OUTWARD TELEGRAPHIC TRANSFER/DEMAND DRAFT

APPLICATION CUM FORM A2

Date:

Please fill in using BLOCK LETTERS* Please () wherever applicable

Applicant’s information (Sender/Remitter)

Name of Sender/Remitter:____________________________________________________________________________________________
*Contact tel. no.:_____________________________________________________________________________________________________
*Status: Resident NRI Foreign National
*Constitution: Proprietorship Partnership Limited Co. Others_________________________(Please specify)
Account type: Premier Others

Transfer instructions *Details of foreign exchange required

I/We authorise you to debit my/our savings/current/EEFC/RFC  Remittance of Currency
Account no. Amount (in figures)
for (currency) ________________ (amount) _____________________ Amount (in words) ____________________________________________
and debit my/our savings/current/EEFC/RFC _____________________________________________________________
*Account nos. (E.g. USD 1,000.00)
 Remittance of Currency Equivalent of Currency
Amount (in figures)

for the balance amount and Amount (in words) ____________________________________________

_____________________________________________________________
*(please provide multiple account numbers in order of priority for debit in case of
(E.g. USD equivalent of `45,000.00)
insufficient EEFC balances.)
*charges from a/c, and
 * 1. Issue a Demand Draft:
 * 2. Effect a Telegraphic Transfer

56A Intermediary *Name:___________________________________________________________________________________________________

bank *Address: __________________________________________________________________________________________________
Optional - for __________________________________________________________________________________________________________
routing payment *Country: ________________________________________________________________________________________________
to beneficiary
Swift Code/Chips ID/Australia BSB Code/USA Fed Wire/USA ABA/UK Sort Code/UID no.:______________________________
Bank
__________________________________________________________________________________________________

57 Beneficiary *Beneficiary bank’s Name: _________________________________________________________________________________

bank
*Address: ________________________________________________________________________________________________
_________________________________________________________________________________________________________
*Country: ________________________________________________________________________________________________
*Please fill up any of the following (as applicable):
 For USD payment:  For Euro payment:
in USA Fedwire No.: _________________ in UK Sort Code: _________________
outside USA Swift Code: _________________ outside UK Swift Code: _________________
 For GBP payment:  For AUD:
in UK Sort Code: _________________ in Australia BSB Code: _________________

outside USA Swift Code: _________________ Swift Code: _________________

 For any other currencies: outside Australia Swift Code: _________________

in any country Swift Code: _________________
 59 Beneficiary *Name of beneficiary_______________________________________________________________________________________________
bank Student name and ID (in case of payment to university):__________________________________________________________________
*Address: _________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
*Account number: __________________________________________________________________________________________________
*Country: __________________________________________________________________________________________________________
*IBAN: ____________________________________________________________________________________________________________
(mandatory for payment in UK, Europe, Jordan, Qatar and UAE)
70 *Purpose of *Purpose Code Description (please provide full details)
remittance (Refer Annexure)

71 *All local and overseas charges to All local and overseas charges to Local charges to be borne by remitter
be borne by beneficiary (BEN) OR be borne by remitter (OUR) OR and overseas charges by beneficiary (SHA)

72 Bank to bank information (if any):

FEX contract details ( As applicable) Points to note

FEX contract numbers booked: _____________________________________________________ 1. The form must be complete in all respects
FEX rates ________________________________________________________________________ 2. In case funds have to be routed through multiple financial
Contract to be picked up: institutions/banks, additional sheets may be used to give the
route of funds in details
Dealer’s name:___________________________________________________________________

Customer’s signature
I/We authorise the Bank to debit the sum of amount for the lawful purpose detailed above and agree to abide by the terms and conditions printed below.

*Signature verified by _________________________________________________

Customer’s signature (Name of the staff with ID) _____________________________________________

Terms and Conditions

In requesting the Bank to make the Telegraphic Transfer/Demand Draft, I/we hereby agree that it is to be despatched in accordance with the
following conditions:
• FEMA declaration needs to be signed compulsorily

• In the absence of specific instructions to the contrary, the Telegraphic Transfer/Demand Draft will be effected in the currency of the country in which
payment is to be made

• All charges/commission incurred outside India are for the beneficiary’s account unless specified

• The Bank reserves the right to draw this Telegraphic Transfer/Demand Draft on a different place from that specified by the remitter if operational circumstances
so require

• Telegraphic Transfer is to be dispatched entirely at the remitter’s own risk and for a Demand Draft, the Bank will not be responsible for mail service failure if it is
dispatched on behalf of the customer

• Where the Bank is unable to provide a firm exchange rate quotation, the Bank shall effect the remittance on the basis of a provisional exchange rate which
shall be subject to adjustment when the actual exchange rate is ascertained. Any difference between the provisional rate and the actual rate shall be debited/
credited (as the case may be) to the applicant’s account

• The Bank is at liberty to send the Telegraphic Transfer either literally or in cipher and the Bank accepts no responsibility for any loss, delay, error, omission or
mutilation which may occur in the transmission of any message or for its misinterpretation when received

• Applications received will be processed on the availability of market rates and applications for same day value are subject to cut-off times related to the
geographical location of the destination

• Encashment of the remittance is subject to any exchange control or restrictions which may be imposed by the rules and regulations of the country where
encashment is to be made. Neither the Bank nor its correspondents shall be liable for any loss or delay caused by any such rules and regulations

• The Bank reserves the right to revise all Telegraphic Transfer charges from time to time without prior notice
• Please note that the Bank does not extend any kind of credit facilities to resident individuals to facilitate remittances under the liberalized remittance scheme ( LRS ).
Therefore utilizing the proceeds of loan amount towards facilitating remittances under the LRS is prohibited. (Applicable for remittance under Liberalized Remittance Scheme)

• Effective 7 March 2015, for all Funds Transfer requests of Value greater than INR 200,000.00, a cancelled cheque of the account from which the transaction
is being carried out will be required to be submitted additionally, along with the requisite documentation
 *Declaration (Under FEMA 1999)
I, _____________________________________________________________________________________________________________________________ declare that -

1. The total amount of foreign exchange purchased from or remitted through, all sources in India during this calendar/financial year (as applicable) including
this application is within USD (USD ___________________________________________________________________________
_________________ only) the annual limit prescribed by 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)

Signature

*Date Name ____________________________________________________

For delivery of Demand Drafts

Please deliver the Demand Draft to bearer Mr./Mrs. ________________________________________________________________________________________________

whose signature is appended below.

(Signature of the bearer) (Signature of the remitter)

I hereby acknowledge receipt of the Demand Draft specified overleaf

(Signature of the bearer)

For office use only

AD Code no. ____________________________________ Currency ___________________________________ Equivalent to ` ______________________________

Form no. ______________________ Amount ______________________ (To be filled in by authorised dealer)

 Please put a tick against an appropriate purpose code
Code Purpose Code Purpose

Capital Account Transactions (00) S0212 Booking of passages abroad – Airlines companies

S0017 Acquisition of non-produced non-financial assets (Purchase of intangible assets

like patents, copyrights, trademarks, etc., land acquired by Government, use of S0214 Payments on account of stevedoring, demurrage, port handling
natural resources) – Government charges etc. (Shipping companies)

S0019 Acquisition of non-produced non-financial assets (Purchase of S0215 Payments on account of stevedoring, demurrage, port handling
intangible assets like patents, copyrights, trademarks etc., use of charges, etc. (Airlines companies)
natural resources) – Non-Government
S0216 Payments for passenger – Shipping companies
S0026 Capital transfers (Guarantees payments, Investment Grand given by the
Government/international organisation, exceptionally large non-life insurance
claims) – Government S0217 Other payments by shipping companies

S0027 Capital transfers (Guarantees payments, Investment Grand given S0218 Payments for passenger – Airlines companies
by the Non-Government, exceptionally large non-life insurance
claims) – Non-Government S0219 Other payments by Airlines companies
S0099 Other capital payments not included elsewhere S0220 Payments on account of freight under other modes of transport
(Internal Waterways, Roadways, Railways, Pipeline transports and others)
Finacial Account
S0221 Payments on account of passenger fare under other modes of transport
Foreign Direct Investments (Internal Waterways, Roadways, Railways, Pipeline transports and others)
S0003 Indian direct investment abroad (in branches and wholly owned subsidiaries) S0222 Postal and Courier services by Air
in equity shares
S0223 Postal and Courier services by Sea
S0004 Indian direct investment abroad (in subsidiaries and associates) in debt
instruments
S0224 Postal and Courier services by others
S0005 Indian investment abroad – in real estate
Travel (02)
S0006 Repatriation of foreign direct investment made by overseas investors in India –
in equity shares S0301 Business travel

