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|
Transportation
(02) |
|
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|
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|
S0201 |
|
Payments
for surplus freight/passenger fare
by foreign shipping companies operating
in |
|
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|
S0202 |
|
Payment
for operating expenses of Indian
shipping companies operating abroad. |
|
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|
S0203 |
|
Freight
on imports - Shipping companies |
|
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|
S0204 |
|
Freight
on exports - Shipping companies |
|
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|
S0205 |
|
Operational
leasing (with crew) -Shipping
companies |
|
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|
S0206 |
|
Booking
of passages abroad
-Shipping
companies |
|
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|
S0207 |
|
Payments
for surplus freight/passenger fare
by foreign Airlines companies operating
in |
|
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|
S0208 |
|
Operating
expenses of Indian Airlines companies
operating abroad |
|
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|
S0209 |
|
Freight
on imports
- Airlines companies |
|
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|
S0210 |
|
Freight
on exports
- Airlines companies |
|
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|
S0211 |
|
Operational
leasing (with
crew) -Airlines
companies |
|
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|
S0212 |
|
Booking
of passages abroad - Airlines companies |
|
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|
S0213 |
|
Payments
on account of stevedoring, demurrage,
port handling charges etc. |
|
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|
Travel
(03) |
|
|
|
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|
S0301 |
|
Remittance
towards Business travel. |
|
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|
S0302 |
|
Travel
under basic travel quota (BTQ) |
|
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|
S0303 |
|
Travel
for pilgrimage |
|
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|
S0304 |
|
Travel
for medical treatment |
|
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|
S0305
|
|
Travel
for education (including fees, hostel
expenses etc.) |
|
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|
S0306 |
|
Other
travel (international
credit cards) |
|
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|
Communication
Services (04) |
|
|
|
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|
S0401 |
|
Postal
services |
|
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|
S0402 |
|
Courier
services |
|
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|
S0403 |
|
Telecommunication
services |
|
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|
S0404 |
|
Satellite
services |
|
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Construction
Services (05)
|
|
|
|
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|
S0501
, |
|
Construction
of projects abroad by Indian
companies including import of goods at project site |
|
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|
S0502 |
|
Payments
for cost of construction etc. of projects
executed by
foreign companies
in |
|
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|
Insurance
Services (06) |
|
|
|
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|
S0601 |
|
Payments
for Life insurance premium |
|
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|
S0602 |
|
Freight
insurance - relating to import &
export of goods |
|
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|
S0603 |
|
Other
general insurance premium |
|
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|
S0604 |
|
Reinsurance
premium |
|
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|
S0605 |
|
Auxiliary
services (commission on insurance) |
|
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|
S0606 |
|
Settlement
of claims |
|
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|
Financial
Services (07) |
|
|
|
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|
S0701 |
|
Financial
intermediation except investment
banking - Bank charges, collection
charges, LC charges, cancellation
of forward contracts, commission
on financial leasing etc. |
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|
S0702 |
|
Investment
banking - brokerage, underwriting
commission etc. |
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|
S0703 |
|
Auxiliary
services - charges on operation
& regulatory fees, custodial
services, depository services
etc. |
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|
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|
Computer
and Information Services (08) |
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|
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|
S0801 |
|
Hardware
consultancy/implementation |
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|
S0802 |
|
Software
consultancy/implementation |
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S0803 |
|
Data
base, data processing charges |
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|
S0804 |
|
Repair
and maintenance of computer and
software |
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S0805 |
|
News
agency services |
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|
S0806 |
|
Other
information services - Subscription
to newspapers, periodicals |
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|
Royalties
and License Fees (09) |
|
|
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|
S0901 |
|
Franchises
services - patents, copyrights,
trade marks, industrial processes,
franchises etc. |
|||||
|
S0902 |
|
Payment
for use, through licensing arrangements,
of produced originals or
prototypes (such as manuscripts and
films) |
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|
Other
Business Services (10) |
|
|
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|
S1001 |
|
Merchanting
services –net payments (from |
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|
S1002 |
|
Trade
related services - commission on
exports / imports |
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|
S1003 |
|
Operational
leasing services (other than financial
leasing) without operating crew, including charter hire |
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|
S1004 |
|
Legal
services |
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|
S1005 |
|
Accounting,
auditing, book keeping and
tax consulting services |
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|
S1006 |
|
Business
and management consultancy
and public relations services |
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|
S1007 |
|
Advertising,
trade fair, market research
and public opinion polling service |
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|
S1008 |
|
Research
& Development services |
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|
S1009 |
|
Architectural,
engineering and other technical
services |
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|
S1010 |
|
Agricultural,
mining and on-site processing
services-protection against
insects & disease, increasing of
harvest yields, forestry services, mining
services like analysis of ores etc. |
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|
S1011 |
|
Payments
for maintenance of offices abroad |
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|
S1012 |
|
Distribution
services |
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|
S1013 |
|
Environmental
services |
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|
S1019 |
|
Other
services not included elsewhere |
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|
Personal,
Cultural and Recreational Services (11) |
|
|
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|
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. |
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|
S1102 |
|
Personal,
cultural services such as those
related to museums, libraries, archives
and sporting activities; fees for
correspondence courses abroad. |
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|
Government
not included elsewhere (g.n.i.e.) (12) |
|
|
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|
S1201 |
|
Maintenance
of Indian embassies abroad |
|||||
|
SI
202 |
|
Remittances
by foreign embassies in |
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|
Transfers
(13) |
|
|
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|
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. |
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|
S1305 |
|
Contributions/donations
by the Government
to
international institutions |
|||||
|
S1306 |
|
Remittance
towards payment / refund of
taxes. |
|||||
|
Income
(14) |
|
|
|||||
|
S1401 |
|
Compensation
of employees |
|||||
|
S1402 |
|
Remittance
towards interest on Non-Resident
deposits (FCNRB/NRERA/ NRNRD/NRSR
etc.) |
|||||
|
S1403 |
|
Remittance
towards interest on loans from
Non-Residents (ST/MT/LT loans) |
|||||
|
S1404 |
|
Remittance
of interest on debt securities
-debentures /bonds/FRNs etc. |
|||||
|
S1405 |
|
Remittance
towards interest payment by
ADs on their own account (to VOSTRO
a/c holders or the OD on NOSTRO
a/c.) |
|||||
|
S1406 |
|
Repatriation
of profits |
|||||
|
S1407 |
|
Payment/
repatriation of dividends |
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|
Others
(15) |
|
|
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|
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 dishonoured/crystallized/cancelled
of bills and reversed from suspense accounts. |
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