Form A2

Application cum Declaration

(To be completed by the applicant)
Application for drawal of foreign exchange
I. Details of the applicant
a. !ame " ############################
b. Address " ############################################
c. Account !o. " #####################
II. Details of the foreign exchange re$uired
%. Amount (&pecify currency) " ###################
2. 'urpose " ##################################
III. I authorise you to debit my &a(ing )an*+,urrent+-F,+..F, Account !o.################# together with your
charges and
/ a) Issue a draft " )eneficiary0s !ame ########################
Address ################################
/ b) .ffect the foreign exchange remittance directly
%. )eneficiary0s !ame " #################################
2. !ame and address of the )an* " #######################
1. Account !o. " ####################
/ c) Issue tra(ellers che$ues for #############################
/ d) Issue foreign currency notes for #########################
(&tri*e out whiche(er is not applicable)
&ignature
Declaration
(2nder F.3A %444)
I5 ######################### declare that
/ %) The total amount of foreign exchange purchased from or remitted through5 all sources in India during this
calendar year including this application is within 2&D ############# (2&D ########################
###########################################################only) the annual limit prescribed by -eser(e )an* of
India for the said purpose.
/ 2) Foreign exchange purchased from you is for the purpose indicated abo(e.
(&tri*e out whiche(er is not applicable)
&ignature
!ame #############
Date "

(The purpose codes are on the reverse)
For office use only
AD ,ode !o.
################################
Form !o.
###################################
,urrency ################
Amount ################
.$ui(alent to -s.###############
(To be filled in by Authorised Dealer)
ADs should put a tic* ([) against an appropriate purpose code. (In case of doubt+difficulty5 consult customer+-)I.)

