NRSR

(Paragraph13A.15)

Application-cum-Undertaking form for opening of Non-Resident (Special)

Rupee(NRSR)Account

DearSir,

Openingof Non-Resident (Special )Rupee Account

*I/We request you to open a Non-resident (Special ) Rupee account with yourbranch.

*I/We request you to convert our existing resident account no............ withyour branch to a Non-resident (Special) Rupee account..

My/Ourparticulars are given below:

1.Name/s

2.Address/es

3.Nationality

4.Details of passport/s:

(i)Passport no.

(ii)Date of issue

(iii)By whom issued

I/Weundertake to abide by rules and regulations framed for Non-Resident (Special)Rupee accounts.

I/ We certify that the statements made above are true to the best of ourknowledge and belief.

Undertaking

I/We , (name/s) ..................................., undertake that :

I/ We will not make available to any person resident in India any foreignexchange against reimbursement in India in rupees or otherwise.

I/We will ensure that investment in shares/securities or immovable property inIndia out of funds held in my/our NRSR account with you are governed by generalor special permission of Reserve Bank of India.

I/ We declare that I /We am/are aware that any violation or non-observance of theundertakings given above is subject to action under Foreign Exchange RegulationAct, 1973.

I/We voluntarily undertake that I /We and /or my/our heir/successor will not seekrepatriation of funds held in my/our NRSR a/c with you and/or any incorme/interest earned thereon at any time.