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    kabir
    The document is an application form completed by Gurbakas Singh to authorize an authorized dealer bank to debit his account and effect a foreign exchange remittance of CAD $3,416 to Cohort Solutions Canada ULC located in Toronto, Canada. The purpose of the remittance is for travel related to education under the Liberalized Remittance Scheme with an annual limit of USD 250,000. The authorized dealer certifies that the remittance complies with Reserve Bank of India instructions and is not being made to ineligible entities.

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    A2 Latest PDF

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    kabir
    89 views2 pages
    The document is an application form completed by Gurbakas Singh to authorize an authorized dealer bank to debit his account and effect a foreign exchange remittance of CAD $3,416 to Cohort Solutions Canada ULC located in Toronto, Canada. The purpose of the remittance is for travel related to education under the Liberalized Remittance Scheme with an annual limit of USD 250,000. The authorized dealer certifies that the remittance complies with Reserve Bank of India instructions and is not being made to ineligible entities.

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    The document is an application form completed by Gurbakas Singh to authorize an authorized dealer bank to debit his account and effect a foreign exchange remittance of CAD $3,416 to Cohort Solutions Canada ULC located in Toronto, Canada. The purpose of the remittance is for travel related to education under the Liberalized Remittance Scheme with an annual limit of USD 250,000. The authorized dealer certifies that the remittance complies with Reserve Bank of India instructions and is not being made to ineligible entities.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    89 views2 pages

    A2 Latest PDF

    Uploaded by

    kabir
    The document is an application form completed by Gurbakas Singh to authorize an authorized dealer bank to debit his account and effect a foreign exchange remittance of CAD $3,416 to Cohort Solutions Canada ULC located in Toronto, Canada. The purpose of the remittance is for travel related to education under the Liberalized Remittance Scheme with an annual limit of USD 250,000. The authorized dealer certifies that the remittance complies with Reserve Bank of India instructions and is not being made to ineligible entities.

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    of 2

    1

    Annex
    FORM A2
    (To be completed by the applicant)

    AD Code No.__________________________
    (For payments other Form No._____________________________
    than imports and (To be filled in by the Authorised Dealer)
    remittances covering
    intermediary trade) Currency CAD Amount $3,416.00 Equivalent to Rs.
    222657.578

    Application for (To be completed by the Authorised Dealer)


    Remittance Abroad
    I/We: Gurbakas Singh (Name of applicant remitter)

    PAN No.:2 APOPS3416D

    Address: H-18/8 Malviya Nagar Delhi 110017 Delhi India

    authorize
    __________________________________________________________________
    (Name of AD branch)
    To debit my Savings Bank/ Current/ RFC/ EEFC A/c. No. ____________________

    together with their charges and

    * a) Issue a draft : Beneficiary's Name _________________________________


    Address _________________________________

    * b) Effect the foreign exchange remittance directly –


    1) Beneficiary's Name Cohort Solutions Canada ULC

    The Bank of Montreal, Brookfield Place, 181 Bay Street,


    2) Name and address of the bank Suite 1800, Toronto ON, M5J 2T9, Canada
    3) Account No. __________________________________

    * c) Issue travelers cheques for __________________________________

    * d) Issue foreign currency notes for __________________________________


    Amount (specify currency) __________________________________
    * (Strike out whichever is not applicable) for the purpose/s indicated below

    Sr. Whether under LRS Purpose Code Description


    No. (Yes/No)
    Yes S0305 Travel for Education
    As per the Annex

    (Remitter should put a tick (√ ) against an appropriate purpose code. In case of doubt/ difficulty, the AD
    bank should be consulted).

    1Inserted vide AP (Dir) series Circular 50 dated February 11, 2016. Prior to insertion it read as Annex 1, which has since been
    replaced with effect from the same date.
    2 Modified vide AP (DIR) Series Circular No. 32 dated June 19, 2018. Prior to modification, it read “PAN No. (For remittances
    exceeding USD 25,000 and for all capital account transactions)”

    1
    Declaration
    (Under FEMA 1999)
    1. # I, Gurbakas Singh , 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 within the
    overall limit of the Liberalised Remittance Scheme prescribed by the Reserve Bank of India 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.

    Details of the remittances made/transactions effected under the Liberalised


    Remittance Scheme in the current financial year (April- March) ..……..
    Sl. Name and address of AD branch/FFMC through
    Date Amount
    No which the transaction has been effected

    2. # 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
    250,000/- (USD Two Hundred and Fifty Thousand only) the annual limit prescribed by Reserve Bank
    of India for the said purpose.

    3. # Foreign exchange purchased from you is for the purpose indicated above.
    # (Strike out whichever is not applicable )

    Signature of the applicant

    (Gurbakas Singh )

    Date: February 07, 2023

    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.

    Name and designation of the authorised official:

    Stamp and seal


    Signature:

    Date:
    Place:

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