Code Purpose
Capital Account Transactions (00)
&666% Indian in(estment abroad in e$uity capital (shares)
&6662 Indian in(estment abroad in debt securities
&6661 Indian in(estment abroad in branches
&6667 Indian in(estment abroad in subsi diaries and associ ates
&6668 Indian in(estment abroad in real estate
&6669 -epatriation of Foreign Direct In(estment in India in e$uity
shares
&666: -epatriation of Foreign Direct In(estment in India in debt
securities
&666; -epatriation of Foreign Direct In(estment in India in real estate
&6664 -epatriation of Foreign 'ortfolio In(estment in India in e$uity
shares
&66%6 -epatriation of Foreign 'ortfolio In(estment in India in debt
securities
&66%% <oans extended to !on-esidents
&66%2 -epayment of long and mediumterm loans with original maturity abo(e
one year recei(ed from !on-esidents.
&66%1 -epayment of shortterm loans with original maturity up to one year
recei(ed from !on-esidents.
&66%7 -epatriation of !on-esident Deposits (F,!-)+!-.-A etc)
&66%8 -epayment of loans = o(erdrafts ta*en by ADs on their own account.
&66%9 &ale of a foreign currency against another forei$n currency
&66%: 'urchase of intangible assets li*e patents5 copyrights5 trade mar*s etc.
&66%; >ther capital payments not included elsewhere
Transportation (02)
&626% 'ayments for surplus freight+passenger fare by foreign shipping
companies operating in India.
&6262 'ayment for operating expenses of Indian shipping companies
operating abroad.
&6261 Freight on imports &hipping companies
&6267 Freight on exports &hipping companies
&6268 >perational leasing (with crew) &hipping companies
&6269 )oo*ing of passages abroad &hipping companies
&626: 'ayments for surplus freight+passenger fare by foreign Airlines
companies operating in India5
&626; >perating expenses of Indian Airlines companies operating abroad
&6264 Freight on imports Airlines companies
&62%6 Freight on exports Airlines companies
&62%% >perational leasing (with crew) Airlines companies
&62%2 )oo*ing of passages abroad Airlines companies
&62%1 'ayments on account of ste(edoring5 demurrage5 port handling charges
etc.
Travel (03)
&616% -emittance towards )usiness tra(el.
&6162 Tra(el under basic tra(el $uota ()T?)
&6161 Tra(el for pilgrimage
&6167 Tra(el for medical treatment
&6168 Tra(el for education (including fees5 hostel expenses etc.)
&6169 >ther tra(el (international credit cards)
Communication Services (04)
&676% 'ostal ser(ices
&6762 ,ourier ser(ices
&6761 Telecommunication ser(ices
&6767 &atellite ser(ices
Construction Services (0)
&686% 5 ,onst ruct i on of pro@ ect s abroad by Indian companies
including import of goods at pro@ect site
&6862 'ayments for cost of construction etc. of pro@ects executed by
foreign companies in India.
!nsurance Services (0")
&696% 'ayments for <ife insurance premium
&6962 Freight insurance relating to import = export of goods
&6961 >ther general insurance premium
&6967 -einsurance premium
&6968 Auxiliary ser(ices (commission on insurance)
&6969 &ettlement of claims
Financial Services (0#)
&6:6% Fi nanci al i ntermedi ati on except in(estment ban*ing )an*
charges5 collection charges5 <, charges5 cancell ati on of
forward contracts5 commission on financial leasing etc.
&6:62 In(estment ban*ing bro*erage5 underwri ti ng commi ssi on
etc.
&6:61 Auxi l i ary ser(i ces charges on o p e r a t i o n =
r e g u l a t o r y f e e s 5 c us t odi al ser ( i c es 5 deposi t or y
ser(ices etc.
Computer and !nformation Services (0$)
&6;6% Aardware consultancy+implementation
&6;62 &oftware consultancy+implementation
&6;61 Data base5 data processing charges
&6;67 -epair and maintenance of computer and software
&6;68 !ews agency ser(ices
&6;69 >t her i nf ormat i on ser(i ces &ubscri pti on to
newspapers5 periodicals
%oyalties and &icense Fees (0')
&646% Franchi ses ser(i ces pat ent s5 copyri ghts5 trade mar*s5
i ndustri al processes5 franchises etc.
&6462 'ayment for use5 through licensing arrangements5 of
produced originals or prototypes (such as manuscri pts
a n d f i l ms )
(ther )usiness Services (*0)
&%66% 3er chant i ng ser (i ces Bnet payment s ( f r om &al e =
purchase of goods without crossing the border).
&%662 Trade related ser(ices commission on exports + imports
&%661 >perational leasing ser(ices (other than financial leasing)
without operati ng crew5 incl uding charter hire
&%667 <egal ser(ices
&%668 Accounting5 auditing5 boo* *eeping and tax consulting ser(ices
&%669 )usi ness and management consul tancy and publ i c
rel ati ons ser(ices
&%66: Ad(erti si ng5 trade fai r5 mar*et research and public opinion
polling ser(ice
&%66; -esearch = De(elopment ser(ices
&%664 Architectural5 engineering and other technical ser(ices
&%6%6 Agricultural5 mining and onsite processing ser(icesprotection
against insects = disease5 increasing of har(est yields5 forestry
ser(ices5 mining ser(ices li*e analysis of ores etc.
&%6%% 'ayments for maintenance of offices abroad
&%6%2 Distribution ser(ices
&%6%1 .n(ironmental ser(ices
&%6%4 >ther ser(ices not included elsewhere
Personal+ Cultural and %ecreational Services (**)
&%%6% Audio(isual and related ser(ices ser(ices and associated fees
related to production of motion pictures5 rentals5 fees recei(ed
by actors5 directors5 producers and fees for distribution rights.
&%%62 'ersonal5 cultural ser(ices such as those related to museums5
libraries5 archi(es and sporting acti(itiesC fees for correspondence
courses abroad.
,overnment not included else-here (./n/i/e/) (*2)
&%26% 3aintenance of Indian embassies abroad
&I 262 -emittances by foreign embassies in India
Transfers (*3)
&%16% -emittance by nonresidents towards family maintenance and sa(ings
&%162 -emittance towards personal gifts and donations
&%161 -emittance towards donations to religious and charitable
institutions abroad
&%167 -emittance towards grants and donations to other go(ernments
and charitable institutions established by the go(ernments.
&%168 ,ontributions+donations by the Do(ernment t o
i nt ernat i onal institutions
&%169 -emittance towards payment + refund of taxes.
!ncome (*4)
&%76% ,ompensation of employees
&%762 -emittance towards interest on !on-esident deposits
(F,!-)+!-.-A+ !-!-D+!-&- etc.)
&%761 -emittance towards interest on loans from !on-esi dents
(&T+3T+<T loans)
&%767 -emittance of interest on debt secur i t i es debent ur es
+ bonds+ F-!s et c.
&%768 -emittance towards interest payment by ADs on their own account
(to E>&T-> a+c holders or the >D on !>&T-> a+c.)
&%769 -epatriation of profits
&%76: 'ayment+ repatriation of di(idends
(thers (*)
&%86% -efunds + rebates + reduction in in(oice (alue on account of exports
&%862 -e(ersal of wrong entries5 refunds of amount remitted for non exports
&%861 'ayments by residents for international bidding
&%867 !otional sales when export bills negotiated+ purchased+discounted are
dishonoured+crystalliFed+cancelled of bills and re(ersed from suspense
accounts.