HDFC Forex Card Application Form (Pages 1-3)

HDFC BANK

Classification - Public

FOREX CARD APPLICATION FORM

DETAILS OF FOREX CARD ISSUANCE

PERSONAL DETAILS OF APPLICANT

Full Name* Date of Birth* / /

First Name Middle Name Last Name

Gender*: Male Female Transgender Mother’s Maiden Name* Cust ID

Passport Number* Passport Issue Date* / / Place of Issue*

Expiry Date Of Passport* / /

Address*

Country PIN Code* PAN NO*

Country of Birth Citizenship / Nationality

Country Code Mobile Number* Email ID*

Country of Tax Residency* Tax Identification Number (TIN)*

* to include USA, where the individual is a citizen/ green card holder; In case of multiple countries, please specify all the country names along with the TIN

Select Card

Multicurrency ForexPlus Card Regalia ForexPlus Card ISIC Student ForexPlus Card Hajj Umrah ForexPlus Card

Country/ies of Travel* Date of Travel* / /

Name of Country providing ultimate Service Funded by: Individual Corporate

Forex Card Reference no Date / / Branch Code

Details of Currencies to be loaded/ Reloaded*:

Currency	FCY Amount

*The final total value will be subject to currency conversion rate, TCS, GST, currency conversion charges, issuance fee and any other applicable rate or charges.

HDFC BANK

Classification - Public

Please note, your Forex Card is default enabled only for ATM withdrawal and POS transactions.

Nomination Form

Do you want to nominate Yes No

Nomination under Section 45 ZA of the Banking Regulation Act, 1949 and Rule 2(1) of Banking Companies (Nomination) Rules, 1985 in respect of Bank Deposits

I (Name) (Address)

nominate the following person/s to whom in the event of my/our/minor’s death the amount of deposit in the above account may be returned by HDFC Bank.

(Nominee Name) (Nominee Address)

Relationship with depositor, if any Age Yrs. If nominee is minor - Date of Birth: / /

If nominee is minor, I appoint (Name) Relationship with Minor

Address:

to receive the amount of deposit on behalf of the nominee in the event of my/ our/ Minor’s death during the minority of the nominee.

Signature of Witness* Signature of Primary Applicant**

Name of Witness Name of Primary Applicant

Address of Witness Date Place

*In case of thumb impression, nomination details to be filled in as an annexure.
** Where deposit is made in the name of minor, the nomination should be signed by a person lawfully entitled to act on behalf of the minor.

Fees & Charges applicable on your Forex Card

(a) Cross Currency Markup Charges
• Exchange rate used will be as per the VISA/MasterCard wholesale exchange rate prevailing at the time of the transaction/merchant settlement.
• For transactions where the transaction currency is different than the currency available on Forex card, Cross Currency Mark-up charges will be levied.
• Cross currency mark-up will be charged for cross currency transactions involving wallet to wallet transfers within currencies available on the Forex card.
• GST will be applicable for relevant fees & charges as per prevailing rate.

(b) Limits: Daily Limit for ATM Cash Withdrawal: Up to USD 5,000 or equivalent in any other currency.
Daily reload limit through online channels: Up to USD 5,000 or equivalent in any other currency.
Annual reload limit through online channels: Up to USD 25,000 or equivalent in any other currency.
Annual total Load and reload limit as per Liberalised Remittance Scheme*: Maximum USD 250,000 or equivalent in any other currency in a financial year (or as prescribed by RBI).
*Forex card can be issued to customers over 12 years.

(c) Currency Conversion Tax: Applicable on load, reload and refund transactions.

Buy and sell forex currency	Service tax amount
Up to Rs 1 lakh	0.18% of the gross value or Rs. 45 (whichever is higher)
> Rs 1 lakh upto Rs 10 lakhs	Rs 180 + 0.09% of amount exceeding Rs. 1 lakh
> Rs 10 lakhs	Rs 990 + 0.018% of amount exceeding Rs. 10 lakhs

Sr. No.	Particulars	Multicurrency ForexPlus Card	Regalia ForexPlus Card	ISIC Student ForexPlus Card	Hajj Umrah ForexPlus Card
1	Issuance Fee	Rs. 500 + GST	Rs. 1000 + GST	Rs. 300 + GST	Rs. 200 + GST
2	Reload Fee	Rs. 75 + GST
3	ATM Withdrawal Fee	$2 or eqv.	$4	$2 or eqv.	$2 or eqv.
4	Balance Enquiry Fee	$0.5 or eqv.	$0.5	$0.5 or eqv.	$0.5 or eqv.
5	Cross Currency Markup Charges*	2%	0%	3%	3%
6	Back-up Card Charges	Rs.100+GST	Rs.100+GST	Service not available
7	Card Replacement Charges	Rs.100+GST	Rs.100+GST	Service not available	Rs.100+GST

HDFC BANK

Classification - Public

Tax Collected at Source (TCS)

Tax Collected at Source (TCS) is applicable under the provision of Financial Act, 2020.

Sr. No.	Nature of payment	Rate wef 1st October 2023
I	LRS for education financed by loan	Nil up to ₹7 lakh; 0.5% above ₹7 lakh
II	LRS for Medical treatment/ education (other than financed by loan)	Nil up to ₹7 lakh; 5% above ₹7 lakh
III	LRS for other purposes	Nil up to ₹7 lakh; 20% above ₹7 lakh
IV	Purchase of Overseas tour program package	5% till ₹7 lakh; 20% thereafter
V	Resident individual (Specified Person category - In-operative PAN / Non-furnishing ITR)	Double the normal rate of TCS; max 20%

Disclaimer:
The details mentioned above are subject to change as per regulatory guidelines, and customers may refer to the Bank’s website for updated information.
PAN number of the Forex Card holder will be considered for LRS reporting to RBI and for TCS reporting to Central Board of Direct Tax.

I understand and agree to the Terms and Conditions part of welcome kit, fees & charges, taxes and limits as applicable for HDFC Bank Forex Card.

Signature (Please see signature overleaf):