S0007 Repatriation of foreign direct investment in made by overseas investors S0303 Travel for pilgrimage
India – in debt instruments
S0304 Travel for medical treatment
S0008 Repatriation of foreign direct investment made by overseas investors in India
– in real estate S0305 Travel for education (including fees, hostel expenses, etc.)

Foreign Portfolio Investments S0306 Other travel (including holiday trips and payments for settling international
credit cards transactions)
S0001 Indian portfolio investment abroad – in equity shares
Construction Services (03)
S0002 Indian portfolio investment abroad – in debt instruments
S0501 Construction of projects abroad by Indian companies including import of
S0009 Repatriation of foreign portfolio investment made by overseas investors in India goods at project site abroad
– in equity shares
S0502 Cost of construction, etc. of projects executed by foreign companies in India
S0010 Repatriation of foreign portfolio investment made by overseas investors in India
– in debt instruments Insurance and Pension Services (04)
External Commercial Borrowings S0601 Life insurance premium except term insurance
S0011 Loans extended to Non-Residents S0602 Freight insurance – relating to import and export of goods
S0012 Repayment of long and medium-term loans with original maturity above one S0603 Other general insurance premium including reinsurance premium; and term life
year received from Non-Residents insurance premium
Short-term Loans S0605 Auxiliary services including commission on insurance
S0013 Repayment of short-term loans with original maturity upto one year received S0607 Insurance claim settlement of non-life insurance; and life insurance
from Non-Residents (only term insurance)
Banking Capital S0608 Life insurance claim settlements
S0014 Repatriation of Non-Resident deposits (FCNR(B)/NR(E)RA etc) S0609 Standardised guarantee services
S0015 Repayment of loans and overdrafts taken by ADs on their own account S0610 Premium for pension funds
S0016 Sale of a foreign currency against another foreign currency S0611 Periodic pension entitlements, e.g. monthly quarterly or yearly payments
of pension amounts by Indian Pension Fund Companies
Financial Derivatives and Others
S0612 Invoking of standardised guarantees
S0020 Payments made on account of margin payments, premium payment and
settlement amount etc. under financial derivative transactions
Financial Services (05)
S0021 Payments made on account of sale of share under employee stock option
S0701 Financial intermediation, except investment banking – bank charges,
S0022 Investment in Indian Depositories Receipts (IDRs) collection charges, LC charges etc.

S0023 Remittances made under Liberalised Remittance Scheme (LRS) for individuals S0702 Investment banking – brokerage, under writing commission, etc.

External Assistance S0703 Auxiliary services – charges on operation and regulatory fees,
custodial services, depository services, etc.
S0024 External assistance extended by India. E.g. Loans and advances extended by
India to Foreign governments under various agreements Telecommunication, Computer and Information Services (06)

S0025 Repayments made on account of external assistance received by India S0801 Hardware consultancy/implementation
Transport (01) S0802 Software consultancy/implementation
S0201 Payments for surplus freight/passenger fare by foreign shipping companies
operating in India S0803 Data base, data processing charges

S0202 Payment for operating expenses of Indian shipping companies operating abroad S0804 Repair and maintenance of computer and software

S0203 Freight on imports – Shipping companies S0805 News agency services

S0204 Freight on exports – Shipping companies S0806 Other information services – Subscription to newspapers, periodicals
S0205 Operational leasing/Rental of Vessels (with crew) – Shipping companies
S0807 Off-site software imports
S0206 Booking of passages abroad – Shipping companies
S0808 Telecommunication services including electronic mail services and
S0207 Payments for surplus freight/passenger fare by foreign airlines companies voice mail services
operating in India
S0809 Satellite services including space shuttle and rockets, etc.
S0208 Operating expenses of Indian Airlines companies operating abroad
Charges for the Use of Intellectual Property n.i.e (07)
S0209 Freight on imports – Airlines companies
S0901 Franchises services
S0210 Freight on exports – Airlines companies
S0902 Payment for use, through licensing arrangements, of produced originals or
prototypes (such as manuscripts and films), patents, copyrights, trademarks
S0211 Operational leasing/Rental of Vessels (with crew) – Airline companies and industrial processes etc.
 Code Purpose Code Purpose

