APPLICATION & FORM A2 FOR NON IMPORT PAYMENT

To, Date: 13/03/2024

The Manager
YES Bank Limited
APMC Vashi Branch

We authorize the bank to remit as per the details specified below:

Details of Exchange (Tick any one) Telegraphic Transfer (TT) Demand Draft (DD)
Name of the Remitter
Remitter’s Customer ID
Fixed amount of Foreign Currency

Transactio
n Amount Equivalent Foreign Currency of
Fixed Rupee Amount

A. Purpose of Remittance
(For details refer Annexure II)
Beneficiary Name
Beneficiary Address
Beneficiary Country
(in case of Telegraphic Transfer)
Beneficiary’s Bank Name
(in case of Telegraphic Transfer)
Beneficiary’s A/c Number
(in case of Telegraphic Transfer)
Beneficiary’s Bank Address
(in case of Telegraphic Transfer)
Beneficiary Bank’s SWIFT Code
Beneficiary Bank’s IBAN
(Mandatory for remittances to Middle-East countries and Europe)
Beneficiary Bank’s Sort Code
(Mandatory for remittances to Middle-East countries and Europe)
Beneficiary Bank’s BSB
(Mandatory for remittances to Australia)
Correspondent Bank charges borne by Beneficiary (BEN) Remitter (OUR)
(Tick relevant box)
* Charges shall be to the account of Beneficiary (BEN) if no
option is selected

Intermediary Bank Details

SWIFT Code
Intermediary Bank Name (if any)
Description of Services
Details of Forward Contract(s), if any, booked against this payment is/are as follows:
Forward Contract No. & Forward Contract Amount to be Utilized for Due Date of the Contract
Date Amount this remittance

I/We authorize you to debit my/our EEFC/Current Accounts as detailed below remittance amount as well as
for charges
Account No Currency Amount to be debited Charges to be collected
from (Tick appropriately)

Documents enclosed
[ ] Self attested copy of Invoice / Contract / Demand
[ ] Form 15 CA & CB (if applicable)
[ ] Other documents as per the purpose of remittance. Please specify __________________________

DECLARATION – CUM – UNDERTAKING

We hereby represent to YES Bank Limited (“the Bank”) that neither the Customer nor any other person
benefiting in any capacity, directly or indirectly, from or in connection with the Transaction is a Specially
Designated National (SDN) and/or otherwise sanctioned under the sanctions (and related laws) promulgated
by the United States of America (including its Office of Foreign Assets Control's (OFAC)), India or by Reserve
Bank of India or any other regulatory authority), United Nations, European Union, and/or any other country
(collectively, the "Sanctions") The Customer hereby agrees to indemnify and hold harmless the Bank and each
of its officers, directors, employees, agents, attorneys, to the fullest extent permitted by applicable law, for all
liabilities, obligations, losses, damages, penalties, claims, actions, judgments, suits, costs, expenses and
disbursements incurred by any of them as a result of, or arising out of, or in any way related to, or by reason
of, litigation or other proceeding (whether or not the Bank is a party thereto) related to the entering into
and/or performance of the Transaction (including due to claims by a third party), and/or as a result of any
breach by the Customer of its representations and undertakings as contained herein. We also confirm that
there is no party/shipment/any link with Crimea region of Ukraine.

The Customer hereby agrees to indemnify and hold harmless the Bank and each of its officers, directors,
employees, agents, attorneys, to the fullest extent permitted by applicable law, for all liabilities, obligations,
losses, damages, penalties, claims, actions, judgments, suits, costs, expenses and disbursements incurred by
any of them as a result of, or arising out of, or in any way related to, or by reason of, litigation or other
proceeding (whether or not the Bank is a party thereto) related to the entering into and/or performance of the
Transaction (including due to claims by a third party), and/or as a result of any breach by the Customer of its
representations and undertakings as contained herein.

I/We hereby declare that the transaction the details of which are specifically mentioned in this request letter
does not involve, and is not designed for the purpose of any contravention or evasion of the provisions of the
FEMA Act 1999 or of any rules, regulation, notification, direction or order made there under. I /We also
hereby agree and undertake to give such information/documents as will reasonably satisfy you about this
transaction in terms of the above declaration. I/We also understand that if I/We refuse to comply with any
such requirement or make only unsatisfactory compliance therewith, the bank shall refuse in writing to
undertake the transaction and shall if it has reason to believe that any contravention/evasion is contemplated
by me/us report the matter to Reserve Bank of India. I/We further declare that the undersigned has/have the
authority to give this declaration and undertaking on behalf of the company.
I/We declare that:
* (1) 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 500000 (USD Five Lakhsonly) 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)
Yours faithfully,
For…………………………………………….

