Form A2 and a declaration as under:
"I hereby declare that including the remittance of (currency and amount) ……. now applied for, I have not remitted to (Name of the beneficiary) ……….aggregate amount exceeding the prescribed limit of US $ 1,000 in the calendar year ……"
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Signature.................................................... |
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Name of the applicant…………………………........... |
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Address: ………………………………………….......... |
Place …………
Date ………….