Declar on under FEMA 1999 as per A2:-

I / We hereby declare that –

1. The total amount of foreign exchange purchased from or remi d through, all sources in
India, during this financial year including this appl n is within USD 2,50,000 (USD Two
lakh thousand only) the annual limit prescribed by Reserve Bank of India for the said
purpose as men ed in the app

Declar on-cum-undertaking:

Unde on 10 (5), Chapter III of The Foreign Exchange Management Act, 1999:

1. I / We hereby declare that the trans n details of which are specificall ned in the
Schedule hereunder does not involve, and is not designed for the purpose of any

contraven on or evasion of the provisions of the aforesaid act or of any ru

n, dire or order made there under.

2. I / We also understand that if I / We refuse to comply with any such requirement or make
only unsa sfactory compliance therewith, the Bank shall refuse i ng to understand the
trans n and shall, if it has reason to believe that any contraven / evasion is
contemplated by me / us report the ma er to RBI.

3. I / We also hereby agree and undertak n / documents as will

reasonabl you about this trans in terms of the a

Declar on under liberalized Remi ance Scheme for Resident Individuals:

1. I / We hereby declare that the total amount of Foreign Exchange purchased from or
re through, all sources in India during the financial year including this app
within the overall limit of Liberalized Remittance Scheme prescribed by the Reserve Bank of
India and cer the source of funds for making the said remi ance belongs to me and the
Foreign Exchange will not be used for prohibited purposes.

2. I/We affirm that the reside vided is true.

3. The remi ould be u zed for permi ed Capital & Current Account tr ns only.

4. I have not availed any loan / credit / borrowings for remi nder Liberali ance
Scheme for Capital Account transa s.
5. The remi is not being requested for any transac ermissible under FEMA and
those in the nature for margin calls to overseas exchanges / overseas counterparty are not
allowed under the Scheme.

6. The Scheme is not available for capital acc ances to countries ide ed by
Financial ask Force (FATF) as non-co-oper ntries and territories as available
on FATF website www.fa -gafi.org or as n e Bank.

7. The remi not being sent for purchase of FCCBs issued by Indian companies in the
overseas secondary market.

8. The remi s not being sent for trading in Foreign Exchange abroad.

9. I / We undertake to make all capital A/c tr ns under LRS from Axis Bank only.

General Declara

1. The purpose and trans etails as men ed above are true to the best of my
knowledge.

2. I / We shall be responsible and liable for any incorrect detail provided by me / us.

3. The remi ot being requested for any purpose specifically prohibited under
Schedule I or any item restricted under Schedule II of Foreign Exchange Management

(Current Account Transac Rules, 2000.

4. The remi ot being sent directly or indirectly to Nepal or Bhutan.

5. The remi ot being sent directly or indirectly to those individuals and iden d as
posing signi rorism as advised separately by the

RBI to the Banks.

6. The transac me ed above does not involve, and is not designed for any purpose for
which the drawal of Foreign Exchange is prohibited under Rule 3 of the Foreign

Exchange Management (Current Account Tr ns) Rules, 2,000, read with Schedule I
thereof viz:

a. Rem ce out of L

b. Rem nce of income from racing / riding, etc. Or any other hobby
c. Remi nce for purchase of l anned / prescribed magazines, football pools,
sweepstakes, schemes involving money circula ng prize money / awards, etc.

d. Payment of commission on exports made towards equity investment in Joint Ventures /

Wholly Owned Subsidiaries abroad of Indian Companies

e. Remi nce of dividends by any company, to which the requirement of dividend balancing is
applicable

f. Payment of commission on exports under the Rupee State Credit Route, except commission
up to 10% of invoice value of exports of tea and tobacco

g. Payment related to “Callback Services” of telephones

h. Remi nce of interest income on funds held in the Non-resident Special Rupee Account
Scheme

i. Travel to Nepal and / or Bhutan

j. A trans person residing in Nepal or Bhutan

7. I / We agree that submission of request does not necessarily imply processing of the
trans n. Axis Bank has full rights to reject the transa on based on regulatory and

internal guidelines.