For office use, to be filled by Yes bank official:

Certificate by the Authorized 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 authorized official: ______________________________________
Signature: ___________________________ Stamp and seal: ______________________________
Date and Place: ___________________________

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Space for Bank Stamps & Seals

Annexure – II: Purpose codes for Reporting

Remitter should put a tick () against an appropriate purpose code
Gr
Purpo
. Purpose Group
 se Description
No Name
Code
.
00 Capital Account S0017 Acquisition of non-produced non-financial assets
(Purchase of intangible assets like patents, copyrights,
trademarks etc., land acquired by government, use of
natural resources) – Government
S0019 Acquisition of non-produced non-financial assets
(Purchase of intangible assets like patents, copyrights,
trademarks etc., use of natural resources) – Non-
Government
S0026 Capital transfers ( Guarantees payments, Investment
Grand given by the government/international
organization, exceptionally large Non-life insurance
claims) – Government
S0027 Capital transfers ( Guarantees payments, Investment
Grand given by the Non-government, exceptionally
large Non-life insurance claims) – Non-Government
S0099 Other capital payments not included elsewhere
Foreign Direct S0006 Repatriation of Foreign Direct Investment made by
Investments overseas Investors in India – in equity shares
S0007 Repatriation of Foreign Direct Investment in made by
overseas Investors India – in debt instruments
S0008 Repatriation of Foreign Direct Investment made by
overseas Investors in India – in real estate
Foreign Portfolio S0009 Repatriation of Foreign Portfolio Investment made by
Investments overseas Investors in India – in equity shares
S0010 Repatriation of Foreign Portfolio Investment made by
overseas Investors in India – in debt instruments
External S0012 Repayment of long & medium term loans with
Commercial original maturity above one year received from Non-
Borrowings Residents
S0013 Repayment of short term loans with original maturity
Short Terms Loans
up to one year received from Non-Residents
Banking Capital S0014 Repatriation of Non-Resident Deposits (FCNR (B)/NR
(E)/RA etc.)
S0015 Repayment of loans & overdrafts taken by Ads on
their own account
S0016 Sale of foreign currency against another foreign
currency
Financial S0020 Payments made on account of margin payments,
Derivatives and premium payment and settlement amount etc. under
Others Financial derivative transactions.
External Assistance S0024 External Assistance extended by India e.g. Loans and
advances extended by India to Foreign governments
under various agreements
S0025 Repayments made on account of External Assistance
received by India

01 Imports S0101 Advance Payment against import made to countries

other than Nepal and Bhutan
S0102 Payments towards Imports – settlement of invoice
other than Nepal and Bhutan
 S0103 Imports by diplomatic missions other than Nepal and
Bhutan
S0104 Intermediary trade/transit trade i.e. third country
export passing through India
S0108 Goods acquired under merchanting / Payment against
import leg of merchanting trade
S0109 Payments made for Imports from Nepal and Bhutan if
any
02 Transport S0201 Payments for surplus freight/passenger fare by
foreign shipping companies operating in India
S0202 Payment for operating expenses of Indian shipping
companies operating abroad
S0203 Freight on imports – Shipping companies
S0204 Freight on exports – Shipping companies
S0205 Operational leasing/Rental of Vessels (with crew) –
Shipping companies
S0206 Booking of passages abroad – Shipping companies
S0207 Payments for surplus freight/passenger fare by
foreign Airlines companies operating in India
S0208 Operating expenses of Indian Airlines companies
operating abroad
S0209 Freight on imports – Airlines companies
S0210 Freight on exports – Airlines companies
S0211 Operational leasing / Rental of Vessels (with crew) –
Airline companies
S0212 Booking of passages abroad – Airlines companies
S0214 Payments on account of stevedoring, demurrage, port
handling charges etc. (Shipping Companies)
S0215 Payments on account of stevedoring, demurrage, port
handling charges etc. (Airlines Companies)
S0216 Payments for Passenger – Shipping companies
S0217 Other payments by Shipping companies
S0218 Payments for Passenger – Airlines companies
S0219 Other payments by Airlines companies
S0220 Payments on account of freight under other modes of
transport (Internal waterways, Roadways, Railways,
Pipeline transports and others)
S0221 Payments on account of passenger fare under other
modes of transport (Internal waterways, Roadways,
Railways, Pipeline transports and others)
S0222 Postal & Courier services by Air
S0223 Postal & Courier services by sea
S0224 Postal & Courier services by others
03 Travel S0301 Business travel

