Transfer of rupees from/to the account of a non-resident Bank other than transactions
with public in India
(To be completed for transfer of rupees from/to the account of a nonresident bank other than for transactions with
the public in India) A.D. Code No.
(To be filled by authorised dealer)
(For use of Reserve Bank of India)
We have effected/sock permission to effect the following transfer.
From the account of ___________________________ (Full title of account of non-resident bank debited stating
country of resident) at _____________________________________________ (Name of authorised dealer with
whom, account is kept) for transfer to ________________________________________ (Full title of account of
non-resident bank credited, stating country of residence) at _____________________________ (Name of
_________________________ (in words).
The purpose of the transfer is ___________________________________________________________
We certify that Exchange Control regulations relating to the above transfer have been complied with. Similar
transaction was approved by the Reserve Bank vide approval at No. _________________ dated
(Signature of Authorised Official)
Where accounts of non-resident banks am put in funds against purchase of foreign currency, the
transferor portion of the form may be completed indicating merely "Against Purchase of
__________ (currency) ________________ (amount)"
Where debits to accounts of non-resident banks are made towards sale of foreign currency to
them, the transferee portion of the form may be completed indicating merely "Against sale of
__________(currency) __________________ (amount)"
While forwarding the application to Reserve Bank for approval, reference to Exchange Control
Manual paragraph/AD circular in terms of which the reference is being made should invariably be
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