The individual whose bank account is used to make the payment must fill out the LRS Declaration. Failure to submit the form could result in delays or cancellation of your payment.
Currently there are two versions of the LRS Declaration: Download Version and Digital Version. Please see the version that is available for you depending on your payment request.
Click here for the Download Version
Click here for the Digital Version
Download Version
Please fill in the following information on your declaration form:
Section I
c: The account number from which the payment was made.
This section will be automatically pre-filled based on the information you provided in your payment request, except for the Account No.
Section II
You are not required to complete the fields in this section.
Section III
This section will be automatically pre-filled based on the information you provided in your payment request.
Section IV
If you are making an RTGS, NEFT or wire transfer, select “Direct Remittance.”
Section V
You are not required to complete the fields in this section.
Note: Because you are making your payment via Flywire, we are considered the beneficiary. This is why the address of our Boston headquarters is listed here. However, your payment will be delivered to the recipient you indicated on your payment request.
Section VI
Please provide the details of any foreign currency transactions you have made during the current financial year.
SI No.: The order of the payer's foreign currency transactions within the current financial year (ex.: 1, 2, 3...)
Date: The date when you made the foreign currency transaction
Amount: The amount of the transaction in the foreign currency
Name and address of AD branch: The name and address of the bank used to make the foreign currency transaction. If you have not made any foreign currency transactions during the current financial year, you can leave this table blank.
Declaration section
Please sign under “Signature of Applicant”
Our partner in India will sign the “Certificate by the Authorized Dealer.” Please leave this blank.
After you have completed the sections listed above, please scan your form and the payer's government-issued ID with address proof and email them to the address we provided in your payment instructions.
Please note:
If you would like to edit the details of the applicant, you can edit the payer information in your payment request. Once it is edited, you can re-download your LRS Declaration.
Digital Version
Please fill in the following information on your digital LRS declaration:
1. Bank Account number
Please fill in the account number from which the payment was made.
2. Details of international transactions made in the last financial year
Please provide the details of any foreign currency transactions you have made during the current financial year. Click "ADD MORE TRANSACTIONS" when you have more than one transaction.
Date: The date when you made the foreign currency transaction
Amount: The amount of the transaction in the foreign currency
Name and address of AD branch: The name and address of the bank used to make the foreign currency transaction. If you have not made any foreign currency transactions during the current financial year, you can leave this table blank.
3. Upload a valid document ID
Please upload the payer's valid government-issued ID with address proof from your computer by clicking "UPLOAD DOCUMENTATION". The file type needs to be either PDF, PNG or JPG and cannot exceed 2MB.
Once the file has been uploaded, it is displayed at the bottom. If you would like to change and upload a different file, you can first delete the current file by clicking the X button.
Once you have followed the 3 steps, you can sign and submit the LRS Declaration.
Once you have submitted it successfully, an email with your LRS Declaration is sent to our local partner and to you (the payer's email provided in your payment request). If you would like to edit the information in the document, you can re-submit the information.
Please note:
By clicking "Preview document", you can preview the document any time before submitting it.