We have effected/seek permission to effect the following transfer.________________________________________________________________________________________________From the account of_____________________________________________________________________________                           (Full title of account of non-resident bank debited, stating________________________________ at ___________________________________________________________country of residence)                  (Name of authorised dealer with whom account is kept)for transfer to_________________________________________________________________________________                       (Full title of account of non-resident bank credited, stating____________________ at ________________________________________________________________________country of residence)        (Name of authorised dealer with whom account is kept)Amount Rs._______________ _____________________________________________________________________            (in figures)                           (in words)The purpose of the transfer is_________________________________________________________________________________________________________________________________________________________________   We certify that Exchange Control regulations relating to the above transfer have been compliedwith. Similar transaction was approved by the Reserve Bank vide approval No.................... dated ............

NOTES:	1.	Where accounts of non-resident banks are put in funds against purchase of foreign 		currency, the transferor portion of the form may be completed indicating merely 		"Against Purchase of _____________   ______________"				       (currency)      (amount)	2.	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)	3.	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 cited.