The individual whose bank account is used to make the payment must fill out the LRS Declaration form. Failure to submit the form could result in delays or cancellation of your payment.
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 populated 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.
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 your ID and email them to the address we provided in your payment instructions.