8. I / We agree that in the event the transac xecuted / debited to my / our

account, a r submi ng the request for processing to the Bank on the account of

insufficient / unclear balance a e of exe of the transac / our account,

Axis Bank shall not be responsible for not being able to process the transac on. Any

exchange losses incurred in this conne on, due to reversal of the forex deal, can be charged
to my/ our Axis Bank account.

9. I / We agree that in the event the transac celled or revoked by me / us a er

submi ng the request for processing to the Bank, any exchange losses incurred in this

conne , can be charged to my / our Axis Bank account.

10. I / We undertake that I / We will not remit payments directly / indirectly outside India in
any form towards overseas Foreign Exchange trading through electronic/internet trading
portals. I am aware that effec ng such trans us liable to be proceeded
against with for contraven f the Foreign Exchange Management Act (FEMA), 1999
besides being liable for viola of regula ela to Know Your Customer (KYC) norms /
Laundering (AML) standard.

11. I / We confirm that we are aware of Axis Bank Limited's San ons Policy Statement and
that Axis Bank, including its subsidiaries and affiliates (the “Group”), is firmly commi ed to
complying with all app ons laws (as imposed by UN, US, UK, EU or any other
Government and / or Regulatory auth ) that are legally binding upon the Group and its
businesses.

12. I / We are further aware that Axis Bank Limited may be unable to process any transac ons
that involves or have linkages / reference to any sanc oned countries*/ territories*/p s
including for cases where transshipment is involved.

13. I / We confirm that shipment and / or transshipment of goods covered under this
trans n shall not involve any sanc countries / territories / p s.

14. Any statutory levy including du es or taxes payable as a result of the use of the Card shall
be Cardholder’s responsibility and if imposed on / recovered / sought to be recovered from
Axis Bank (either directly or indirectly), such statutory levy shall be deducted from the Axis
Bank -currency Forex Card Balance and / or recovered directly from the card funder and/
or from any accounts (including joint accounts) maintained by the Cardholder with Axis Bank
or its group companies.

a). If aggregate foreign currency purchases in any form during the financial year exceeds INR 7
Lakhs and where the foreign currency purchase was made under LRS by the card funder, card
funder shall bear the applicable Tax Collected At Source (TCS) at the rate of 5% under
applicable laws on the amount exceeding INR 7 Lakhs

b). In cases where the amount loaded or reloaded for the purpose of pursuing educ
abroad through an educ loan obtained from a financial ins on, in such a case card
funder shall bear the applicable TCS at the rate of 0.5% under applicable laws on the amount
exceeding INR 7 Lakhs For the sake of clarity, shall have the same meaning
as defined u/s 80E of the Act

15. I / We hereby confirm that my personal / KYC details may be shared with Central KYC
Registry.

16. I / We hereby consent to receiving infor C Registry through SMS /

E-mail on the my registered number / E-mail address.
17. I/we hereby agree and acknowledge that Ecommerce and Contactless trans ns on the
Forex card when issued will be blocked. The same can b through Internet Banking,
Mobile Banking, Axis Prepaid Card Portal or Axis bank branch.

18. I/we also acknowledge that channels like ATM, POS transac ons at merchant outlets,
Online or contactless and their limits can be enabled or disabled/ increased or decreased
through Internet Banking, Mobile Banking, Axis Prepaid Card Portal or Axis bank branch.

19. I/we agree and acknowledge that in accordance with Finance Act, 2021, sec
and 206CCA in the Income-tax Act 1961, I/we will be levied higher rate of TCS (wherever
applicable) if found to be a Specified Person as per Income Tax Department records.

20. I/we hereby agree and acknowledge that the infor his form will over
write th ails available against any of my accounts with Axis Bank.

n and details about the list of sanc oned countries and territories please
visit h ps://www.axisbank.com/sanc -policy-statement