FOR BRANCH USE: Branch Code: ________________

Reciept date: ___/______ Action Taken on: _______/___/____ ___________________

Signature

Request for Outward Remittance from NRO account

I / We <name of account holder
(s)> request you to debit my / our NRO savings bank / NRO time deposit bearing account number
with <amount & currency> and transfer
it to my / our overseas beneficiary through SWIFT mechanism, as per the details given below:
Beneficiary’s Name*
Beneficiary’s Address*

Beneficiary’s Account Number*

Beneficiary’s Bank Name*
Beneficiary’s Bank Branch Name*
Beneficiary’s Bank Branch SWIFT code*
Beneficiary Bank’s Correspondent Bank’s Name
Beneficiary Bank’s Correspondent Bank’s SWIFT
code
Purpose of Remittance*
Foreign Bank Charges to be borne by*
(*Mandatory fields)
I / We hereby confirm that the remittance falls under one of the five categories mentioned below,
read in conjunction with Table A as per CBDT notification no. 93/2015 dated 16th December 2015.
The relevant documents are being enclosed herewith.
Please
Documents to be submitted
tick Nature / Purpose of remittance
(All mandatory)
one
If the remittance amount is Not Chargeable to Tax
If purpose of remittance is as per the
list of 33 purposes mentioned in Table
A (Please also tick corresponding Form A2, if amount of remittance
option in Table A). exceeds USD 25,000 or equivalent
Purpose Code:
<Please specify>
a. Part D of form 15CA
If purpose of remittance is not
b. Form A2 if amount of remittance
included in the list of 33 purposes
exceeds USD 25,000
mentioned in Table A
or equivalent.
If the remittance amount is Chargeable to Tax (with no correlation to purposes in table A)
Amount of transfer request or a. Part A of form 15CA
aggregate of such transfers during the b. Form A2, if amount of remittance
current financial year does not exceed exceeds USD 25000 or equivalent.
Rs. 5,00,000/-
 Amount of transfer request or a. Part B of form 15CA
aggregate of such transfers during b. Form A2, if amount of remittance
the current financial year exceeds
exceeds USD 25000 or equivalent.
Rs. 5,00,000/-
&
  An order/certificate u/s
195(2)/195(3)/197 of IT act has
been obtained from Assessing
Officer (whether NIL rate or lower
rate certificate)
a. Part C of form 15CA
Amount of transfer request or b. Form 15CB from Chartered
aggregate of such transfers during the Accountant
current financial year exceeds Rs. c. Form A2, if amount
5,00,000/- of remittance exceeds USD 25000
or equivalent.
For remitting sale proceeds of Undertaking “Remittance of Sale
Immovable Property (other than
proceeds of the Immovable Property”
agricultural land / farm house /
enclosed Annexure to be submitted.
plantation property in India)

TABLE A (Please select corresponding purpose of your remittance)

Purpose Purpose
Tick Nature of payment Tick Nature of payment
code code

Indian investment abroad -in equity capital

S0001 Travel for medical treatment S0304
(shares)

Travel for education (including fees,

Indian investment abroad -in debt securities S0002 S0305
hostel expenses etc.)

Indian investment abroad -in branches and

S0003 Postal services S0401
wholly owned subsidiaries
Construction of projects abroad by
Indian investment abroad -in subsidiaries
S0004 Indian companies including import of S0501
and associates
goods at project site
Freight insurance - relating to import
Indian investment abroad -in real estate S0005 S0602
and export of goods

Payments for maintenance of offices

Loans extended to Non-Residents S0011 S1011
abroad

Maintenance of Indian embassies

Advance payment against imports S0101 S1201
abroad

Payment towards imports-settlement of Remittances by foreign embassies in

S0102 S1202
invoice India

Remittance by non-residents towards

Imports by diplomatic missions S0103 S1301
family maintenance and savings

Remittance towards personal gifts

Intermediary trade S0104 S1302
and donations
Remittance towards donations to
Imports below Rs. 5,00,000 – (For use by
S0190 religious and charitable institutions S1303
ECD offices)
abroad
Remittance towards grants and
Payment for operating expenses of Indian donations to other governments and
S0202 S1304
shipping companies operating abroad charitable institutions established by
the governments.
Contributions or donations by the
Operating expenses of Indian Airlines
S0208 Government to international S1305
companies operating abroad
institutions
 Booking of passages abroad - Airlines Remittance towards payment or
S0212 S1306
companies refund of taxes

