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Get icici form a2

Remittancee Abroad Currency (For use of Reserve Bank of India) Amount Equivalent to Rs. (To be completed by Authorised Dealer) I/We wish to purchase/transfer (Name of currency and amount in words) through (Name and address of Authorised Dealer) for payment to (Name and Address of the beneficiary) by remitting the amount / by credit to the account of (Full title of the account & country of non-resident bank and name of AD with whom account is maintained) for the purpose indicated below :.

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