1 NRSR Application-cum-Undertaking form for opening of Non-Resident (Special) Rupee (NRSR) Account To. ........... ........ (Name and address of bank) Dear Sir, Opening of Non-Resident (Special) Rupee Account *I/We request you to open a Non-resident (Special) Rupee account with your branch. *I/We request you to convert our existing resident account no...... with your branch to a Non-resident (Special) Rupee account. My/Our particulars are given below: 1. Name/s 2. Address/es 3. Nationality I/We undertake to abide by the regulations framed for Non-Resident (Special) Rupee accounts. Undertaking I/We ,(name/s)............, undertake that : I /We will not make available to any person resident in India any foreign exchange against reimbursement in India in rupees or otherwise. I /We will ensure that investment is shares /securities or immovable property in India out of funds held in my/our NRSR account with you are governed by respective regulations of Reserve Bank of India. I/We voluntarily undertake that I/We and/or my/our heir/successor will not seek repatriation of funds held in my/our NRSR a/c with you and /or any income/interest earned thereon at any time. Place.... (Signature/s) ......... Date.... Name/s ........... Address/es......... ........... Photograph/s of the accountholder/s