For Non-Account Holder Beneficiary
For Non-Account Holder Beneficiary
For Non-Account Holder Beneficiary
(This updated request letter will replace the Annexure 4 K of e-circular 12314)
Date: 17.03.2021
To,
ICICI Bank Limited,
Ram-Maruti RD, Thane Branch,
Glen Morgan, Ram Maruti Rd,
Veer Savarkar Nagar,
Thane, West - 400602
Sub: (One time) request for Certificate of Foreign Inward Remittance (FIRC)
I/We, the undersigned, being duly authorized by Pneucon Valves Pvt ltd. request ICICI Bank to kindly
issue a Foreign Inward Remittance Certificate @ (FIRC) for the remittance received by
________________________________ (Details are already provided in the disposal instruction given by
us):
Name & address of Beneficiary : Pneucon Valves Pvt Ltd, Plot No. A-35, Road No.
10, Wagle Industrial Estate, Thane (W) 400 604
Phone / Mobile number (mandatory for : + 91 9322 030 252
non-customer )
ICICI Bank Account no. where the : 003505000876
remittance amount credited
Name of the Bank & Branch where the : ICICI Bank Ltd, Ram Maruti Road, Thane Branch
remittance amount credited
(For non-account holder beneficiary)
Transaction reference number : RTGS/SCBLH10210000633/LLOYD
INTERNATI/SCBL
I/We confirm that the payment has / has not* been received in non-convertible rupees or under any
special trade or payments agreement.
I/We hereby declare that the purpose and transaction details as mentioned above are true to the best
of my knowledge, does not involve and is not designed for the purpose of any contravention or evasion
of the provisions of the FEMA, 1999 or any rule, regulation, notification, direction or order made there
under. I/We agree that I/We shall be responsible and liable for any incorrect detail provided by me/us.
M.C. Jethwani
Director