Annexure 2a

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Annexure-2a

FORM A2
(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)
1
PAN No. __________________________________________________________

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. __________________________________
4) SWIFT Code. _______________________________
5) IBAN. ________________________
Intermediary Bank details
1) SWIFT: __________________________
2) IBAN __________________________

* c) Issue travellers 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

You might also like