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Get ICICI Bank Retail Outward Remittance Application - A2 Cum LRS Declaration 2012-2024

Applicant in block letters using black ink pen) Application for drawal of Foreign Exchange Remittance Scheme selected (A) Non - LRS (B) Liberalized Remittance Scheme (LRS) I. Details of the Applicant (Remitter) a. Name of the Applicant b. Address (Not mandatory for ICICI A/c holders) c. Applicant Phone No. d. PAN No.* (* PAN no. is mandatory for all resident customers) II. Details of Foreign Exchange required (Fill-up either II a or II b) (Ref Annex-II in page 4 for applicable Currency De.

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