INFOSYS BPO LIMITED

Regd. Office : Plot Nos. 26/3, 26/4 & 26/6, Hosur Road
Electronics City, Bangalore 560 100, India
Tel: 91 80 2852 2405 Fax: 91 80 2852 2411
www.infosys.com/bpo

The Manager,
ICICI BANK
SCO-18, 19
HUDA SHOPPING CENTER
SEC-14
GURGAON-122001

June 19, 2009

Dear Sir

Sub: Release of foreign exchange (Gurgaon)

As per the foreign Exchange Management Act, payment towards current account
transactions including payment if maintenance allowance and initial settlement
advance can be freely made out of the current accounts.

We request you to release the amount of USD as per annexure enclosed.

We certify that the expenditure is borne by Infosys BPO Limited and we

undertake to utilize the foreign exchange for the purpose stated above.

This transaction is subject to one time declaration-cum-undertaking (under FEMA

1999) submitted to you already.

We request you to debit USD Nine Thousand Five Hundred Fifty (USD 9550/-)
from our EEFC Account Number 000206000125 held with your branch.

Thanking Yours

Yours sincerely,
For Infosys BPO Limited

Authorized Signatory Authorized Signatory

*Please give details PURCHASE OF FOREX

We hereby declare that the statements made by us on this form are true and that we have
not applied for an authorization through any other bank.

We declare and understand that the foreign exchange to be acquired / payment to be

made by us pursuant to this application shall be used / made by us only for the purpose
for which it is acquired / to be made that the conditions subject to which the exchange /
permission us granted will be complied with.

Name of Applicant(s) : Infosys BPO Limited Nationality of Applicant(s) Indian

Address of Applicant(s):26/3,26/4 and 26/6, Electronics City, Hosur Road, Banglore 560100

Dated : June, 19, 2009

Signature of Applicant(s)/Authorised Official

(Space for comments of the Authorised Dealers)

While forwarding the application to Reserve Bank
of India for approval, reference to ECM paragraph/AD
circular in terms of which the reference is made
should invariably by cited.)
Approval for similar remittance was obtained from the Reserve Bank of India vide
Permit No. ___________ dated ______________.

___________________________________
(Stamp and Signature of Authorised Official)
Name & Designation ……………………………………….
Name and Address of Authorised Dealer …….
…………...

Date :
Certificate to be furnished by Authorised Dealer (Applicant’s Banker)

We hereby certify that

A. the remittance has been made
In terms of authority delegated to authorised to dealer vide paragraph
______________ of the Exchange Control Manual and / or AD Circular
No._______________ dated _____________
Or
In terms of Reserve Bank Permit No. ___________ dated ___________
B. All the Exchange Control regulations applicable to the remittance have
been complied with.
C. Documentary evidence in support of the payment has been verified.
D. payment to the beneficiary has been/will be made through __________
___________________________________________________________
_
(Name and address of the designated bank in ACU member country)

___________________________________
(Stamp and Signature of Authorised Official)
Name & Designation ……………………………………….
Name and Address of Authorised Dealer
…………..……...

Date : __________
 Annexure to payment made on 19-6-09 GURGAON

Date Emp # Name of the Persons Currency CASH

19-June-09 901658 Amitabh Choudhary USD 1050

19-June-09 934128 Amit Sachdeva USD 700

19-June-09 934121 Arvind Sharma USD 700

19-June-09 934238 Babita Balyan USD 700

19-June-09 934251 Deepak Agarwal USD 700
19-June-09 934120 Amit Saini USD 700
19-June-09 934059 Sanjeev Kr. Tiwari USD 700

19-June-09 934060 Richa Rastogi USD 700

19-June-09 934129 Usha Khurana USD 700

19-June-09 934123 Amit Kapoor USD 700
19-June-09 933828 Punit Sablok USD 700
19-June-09 934237 Ajay Kakreti USD 700
19-June-09 934241 Budhi Srivastava USD 700
19-June-09 934122 Ashok Arora USD 100
TOTAL 9550
 AD Code No. ________________________
FORM A2 Form No. ___________________________
(for payments other than imports and (To be filled by the Authorised Dealer)
remittance covering intermediary trade) Serial No. ___________________________
(For use of Reserve Bank of India)
Currency ___________ Amount _________
Application for Remittance Abroad Equivalent to Rs. _____________________
(To be completed by Authorised Dealer)

We request you to debit USD Nine Thousand Five Hundred Fifty Only (USD 9550/-) from our EEFC
Account Number 000206000125 held with ICICI BANK. Commissariat Road, Bangalore 560001 to
ICICI BANK LTD.
(Remitter should put a tuck ( √ ) against an appropriate purpose code. In case of doubt/difficulty, consult your banker.)

Code Purpose Code Purpose

Capital Account Transactions Insurance
S001 Investment in shares abroad by residents S501 Life Insurance premium
S002 Investment in Debt Securities abroad by residents S502 General Insurance premium
S003 Investment is branches/subsidiaries abroad by S503 Reinsurance premium
residents
S004 Investment of foreign investment in shares S504 Insurance commission
S005 Repatriation of foreign investment in shares S510* Other insurance payments
S006 Repatriation of foreign investment in Debt Securities Other Services
S007 Repatriation of foreign investment in subsidiaries S601 Postal/Telecom services
S008 Repatriation of foreign investment in real estate S602 Project abroad
S009* Loans to non-residents S603 Band charges/commission
S010* Repayment of LT/MT Loans S604 Soft/Hardware consultancy, services
S011* Repatriation of NR Deposits S605 Subscription to periodicals, correspondence
courses
S012 Repayment of ST (6m. to 1 Yr.) Loans S606 Computer and IT Services
S013 Repayment of loans/ODs by banks S607 Royalty, License fees
S014 National sale for credit to NRI deposits S608 Professional service, technical fees
S015* Other capital account payments S609* refunds and rebates on trade
Other import payments not covered by from A1 S610* Other remittance √
S103 Imports by diplomatic mission Government, Note included elsewhere
S104 Imports under intermediary trade S701 Maintenance if Indian Embassies
Travels S702 Remittance by foreign Embassies
S301 Business travel Transfers
S302 Travel for Medical purpose S801 Foreigner’s family maintenance
S303 Travel for education S802 Private gift/donation
S304 Basic Travel Quota (BTQ) S803 Grants/donations to charity by Govt.
S305 Travel for pilgrimage S804 Contribution by Govt. to international
institutions
S310* Other travel payments(Including credit card) S810* Other transfers
Transportation Income
S401 Shipping transport – Remittance by fgn. Cos. S901 Interest in NRI deposits
S402 Air transport – Remittance by fgn. Cos. S902 Interest on loans
S403 Shipping transport – Remittance by Indian cos. S903 Dividends, profits
S404 Air transport – Remittance by Indian cos. S904 Interest on debentures/bonds
S405 Freight on imports S905 Interest on ODs in Nostro A/c.
S406 Freight on exports S906 Salary of Non-residents
S407 Charter hire charges (Airline cos.) S910* Other income
S408 Charter hire charges (Shipping cos.)
S409 Booking of passage in foreign countries
S410* Other transportation (e.g. demurrage, etc)