FORM A2
Application cum Declaration Form
(To be completed by the applicant)
Transaction Reference No.
6092083062
Application for Outward remittance
I.Details of the applicant -
a. Name: GAURAV ARORA
b. Address: 48, Akash Avenue, Behind Bajwa Hospital, F. G. C, Road, 48, Punjab, India, 143001
c. Contact No: +91 7986131517
d. Email ID: ONEINABILLION.GAURAV@GMAIL.COM
e. Source of Funds: SAVINGS
f. Pan Number: ABZPA8009P
II.Details of the Foreign Exchange required
1. Amount: 1000 INR
2. Rate of Conversion: 0.0166 CAD
3. Purpose of transaction: OVERSEAS EDUCATION
III.Effect the foreign exchange remittance directly –
1. Beneficiary: SABHAY ARORA
2. Beneficiary’s bank account information: The Bank of Nova Scotia, XXX3885
AD Code No : 0410006.
Declartaion
(Under FEMA 1999)
I, GAURAV ARORA declare that –
1. The total amount of foreign exchange purchased from or remitted through all sources including
AMCs ( Authorized Money Changers – AD I , AD II & FFMCs ) which may include Outward
remittances , purchase of Forex Cards , Foreign Currency Cash , International Debit Card Swipe
, rupee gift or loan to NRI close relative during this calendar year including this application is
within USD 2,50,000 (USD Two Hundred & fifty thousand Only), the annual LRS ( Liberalized
Remittance scheme ) limit prescribed by Reserve Bank of India for the said purpose.
2. Foreign exchange purchased from you is for the purpose indicated above.
Name: GAURAV ARORA
Date: December 24, 2024
This is computer generated invoice no signature required
