Punjab National Bank

Fill Form A2 Online

Application-cum-Declaration for Purchase of Foreign Exchange, Annexure IV B.

This fills PNB's real Form A2 (Annexure IV B) — the download is the actual bank document with your answers stamped onto it, not a recreation. Fields for intermediary bank details, forward contracts, and past LRS transactions are left blank; the office-use section is completed by the bank.

To / AD Details

AD Code No.

Branch D No.

Branch (B/o)

A. Details of the Applicant

Name of the Applicant *

Customer ID

Account Number

PAN No. (Mandatory) *

Address — line 1

Address — line 2

Address — line 3 (city / PIN)

Email & Contact Number

B. Mode, Amount, Purpose & Source of Funds

B(1). Mode requested

Telegraphic Transfer (TT) Demand Draft (DD) Foreign Currency Notes (CN)

B(2). Amount to remit

Fixed foreign currency amount (2a) Fixed INR equivalent (2b)

Foreign Currency

Amount in Figures

Amount in Words

Purpose Group

Purpose Code

Under LRS?

Purpose Description

Country Providing Ultimate Services

Only needed for certain purpose groups (02,03,05–11,15–17) — see the form's appendix.

Source of Funds

C. Beneficiary Details

Beneficiary's Name and Address

Beneficiary's Bank Name

Beneficiary's A/c Number

Beneficiary's Bank Address (incl. country)

SWIFT Code

IBAN

Correspondent Bank Charges Borne By

Beneficiary (BEN) Remitter (OUR) Sharing (SHA)

E. Authorization & Declaration

Savings A/c No. to Debit

Declarant Name

Date

This form is generated for your convenience and doesn't get submitted to PNB automatically — download it, review it, and take it to your branch (or attach it per your branch's process) along with any supporting documents.

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