A D Code

(To be filled in by Authorised

BR Code

SOL ID
Dealer)

FORM A2
(For payments other than imports of goods and
Deal ID remittances covering intermediary trade)

FX Rate
FCY &
Amount
Application for Remittance Abroad
(To be completed by the applicant)
I/We, _____________________________________________________________ request The
Federal Bank Ltd, ____________________________________ _(Name of AD Branch) to issue
me/us foreign currency notes / outward remittance as per details below. I/We enclose my/our
cheque mentioned below towards equivalent INR amount and / or authorize the bank to debit
my/our same account for amount / applicable bank charges and taxes.

Currency

Currency Amount
Remittance Details
Exchange Rate

INR Equivalent Amount

Applicant Name(s) &

Address

Customer ID
PAN No.

Residential Status (Tick) Resident Individual  Resident Non-

Individual 
Foreign National –
Non-Resident Indian
(NRI)  holding PIO/OCI Card  Foreign National
(other than PIO/OCI) 
Debit Account -Savings Bank/
NRE/ONR/Current/ RFC/ EEFC A/c. No
Debit Charges from Account, if
different from above
Cheque No. Cheque Dt
 Effect the foreign exchange remittance directly to the below mentioned beneficiary
Beneficiary Name

Address

Beneficiary
Account Number/
IBAN*

Beneficiary Bank & Branch

Beneficiary Bank's SWIFT Code

ABA Routing No. / Sort Code/ BSB

/ Branch & Transit Code (*)

Intermediary Bank & Branch

Intermediary Bank's SWIFT Code

Foreign Bank Charges

to be borne by (tick) REMITTER/ FULL VALUE@  BENEFICIARY 
Issue foreign
Curre
(d) currency notes Amount
ncy
(Travel – FOCY)
(* IBAN No. for remittance to Europe, UAE, Bahrain Saudi Arabia, Turkey, Israel, Qatar , Jordan, Pakistan & Georgia.
ABA Routing No. in case USD going to USA; Sort Code in case of GBP remittance to UK; BSB Code in case of AUD
remittance to Australia; Branch & Transit Code in case of CAD remittances to Canada) @Full Value, if the remittance
must be made to the beneficiary without any deductions, on payment of additional upfront charges

(2) If the remittance is made by residents under LRS mention the purpose Code/description

Whether under LRS

Sr. No. Purpose Code Description
(Yes/No)

If family maintenance, relation with the beneficiary

(3) Payment for import of Services:

Payment for import of services (Purpose Group Nos. Name of the country providing ultimate
02, 03, 05, 06, 07, 08, 09 10, 11,15,16 or 17), services
please indicate: # Mandatory

(4) Additional remittance information for the beneficiary to identify the transactions
Invoice / Contract No./ Student ID/
Regn. No/ Application No. / etc
 Declaration
(Under FEMA 1999)
1. I, ………………. …………(Name), hereby declare that the total amount of foreign exchange
purchased from or remitted through, all sources in India during the financial year including this
application is as per the extant FEMA Regulations and certify that the source of funds for
making the said remittance belongs to me and the foreign exchange will not be used for
prohibited purposes / Foreign exchange purchased from you is for the purpose indicated
above.

Details of the remittances made/transactions effected under the Liberalised Remittance

Scheme in the current Financial Year (April-March)………… (applicable for resident
individuals)
Sr. Date Amount Name and address of AD branch/FFMC through
No. which the transaction has been effected.

Signature of the applicant

(Name)
Date:

Certificate by the Authorised Dealer

This is to certify that the remittance is not being made by/ to ineligible entities and that the
remittance is in conformity with the instructions issued by the Reserve Bank from time to time
under the Scheme.

SPECIAL
ATTENTION

Name and designation of the authorised officials:

Signature: Signature:

Date: Stamp and seal Date: Stamp and seal

(Remitter should put a tick (√) against an appropriate purpose code. In case of doubt/ difficulty, the AD bank should be consulted).
 Purpose Purpose Purpose Purpose
Gr. No Description Gr. No Description
Group Name Code Group Name Code
Acquisition of non-produced non-financial assets S0605 Auxiliary services including commission on insurance
(Purchase of intangible assets like patents, Insurance claim Settlement of non-life insurance; and life insurance
S0017 S0607
copyrights, trademarks etc., land acquired by (only term insurance)
government, use of natural resources) -Government S0608 Life Insurance Claim Settlements
Acquisition of non-produced non-financial assets (Purchase of Insurance and
06 S0609 Standardised guarantee services
S0019 intangible assets like patents, copyrights, trademarks etc., use of Pension Services
S0610 Premium for pension funds
Capital natural resources) - Non-Government Periodic pension entitlements e.g. monthly quarterly or yearly
Account Capital transfers ( Guarantees payments, Investment Grand S0611
payments of pension amounts by Indian Pension Fund Companies
S0026 given by the government / international organisation, S0612 Invoking of standardised guarantees
exceptionally large Non-life insurance claims) - Government Financial intermediation, except investment banking - Bank charges,
Capital transfers ( Guarantees payments, Investment Grand S0701
07 Financial collection charges, LC charges etc.
S0027 given by the Non-government, exceptionally large Non-life Services S0702 Investment banking - brokerage, under writing commission etc.
insurance claims) - Non-Government
Auxiliary services - charges on operation & regulatory fees, custodial
S0099 Other capital payments not included elsewhere S0703
services, depository services etc.
00 Indian Direct investment abroad (in branches & wholly owned S0801 Hardware consultancy / implementation
S0003
subsidiaries) in equity Shares 08
Foreign S0802 Software consultancy / implementation
Indian Direct investment abroad (in subsidiaries and associates)
Direct S0004 S0803 Data base, data processing charges
in debt instruments Telecommunica
Investments S0804 Repair and maintenance of computer and software
S0005 Indian investment abroad - in real estate tion, Computer
S0805 News agency services
Repatriation of Foreign Direct Investment made by overseas & Information
S0006 Services S0806 Other information services- Subscription to newspapers, periodicals
Investors in India - in equity shares
Repatriation of Foreign Direct Investment in made by overseas S0807 Off-site software imports
S0007 Telecommunication services including electronic mail services and voice
Investors India - in debt instruments S0808
mail services
Repatriation of Foreign Direct Investment made by overseas
S0008 S0809 Satellite services including space shuttle and rockets etc.
Investors in India - in real estate
S0001 Indian Portfolio investment abroad - in equity shares Charges for the S0901 Franchises services
use of
S0002 Indian Portfolio investment abroad - in debt instruments 09 Payment for use, through licensing arrangements, of produced
Foreign intellectual
Repatriation of Foreign Portfolio Investment made by overseas S0902 originals or prototypes (such as manuscripts and films), patents,
Portfolio S0009 property n.i.e
Investors in India - in equity shares copyrights, trademarks and industrial processes etc.
Investments
Repatriation of Foreign Portfolio Investment made by overseas
S0010 S1002 Trade related services - commission on exports / imports
Investors in India - in debt instruments
Operational leasing services (other than financial leasing) without
External S0011 Loans extended to Non-Residents S1003
operating crew, including charter hire- Airlines companies
Commercial
Repayment of long & medium term loans with original maturity S1004 Legal services
Borrowings S0012
above one year received from Non-Residents S1005 Accounting, auditing, book-keeping services
Short term Repayment of short term loans with original maturity up to one S1006 Business and management consultancy and public relations services
S0013 S1007 Advertising, trade fair service
Loans year received from Non-Residents
S0014 Repatriation of Non-Resident Deposits (FCNR(B) / NR(E)RA etc) S1008 Research & Development services
Banking Repayment of loans & overdrafts taken by ADs on their own S1009 Architectural services
S0015 Agricultural services like protection against insects & disease,
Capital account. S1010
S0016 Sale of a foreign currency against another foreign currency Other Business increasing of harvest yields, forestry services.
Payments made on account of margin payments, premium Services S1011 Payments for maintenance of offices abroad
10
Financial S0020 payment and settlement amount etc. under Financial Other Business S1013 Environmental Services
Derivatives derivative transactions. Services S1014 Engineering Services
and Others Payments made on account of sale of share under Employee S1015 Tax consulting services
S0021 S1016 Market research and public opinion polling service
stock option
S0022 Investment in Indian Depositories Receipts (IDRs) S1017 Publishing and printing services
Remittances made under Liberalised Remittance Scheme (LRS) S1018 Mining services like on-site processing services analysis of ores etc.
S0023
for Individuals S1020 Commission agent services
External Assistance extended by India. e.g. Loans and advances S1021 Wholesale and retailing trade services.
External S0024 extended by India to Foreign governments under various Operational leasing services (other than financial leasing) without
agreements S1022
Assistance operating crew, including charter hire- Shipping companies
Repayments made on account of External Assistance received by S1023 Other Technical Services including scientific / space services.
S0025