Refunds or rebates or reduction in

Remittance towards business travel S0301 S1501
invoice value on account of exports

Travel under basic travel quota (BTQ) S0302

Payments by residents for
S1503
international bidding
Travel for pilgrimage S0303

Declarations cum Undertakings:

I / We declare that amount of remittance being sent is:

Chargeable to Tax Not Chargeable to Tax
1. I / We declare that during the current financial year, the total funds (including this transfer
request) repatriated by me / us is within the stipulated ceiling of USD one million, the
annual limit prescribed by Reserve Bank of India under FEMA for the said purpose.
2. The said remittance is sought to be made out of the balances held in the account arising
from my/our legitimate receivables in India and not by borrowing from any other person
or a transfer from any other NRO account and if such is found to be the case, I/we will
render myself/ourselves liable for penal action under FEMA.
3. I / We declare that this transaction(s) does not involve and is not designed for the purpose
of any contravention or evasion of the provisions of the FEMA, 1999 or of any rule
regulation, notification, direction or order made thereunder. I/We also hereby agree and
undertake to give such information / documents before the Bank undertakes the
transaction(s) and as may be required from time to time as will reasonable satisfy you
about the transaction(s) in terms of the declaration. I / We also understand that if I / We
refuse to comply with any such requirement or make unsatisfactory compliance therewith,
the Bank shall refuse in writing to undertake the transaction and shall if it has reason to
believe that any contravention / evasion is contemplated by me / us may report the matter
to the Reserve Bank of India.
4. I / We declare that this transaction(s) does not violate any provisions of Indian Income-
Tax Act, 1961 and also no information has been concealed by me / us. Necessary tax has
been paid off/provided for in respect of the funds being remitted. Further, I / We shall
undertake to indemnify State Bank of India for any tax/interest or penalty levied by the
Income-tax/Income tax Appellate Authorities/Courts in India for non-deduction of tax or
non-compliance with the relevant provisions of Income tax law in regards to this
transaction(s).
5. I have read, understood and agree to abide by the terms & conditions relating to service
requested by me/us, as may be in force from time to time. Please debit my/our account
for the service related charges.

Signature of 1st Applicant Signature of 2nd Applicant

Date: Place:

Customer Acknowledgement Copy (To be returned to the customer, if submitting it in person)

A/c No: A/c Holder Name:
Type of request: Request for Outward Remittance from NRO account
Date of receipt: / /
FORM A2 Branch Seal &
Stamp
Signature of Authorized
Official
 Annexure

Undertaking to be obtained from NRI/OCI customers at the time of Remittance of Sale

Proceeds of Immovable Property

The Branch Manager Dated;

State Bank of India

REMITTANCE OF SALE PROCEEDS OF THE IMMOVABLE PROPERTY

Dear Sir,

Account No:

Please refer to my / our request dated for transfer of Rs.

representing the sale proceeds of Immovable property held in India.

I hereby undertake that: (select appropriate option)

1. The property was purchased by me out of resident local funds, not involving any foreign
exchange considerations, while my status was *Resident Indian or received as Inheritance /
gift.
or
a) The immovable property was acquired by me in accordance with the provisions of the
foreign law in force at the time of acquisition;
b) The amount for acquisition of the immovable property was paid in foreign exchange
received through banking channels or out of funds held in my FCNR (B) / NRE account;
(In case an immovable property in India has been purchased by a PIO
resident outside India [who held property in India in terms of the erstwhile
FEM (Acquisition and transfer of Immovable Property in India) Regulations,
2000] or an NRI or a OCI out of housing loans availed in terms of Foreign
Exchange Management (Borrowing and lending in rupees) Regulations,
2000, as amended from time to time, and the repayments for such loans are
made out of remittances received from abroad through banking channels or
by debit to the NRE / FCNR (B) account of such person, such repayments
may be treated as equivalent to foreign exchange received).

2. In case of residential property, the repatriation of sale proceeds does not exceed the
proceeds of not more than two such properties.

3. Applicable Taxes has been paid on the amount or Remittance (CA certificate enclosed)

Yours faithfully

(Name of the Customer/s)

Signature
Place: * strike whichever is not
applicable