Other Business Services (08) Secondary Income (11)

S1002 Trade related services – commission on exports/imports S1301 Remittance for family maintenance and savings

S1003 Operational leasing services (other than financial leasing) without S1302 Remittance towards personal gifts and donations
operating crew, including charter hire – Airlines companies

S1004 Legal services S1303 Remittance towards donations to religious and charitable institutions abroad

S1005 Accounting, auditing, book-keeping services S1304 Remittance towards grants and donations to other governments and charitable
institutions established by the governments
S1006 Business and management consultancy and public relations services
S1305 Contributions/donations by the government to international institutions
S1007 Advertising, trade fair service
S1306 Remittance towards payment/refund of taxes
S1008 Research and development services
S1307 Outflows on account of migrant transfers including personal effects
S1009 Architectural services

S1010 Agricultural services like protection against insects and disease, increasing of Primary Income (12)
harvest yields, forestry services
S1401 Compensation of employees
S1011 Payments for maintenance of offices abroad
S1402 Remittance towards interest on Non-Resident deposits (FCNR(B)/NR(E)RA, etc.)
S1013 Environmental services
S1403 Remittance towards interest on loans from Non-Residents (ST/MT/LT loans)
S1014 Engineering services E.g. External Commercial Borrowings, Trade Credits, etc.

S1015 Tax consulting services S1405 Remittance towards interest payment by ADs on their own account
(to VOSTRO accountholders or the OD on NOSTRO a/c.)
S1016 Market research and public opinion polling services
S1408 Remittance of profit by FDI enterprises in India (by branches of foreign
S1017 Publishing and printing services companies including bank branches)
S1018 Mining services like on–site processing services analysis of ores, etc.
S1409 Remittance of dividends by FDI enterprises in India (other than branches)
on equity and investment fund shares
S1020 Commission agent services

S1021 Wholesale and retailing trade services S1410 Payment of interest by FDI enterprises in India to their Parent company abroad

S1022 Operational leasing services (other than financial leasing) without S1411 Remittance of interest income on account of portfolio investment in India
operating crew, including charter hire – Shipping companies

S1023 Other technical services including scientific/space services S1412 Remittance of dividends on account of portfolio investment in India on
equity and investment fund shares
S1099 Other services not included elsewhere
Others (13)
Personal, Cultural and Recreational Services (09)
S1501 Refunds/rebates/reduction in invoice value on account of exports
S1101 Audio-visual and related services like motion picture and video tape
production, distribution and projection services S1502 Reversal of wrong entries, refunds of amount remitted for non-exports

S1103 Radio and television production, distribution and transmission services S1503 Payments by residents for international bidding
S1104 Entertainment services
S1504 Notional sales when export bills negotiated/purchased/discounted are
S1105 Museums, library and archival services dishonoured/crystallised/cancelled and reversed from suspense account

S1106 Recreation and sporting activities services S1505 Deemed imports (exports between SEZ, EPZs and domestic tariff areas)

S1107 Education (e.g. fees for correspondence courses abroad) Maintenance and repair services n.i.e (14)

S1108 Health service (payment towards services received from hospitals, doctors, S1601 Payments on account of maintenance and repair services rendered for
nurses, paramedical and similar services, etc. rendered remotely or on-site) vessels, ships, boats, warships, etc.
S1109 Other Personal, Cultural and Recreational services
S1602 Payments on account of maintenance and repair services rendered for
aircrafts, space shuttles, rockets, military aircrafts, helicopters, etc.
Governmemt not Included Elsewhere (G.n.i.e.) (10)

S1201 Maintenance of Indian embassies abroad Manufacturing services (goods for processing) (15)

S1202 Remittances by foreign embassies in India S1701 Payments for processing of goods

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Issued by The Hongkong and Shanghai Banking Corporation Limited, India (HSBC). Incorporated in Hong Kong SAR with limited liability.