India. S1099 Other services not included elsewhere
Advance payment against imports made to countries other Audio-visual and related services like Motion picture and video tape
S0101 S1101
than Nepal and Bhutan production, distribution and projection services.
01 Imports Payment towards imports- settlement of invoice other than 11 Radio and television production, distribution and transmission
S0102 S1103
Nepal and Bhutan services
S0103 Imports by diplomatic missions other than Nepal and Bhutan Personal, S1104 Entertainment services
Intermediary trade / transit trade, i.e., third country export Cultural &
S0104 S1105 Museums, library and archival services
passing through India Recreational
S1106 Recreation and sporting activities services
Goods acquired under merchanting / Payment against import services
S0108 S1107 Education (e.g. fees for correspondence courses abroad)
leg of merchanting trade* Health Service (payment towards services received from hospitals,
S0109 Payments made for Imports from Nepal and Bhutan, if any S1108 doctors, nurses, paramedical and similar services etc. rendered
Payments for surplus freight / passenger fare by foreign remotely or on-site)
S0201
shipping companies operating in India S1109 Other Personal, Cultural & Recreational services
Payment for operating expenses of Indian shipping companies Govt. not
S0202 S12 01 Maintenance of Indian embassies abroad
operating abroad 12 included
S0203 Freight on imports - Shipping companies elsewhere
S0204 Freight on exports - Shipping companies S1202 Remittances by foreign embassies in India
(G.n.i.e.)
Operational leasing / Rental of Vessels (with crew) -Shipping S1301 Remittance for family maintenance and savings
02 Transport S0205
companies S1302 Remittance towards personal gifts and donations
S0206 Booking of passages abroad - Shipping companies 13 Remittance towards donations to religious and charitable institutions
Payments for surplus freight / passenger fare by foreign S1303
S0207 abroad
Airlines companies operating in India Secondary
Remittance towards grants and donations to other governments and
Operating expenses of Indian Airlines companies operating Income S1304
S0208 charitable institutions established by the governments.
abroad Contributions / donations by the Government to international
S0209 Freight on imports - Airlines companies S1305
institutions
S0210 Freight on exports - Airlines companies S1306 Remittance towards payment / refund of taxes
Operational leasing / Rental of Vessels (with crew) - Airline S1307 Outflows on account of migrant transfers including personal effects
S0211
companies S1401 Compensation of employees
S0212 Booking of passages abroad - Airlines companies Remittance towards interest on Non-Resident deposits (FCNR(B) /
Payments on account of stevedoring, demurrage, port handling S1402
S0214 NR(E)RA, etc.)
charges etc.(Shipping companies) Remittance towards interest on loans from Non-Residents (ST / MT / LT
Payments on account of stevedoring, demurrage, port handling S1403
S0215 loans) e.g. External Commercial Borrowings, Trade Credits, etc.
charges, etc.(Airlines companies) Remittance towards interest payment by ADs on their own account
S0216 Payments for Passenger - Shipping companies S1405
(to VOSTRO a/c holders or the OD on NOSTRO a/c.)
S0217 Other payments by Shipping companies Remittance of profit by FDI enterprises in India (by branches of
S1408
S0218 Payments for Passenger - Airlines companies 14 Primary Income foreign companies including bank branches)
S0219 Other Payments by Airlines companies Remittance of dividends by FDI enterprises in India (other than
S1409
Payments on account of freight under other modes of branches) on equity and investment fund shares
S0220 transport (Internal Waterways, Roadways, Railways, Pipeline Payment of interest by FDI enterprises in India to their Parent
S1410
transports and others) company abroad
Payments on account of passenger fare under other modes of Remittance of interest income on account of Portfolio Investment in
S1411
S0221 transport (Internal Waterways, Roadways, Railways, Pipeline India
transports and others) Remittance of dividends on account of Portfolio Investment in India
S1412
S0222 Postal & Courier services by Air on equity and investment fund shares
S0223 Postal & Courier services by Sea S1501 Refunds / rebates / reduction in invoice value on account of exports
S0224 Postal & Courier services by others Reversal of wrong entries, refunds of amount remitted for non-
S1502
15 exports
S0301 Business travel.
S1503 Payments by residents for international bidding
03 S0303 Travel for pilgrimage Others
Travel Notional sales when export bills negotiated / purchased /
S0304 Travel for medical treatment S1504 discounted are dishonored / crystallised / cancelled and reversed
S0305 Travel for education (including fees, hostel expenses etc.) from suspense account
Other travel (including holiday trips and payments for settling Deemed Imports (exports between SEZ, EPZs and Domestic tariff
S0306 S1505
international credit cards transactions) areas)
Construction of projects abroad by Indian companies including Payments on account of maintenance and repair services rendered
Construction S0501 Maintenance S1601
05 import of goods at project site abroad for Vessels, ships, boats, warships, etc.
Services 16 and repair
cost of construction etc. of projects executed by foreign Payments on account of maintenance and repair services rendered
S0502 services n.i.e
companies in India. S1602 for aircrafts, space shuttles, rockets, military aircrafts,helicopters,
S0601 Life Insurance premium except term insurance etc
Insurance and
S0602 Freight insurance - relating to import & export of goods Manufacturing
06 Pension
Other general insurance premium including reinsurance 17 services (goods S1701 Payments
Services S0603
premium; and term life insurance premium for processing)