FOR BRANCH USE: Branch Code: ____________

Receipt Date:___/___/_____ Action Taken on: ___/___/_____ Signature

NRI-11.2
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
Nature / Purpose of remittance
tick one (All mandatory)
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
Form A2, if amount of remittance exceeds USD
corresponding option in Table A).
25000 or equivalent
Purpose Code: ______________ <Please
specify>

a. Part D of form 15CA

If purpose of remittance is not included in the
b. Form A2 (on page no 4), if amount of remittance
list of 33 purposes mentioned in Table A
exceeds USD 25000 or equivalent.

If the remittance amount is Chargeable to Tax (with no correlation to purposes in table A)

Amount of transfer request or aggregate of a. Part A of form 15CA
such transfers during the current financial year b. Form A2 (on page no 4), if amount of remittance
does not exceed ` 5,00,000/- exceeds USD 25000 or equivalent.
 Amount of transfer request or aggregate of
such transfers during the current financial a. Part B of form 15CA
year exceeds ` 5,00,000/-
b. Form A2 (on page no 4), if amount of remittance
&
exceeds USD 25000 or equivalent.
 An order/certificate u/s 195(2)/195(3)/197
of IT act has been obtained from Assessing

1
 Officer (whether NIL rate or lower rate
certificate)
a. Part C of form 15CA
Amount of transfer request or aggregate of
b. Form 15CB from Chartered Accountant
such transfers during the current financial year
c. Form A2 (on page no 4), if amount of remittance
exceeds ` 5,00,000/-
exceeds USD 25000 or equivalent.

TABLE A (Please select corresponding purpose of your remittance)

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

Indian investment abroad -in equity capital

S0001 Travel for medical treatment S0304
(shares)

Travel for education (including fees, hostel

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

Indian investment abroad -in branches and

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

Loans extended to Non-Residents S0011 Payments for maintenance of offices abroad S1011

Advance payment against imports S0101 Maintenance of Indian embassies abroad S1201

Payment towards imports-settlement of

S0102 Remittances by foreign embassies in India S1202
invoice

Remittance by non-residents towards family

Imports by diplomatic missions S0103 S1301
maintenance and savings

Remittance towards personal gifts and

Intermediary trade S0104 S1302
donations

Imports below ` 5,00,000 – (For use by ECD Remittance towards donations to religious and
S0190 S1303
offices) charitable institutions abroad
Remittance towards grants and donations to
Payment for operating expenses of Indian
S0202 other governments and charitable institutions S1304
shipping companies operating abroad
established by the governments.
Operating expenses of Indian Airlines Contributions or donations by the Government
S0208 S1305
companies operating abroad to international institutions

Booking of passages abroad - Airlines Remittance towards payment or refund of

S0212 S1306
companies taxes

Refunds or rebates or reduction in invoice

Remittance towards business travel S0301 S1501
value on account of exports

Travel under basic travel quota (BTQ) S0302 Payments by residents for international
S1503
bidding
Travel for pilgrimage S0303

2
 Declarations cum Undertakings:

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

Chargeable to Tax Not Chargeable to Tax
2. 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.
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, 1961and
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.

Date: ___________________
Place: ___________________ Signature of 1st Applicant Signature of 2nd Applicant

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

A/c No: _____________________ A/c Holder Name: ________________________________ Branch Seal & Stamp
Type of request: Request for Outward Remittance from NRO account
Date of receipt: ___/___/_____

Signature of authorised official

FORM A2

3
 FORM A2

Application cum Declaration Form

(To be completed by the applicant (remitter))
FOR OFFICE USE
AD Code No. Form No. Serial No. Amount & Currency Rupees Equivalent

I/ We _______________________________________ (name of remitter(s)) authorize ________________

______________________________ (Name of AD branch) to debit my / our Saving Bank / Current /
RFC / EEFC A/c. No. ________________________ together with your charges and:
a. *Issue a draft:-
1. Beneficiary’s Name:
2. Address:_____________ _____________________
_________________________________________________________________________
b. *Effect the foreign exchange remittance directly:-
1. Beneficiary’s Name:
2. Name and address of the Bank:

3. Account No.:
c. *Issue travelers cheques for: - ______
d. *Issue foreign currency notes for:-
(* Strike out whichever is not applicable)
For the purpose indicated below
(Remitter should put a tick (√) against an appropriate purpose code. In case of doubt / difficulty, the AD
bank should be consulted).

