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FORM A2 Application cum Declaration Form (To be …

form A2 Application cum Declaration form (To be completed by the applicant) Application for drawal of Foreign of the applicant a. Name of Foreign Exchange (specify currency) authorise you to debit my Saving Bank / Current / RFC / EEFC Account Number_____ together with your charges and:(a)* Issue a draft as under: Beneficiary s Name :Address:(b)*Effect the foreign exchange remittance directly, detailed as under: Beneficiary s Name:Name and Address of the Bank :Account Number:(c)* Issue traveller s cheques for :(d)*Issue foreign currency notesfor *(strike out if not applicable). of applicant Date: 1. Declaration (Under FEMA 1999) I/We, _____ declare that: The above foreign exchange transaction being undertaken by me/us doesnot involve and is not designed for the purpose of any contravention orevasion of the provisions of the FEMA Act1999 or of any rule, regulation,notification, direction or order made thereunder.

FORM A2 Application cum Declaration Form (To be completed by the applicant) Application for drawal of Foreign Exchange I. Details of the applicant a. Name : b. Address : c. Account Number : II. Details of Foreign Exchange Required 1. Amount (specify currency) : 2. Purpose : III. I authorise you to debit my Saving Bank / Current / RFC / EEFC ...

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