Bank Customer Declaration Form for Crediting Funds to NRO Account
Please complete this declaration to authorize the crediting of funds to your NRO account. Do not enter sensitive personal or financial information.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
NRO Account Reference (do not enter account numbers or sensitive details)
*
Purpose of Funds
*
Please Select
Personal Remittance
Investment Income
Rental Income
Sale of Assets
Other
Source of Funds (brief description, do not include sensitive details)
Declaration Statement
*
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Signature
*
Submit Declaration
Submit Declaration
Should be Empty: