Reserve Bank of India Remittances - Application for NEFT

For my/our account and risk and without any responsibility to yourselves and subject to the conditions outline in Reserve Bank's Remittance Facilities Scheme Booklet, please transfer the amount as detailed below:

Amount in words will appear here...
(PAN Card required only if amount ≥ Rs.50,000/-)
Enter 11-character IFSC code (e.g., SBIN0001234). 5th character must be 0.
Maximum 16 digits - arranged in 4 groups of 4
(Signature)
Date:

Transaction Entered & Verified by: ____________________

Authorized by: ____________________

Transaction Reference No: ____________________

Uploaded for NEFT SETTLEMENT Batch Time & Date: ____________________