Application cum Declaration for purchase of foreign exchange under the Liberalised Remittance Scheme

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....ellip;………….. b. Address………………………… c. Account No…………………….. d. PAN No…………………………. II. Details of the foreign exchange required 1. Amount (Specify currency)……&he....

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....; 4*. Name and address of the bank………………………. 5*. Account No…………………………………………….. (* Required only when the remittance is to be directly credited to the bank account of the beneficiary) This is to authorize you to deb....