Date Signature of 1st applicant Signature of 2nd applicant

Name: Name:

4
 (To be completed by the applicant (remitter))
Sr. No. Purpose Group Name Purpose Code Description

As per Annex -I

DECLARATION
(Under FEMA 1999)

I / We, ___________________________________________ declare that –

1. *The total amount of foreign exchange purchased from or remitted through, all sources in India
during this calendar year including this application is within USD ______________________
(USD ______________________________________________________________________only)
the annual limit prescribed by the Reserve Bank of India for the said purpose.
2. *Foreign exchange purchased from you is for the purpose indicated above.
(* Strike out whichever is not applicable)

Date Signature of 1st applicant Signature of 2nd applicant

Name: Name:

5
 Annex - I (Purpose Codes for Reporting under FETERS)
A. Payment Purposes (for use in BOP file)
Purpose Purpose
Gr. Purpose Gr. Purpose
Group Description Group Description
No. Code No. Code
Name Name
Acquisition of non-produced non-financial assets (Purchase of
S0017 intangible assets like patents, copyrights, trademarks etc., land S0801 Hardware consultancy/implementation
acquired by government, use of natural resources) – Government
Acquisition of non-produced non-financial assets (Purchase of
S0019 intangible assets like patents, copyrights, trademarks etc., use of S0802 Software consultancy / implementation
natural resources) – Non-Government
Capital Capital transfers ( Guarantees payments, Investment Grand given
Account S0026 by the government/international organisation, exceptionally large S0803 Data base, data processing charges
Non-life insurance claims) – Government Telecommu
Capital transfers ( Guarantees payments, Investment Grand given nica tion,
S0027 by the Non-government, exceptionally large Non-life insurance Computer S0804 Repair and maintenance of computer and software
6
claims) – Non- Government &
Informatio
S0099 Other capital payments not included elsewhere S0805 News agency services
n Services
Other information services- Subscription to
Financial Account S0806
newspapers, periodicals
Indian Direct investment abroad (in branches & wholly owned
S0003 S0807 Off-site software imports
subsidiaries) in equity Shares
Indian Direct investment abroad (in subsidiaries and associates) Telecommunication services including electronic mail
S0004 S0808
in debt instruments services and voice mail services
Satellite services including space shuttle and rockets
S0005 Indian investment abroad – in real estate S0809
etc.
Foreign
Repatriation of Foreign Direct Investment made by overseas
Direct S0006 S0901 Franchises services
Investors in India – in equity shares Charges for
Investmen
the use of Payment for use, through licensing arrangements, of
ts
7 intellectual produced originals or prototypes (such as manuscripts
Repatriation of Foreign Direct Investment in made by overseas S0902 and films), patents, copyrights, trademarks and
S0007 property
Investors India – in debt instruments industrial processes etc.
n.i.e

Repatriation of Foreign Direct Investment made by overseas Trade related services – commission on exports /
S0008 S1002
Investors in India – in real estate imports
Operational leasing services (other than financial
S0001 Indian Portfolio investment abroad – in equity shares S1003 leasing) without operating crew, including charter
0 Foreign hire- Airlines companies
Portfolio S0002 Indian Portfolio investment abroad – in debt instruments S1004 Legal services
Investmen Repatriation of Foreign Portfolio Investment made by overseas
ts S0009 S1005 Accounting, auditing, book-keeping services
Investors in India – in equity shares
Repatriation of Foreign Portfolio Investment made by overseas Business and management consultancy and public
S0010 S1006
Investors in India – in debt instruments relations services
External S0011 Loans extended to Non-Residents S1007 Advertising, trade fair service
Commerci
al Repayment of long & medium term loans with original maturity
Borrowin S0012 above one year received from Non- Residents
S1008 Research & Development services
gs
Short
Repayment of short term loans with original maturity up to one
term S0013 S1009 Architectural services
year received from Non-Residents
Loans
Agricultural services like protection against insects &
S0014 Repatriation of Non-Resident Deposits (FCNR(B)/NR(E)RA etc) S1010
disease, increasing of harvest yields, forestry services.
Banking Repayment of loans & overdrafts taken by ADs on their own
Capital S0015 S1011 Payments for maintenance of offices abroad
account. Other
S0016 Sale of a foreign currency against another foreign currency 8 Business S1013 Environmental Services
Services
Payments made on account of margin payments, premium
S0020 payment and settlement amount etc. under Financial derivative S1014 Engineering Services
Financial transactions.
Derivative S0021 Payments made on account of sale of share under Employee stock
S1015 Tax consulting services
s and option
Others S0022 Investment in Indian Depositories Receipts (IDRs) S1016 Market research and public opinion polling service
Remittances made under Liberalised Remittance Scheme (LRS)
S0023 S1017 Publishing and printing services
for Individuals
External Assistance extended by India. e.g. Loans and advances
Mining services like on–site processing services
S0024 extended by India to Foreign governments under various S1018
External analysis of ores etc.
agreements
Assistance
Repayments made on account of External Assistance received by
S0025 S1020 Commission agent services
India.
Payments for surplus freight/passenger fare by foreign shipping
S0201 S1021 Wholesale and retailing trade services.
companies operating in India
Operational leasing services (other than financial
Payment for operating expenses of Indian shipping companies
S0202 S1022 leasing) without operating crew, including charter
operating abroad
hire- Shipping companies
1 Transport Other Technical Services including scientific/space
S0203 Freight on imports – Shipping companies S1023
services.
S0204 Freight on exports – Shipping companies S1099 Other services not included elsewhere
Personal, Audio-visual and related services like Motion picture
Operational leasing/Rental of Vessels (with crew) – Shipping
S0205 9 Cultural & S1101 and video tape production, distribution and projection
companies
Recreationa services.