05 Construction S0501 Construction of projects abroad by Indian companies

Services including import of goods at project site abroad
S0502 Cost of construction etc. of projects executed by
foreign companies in India.
06 Insurance and S0601 Life Insurance premium except term insurance
 Pension Services S0602 Freight insurance – relating to import & export of
goods
S0605 Auxiliary services including commission on insurance
S607 Insurance claim Settlement of non-life insurance; and
life insurance (only term insurance)
S0608 Life insurance settlement of Claims
S0609 Standardized guarantee services
S0610 Premium of pension funds
S0611 Periodic pension entitlements e.g. monthly quarterly
or yearly payments of pension amounts by Indian
Pension Fund Companies
S0612 Invoking of standardized guarantees
07 Financial Services S0701 Financial intermediation, except investment banking -
Bank charges, collection charges, LC charges etc.
S0702 Investment banking – brokerage, under writing
commission etc.
S0703 Auxiliary services – charges on operation & regulatory
fees, custodial services, depository services etc.
08 Telecommunication S0801 Hardware consultancy/implementation
, Computer & S0802 Software consultancy / implementation
Information S0803 Data base, data processing charges
Services S0804 Repair and maintenance of computer and software
S0805 News agency services
S0806 Other information services- Subscription to
newspapers, periodicals
S0807 Off-site software imports
S0808 Telecommunication services including electronic mail
services and voice mail services
S0809 Satellite services including space shuttle and rockets
etc.
09 Charges for the use S0901 Franchises services
of intellectual S0902 Payment for use, through licensing arrangements, of
property (not produced originals or prototypes (such as manuscripts
included and films), patents, copyrights, trademarks and
elsewhere) industrial processes etc.
10 Other Business S1002 Trade related services – commission on exports /
Services imports
S1003 Operational leasing services (other than financial
leasing) without operating crew, including charter
hire- Airlines companies
S1004 Legal services
S1005 Accounting, auditing, book-keeping services
S1006 Business and management consultancy and public
relations services
S1007 Advertising, trade fair service
S1008 Research & Development services
S1009 Architectural services
S1010 Agricultural services like protection against insects &
disease, increasing of harvest yields, forestry services.
S1011 Payments for maintenance of offices abroad
S1013 Environmental Services
 S1014 Engineering Services
S1015 Tax consulting services
S1016 Market research and public opinion polling service
S1017 Publishing and printing services
S1018 Mining services like on–site processing services
analysis of ores etc.
S1020 Commission agent services
S1021 Wholesale and retailing trade services.
S1022 Operational leasing services (other than financial
leasing) without operating crew, including charter
hire- Shipping companies
S1023 Other Technical Services including scientific/space
services.
S1099 Other services not included elsewhere
11 Personal, Cultural S1101 Audio-visual and related services like Motion picture
& Recreational and video tape production, distribution and projection
services services.
S1103 Radio and television production, distribution and
transmission services
S1104 Entertainment services
S1105 Museums, library and archival services
S1106 Recreation and sporting activities services
S1109 Other Personal, Cultural & Recreational services
12 Govt. not included S1201 Maintenance of Indian embassies abroad
elsewhere S1202 Remittances by foreign embassies in India
13 Secondary Income S1301 Remittance for family maintenance and savings
S1304 Remittance towards grants and donations to other
governments and charitable institutions established by
the governments.
S1305 Contributions/donation by the Government to
international institutions
S1306 Remittance towards payment / refund of taxes.
14 Primary Income S1401 Compensation of employees
S1402 Remittance towards interest on Non-Resident deposits
(FCNR(B)/NR(E)RA, etc.)
S1403 Remittance towards interest on loans from Non-
Residents(ST/MT/LT loans) e.g. External Commercial
Borrowing, Trade Credits etc.
S1405 Remittances towards interest payment by Ads on their
own account (to VOSTRO a/c holders or the OD on
NOSTRO a/c)
S1408 Remittance of profit by FDI enterprises in India (by
branches of foreign companies including bank
branches)
S1409 Remittances of dividends by FDI enterprises in India
(other than branches) on equity and investment fund
shares
S1410 Payment of interest by FDI enterprises in India to their
Parent company abroad
S1411 Remittance of interest income on account of Portfolio
Investment in India
 S1412 Remittance of dividends on account of Portfolio
Investment in India on equity ad investment fund
shares
15 Others S1501 Refunds / rebates / reduction in invoice value on
account of exports
S1502 Reversal of wrong entries, refunds of amount remitted
for non-exports
S1503 Payments by residents for international bidding
S1504 Notional sales when export bills
negotiated/purchased/discounted are
dishonored/crystallized/cancelled and reversed from
suspense account
S1505 Deemed imports (exports between SEZ, EPZs and
Domestic tariff areas)
16 Maintenance and S1601 Payment on account of maintenance and repair
repair service i.e. services rendered for Vessels, ships, boats, warships,
etc.
S1602 Payment on account of maintenance and repair
services rendered for air-crafts, space shuttles, rockets,
military aircrafts, helicopters, etc.
Manufacturing S1701 Payments for processing of goods
17 services(goods for
processing)