C
C
U
U
S
S
T
T
O
O
M
M
E
E
R
R
D
D
E
E
C
C
L
L
A
A
R
R
A
A
T
T
I
I
O
O
N
N
F
F
O
O
R
R
C
C
R
R
E
E
D
D
I
I
T
T
I
I
N
N
G
G
F
F
U
U
N
N
D
D
S
S
I
I
N
N
N
N
R
R
O
O
A
A
C
C
C
C
O
O
U
U
N
N
T
T
To, Date: _____/______/_________
The Branch Manager
HDFC Bank Ltd. ___________________________________________ Branch.
Dear Sir/ Madam,
Subj: Cheque Deposit in NRO Account Number ________________________________________________ Cheque Details: ___________________________
This is to inform you that I am depositing cheque in my NRO account held with your branch.
For the source of funds, tick mark [√] from the below options;
Foreign currency brought during my temporary visit to India. (Foreign currency exceeding USD 5000 or its equivalent in the form of cash should be
supported by currency declaration form and Rupee funds should be supported by encashment certificate, if they represent funds brought from outside
India.)
Closure proceed of self-resident account held in other bank
I confirm and declare that ________________ (Gift/ Loan please specify) received under Liberalized Remittance Scheme via Cheque from undersigned
Resident Indian, account number _________________________________________________ who is closely related to me as given below.
(Tick mark [√] from the below options)
Spouse
Father (incl Step –
Father)
Brother (incl Step
Brother)
Son (Incl Step
–Son)
Sons’ Wife
Member of same HUF
Mother (Incl Step –
Mother)
Sister (incl Step
sister
Daughter
Daughter’s
Husband
(List of relatives as per Provisions of Companies Act 2013)
In case of a loan received from Resident account holder of HDFC bank, I confirm that these funds will be utilized only for my own business and shall not be
used for a) Carry on agricultural/plantation/real estate business; or b) Trade in transferable development rights; or c) Act as Nidhi or Chit fund company.
Sale proceeds immovable property acquired out of rupee / foreign currency funds or by way of legacy /inheritance
Repayment of rupee loan given to _______________________________________________________ who is a person resident in India. I also confirm that –
a) The amount of loan was paid out of my A/c No. ___________________________________________for ________________ INR maintained with
______________________________________________Bank.
b) Tenor of the loan __________________________ (The period of loan has not exceeded three years).
c) Rate of interest of the loan ___________________ (The rate of interest on the loan has not exceeded two percentage points over the Bank rate
prevailing on the date of availing of loan)
Others (Rent, Sale proceed of assets like car, furniture, etc.) ________________________________Please specify.
This is to confirm you that money depositing to my NRO account is in
adherence with FEMA/RBI regulation. Kindly accept the same and credit to
my NRO account.
__________________________________________ ________________________________________________________
Signature of NRO account holder Signature of HDFC Bank’s Resident account holder
(Applicable only incase of Gift/ Loan given to NR under LRS)
I authorize you to report said transaction under my LRS limit prescribed by RBI. I also
authorize you to recover TCS from my Savings bank account for said transaction. I 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 Liberalized Remittance Scheme prescribed by Reserve Bank of India and certify
that the source of funds for making the said remittance belongs to me. Also, these funds
which are being given as loan(if any) are not borrowed funds.
I confirm and declare that the NRI beneficiary/payee is closely related to me (as defined
under companies act 2013), and is not resident in India. I further confirm that the
instructions given by me is verified and true to the best of my knowledge. Any wrong
declaration made here is liable to penal action as per Foreign Exchange Management Act,
1999
23.07.2024