6
 l services Radio and television production, distribution and
S0206 Booking of passages abroad – Shipping companies S1103
transmission services
Payments for surplus freight/passenger fare by foreign Airlines
S0207 S1104 Entertainment services
companies operating in India
Operating expenses of Indian Airlines companies operating
S0208 S1105 Museums, library and archival services
abroad
S0209 Freight on imports – Airlines companies S1106 Recreation and sporting activities services
Education (e.g. fees for correspondence courses
S0210 Freight on exports – Airlines companies S1107
abroad )
Health Service (payment towards services received
Operational leasing / Rental of Vessels (with crew) – Airline
S0211 S1108 from hospitals, doctors, nurses, paramedical and
companies
similar services etc. rendered remotely or on-site)
S0212 Booking of passages abroad – Airlines companies S1109 Other Personal, Cultural & Recreational services
Payments on account of stevedoring, demurrage, port handling Govt. not
S0214 S1201 Maintenance of Indian embassies abroad
charges etc.(Shipping companies) included
10
Payments on account of stevedoring, demurrage, port handling elsewhere
S0215 S1202 Remittances by foreign embassies in India
charges, etc.(Airlines companies) (G.n.i.e.)
S0216 Payments for Passenger - Shipping companies S1301 Remittance for family maintenance and savings
S0217 Other payments by Shipping companies S1302 Remittance towards personal gifts and donations
Remittance towards donations to religious and
S0218 Payments for Passenger - Airlines companies S1303
charitable institutions abroad
Remittance towards grants and donations to other
S0219 Other Payments by Airlines companies S1304 governments and charitable institutions established by
Secondary the governments.
11
Payments on account of freight under other modes of transport Income
Contributions/donations by the Government to
S0220 (Internal Waterways, Roadways, Railways, Pipeline transports S1305
international institutions
and others)
Payments on account of passenger fare under other modes of
S0221 transport (Internal Waterways, Roadways, Railways, Pipeline S1306 Remittance towards payment / refund of taxes.
transports and others)
Outflows on account of migrant transfers including
S0222 Postal & Courier services by Air S1307
personal effects
S0223 Postal & Courier services by Sea S1401 Compensation of employees
Remittance towards interest on Non-Resident deposits
S0224 Postal & Courier services by others S1402
(FCNR(B)/NR(E)RA, etc.)
Remittance towards interest on loans from Non-
S0301 Business travel S1403 Residents (ST/MT/LT loans) e.g. External
Commercial Borrowings, Trade Credits, etc.
Remittance towards interest payment by ADs on their
S0303 Travel for pilgrimage S1405 own account (to VOSTRO a/c holders or the OD on
NOSTRO a/c.)
Remittance of profit by FDI enterprises in India (by
2 Travel Primary
S0304 Travel for medical treatment 12 S1408 branches of foreign companies including bank
Income branches)
Remittance of dividends by FDI enterprises in India
S0305 Travel for education (including fees, hostel expenses etc.) S1409 (other than branches) on equity and investment fund
shares
Other travel (including holiday trips and payments for settling Payment of interest by FDI enterprises in India to their
S0306 S1410
international credit cards transactions) Parent company abroad.
Construction of projects abroad by Indian companies including Remittance of interest income on account of Portfolio
S0501 S1411
Constructi import of goods at project site abroad Investment in India
3 on Remittance of dividends on account of Portfolio
Cost of construction etc. of projects executed by foreign
Services S0502 S1412 Investment in India on equity and investment fund
companies in India.
shares
Refunds / rebates / reduction in invoice value on
S0601 Life Insurance premium except term insurance S1501
account of exports
Reversal of wrong entries, refunds of amount remitted
S0602 Freight insurance – relating to import & export of goods S1502
for non-exports
Other general insurance premium including reinsurance premium;
S0603 S1503 Payments by residents for international bidding
and term life insurance premium 13 Others
Notional sales when export bills negotiated/
S0605 Auxiliary services including commission on insurance S1504 purchased/ discounted are dishonored/ crystallised/
Insurance cancelled and reversed from suspense account
and Insurance claim Settlement of non-life insurance; and life Deemed Imports (exports between SEZ, EPZs and
4 S0607 S1505
Pension insurance (only term insurance) Domestic tariff areas)
Services S0608 Life Insurance Claim Settlements
Payments on account of maintenance and repair
S0609 Standardised guarantee services Maintenanc S1601 services rendered for Vessels, ships, boats, warships,
e and etc.
S0610 Premium for pension funds
14 repair
Periodic pension entitlements e.g. monthly quarterly or yearly
services Payments on account of maintenance and repair
S0611 payments of pension amounts by Indian Pension Fund
n.i.e S1602 services rendered for aircrafts, space shuttles, rockets,
Companies.
military aircrafts, helicopters, etc.
S0612 Invoking of standardised guarantees
Financial intermediation, except investment banking - Bank
S0701 Manufactur
charges, collection charges, LC charges etc.
ing services
5 Services S0702 Investment banking – brokerage, under writing commission etc. 15 S1701 Payments for processing of goods
(goods for
Auxiliary services – charges on operation & regulatory fees, processing)
S0703
custodial services, depository services etc.