TRANSACTION CODE: SELLER’S REF. CODE: BUYER’S REF. CODE:
(MT760 VERBIAGE) APPENDIX A :
TO
BANK NAME: BANK ADDRESS: BANK OFFICER NAME: TEL: FAX: ACCOUNT NAME: ACCT NO: SWIFT CODE
WE (BANK NAME AND ADDRES): REPRESENTED BY THE UNDERSIGNED OFFICERS, HEREBY CONFIRM WITH BANK RESPONSIBILITY AND LIABILITY IRREVOCABLY AND UNCONDITIONALLY WITHOUT PROTEST OR NOTIFICATION PROMISE TO PAY AGAINST THIS BANK GUARANTEE NO: (XXXXXXXXX) IN FAVOUR OF GENERAL (CLIENT NAME AND ADDRESS), ON MATURITY DATE OF THE SUM OF (AMOUNT INTEND LEASE) IN THE LAWFUL CURRENCY OF EUROPEAN UNION UPON PRESENTATION TO US OF THE ORIGINAL OF THIS BANK GUARANTEE AT OUR COUNTERS ON MATURITY, BUT NOT LATER THAN FIFTEEN (15) DAYS AFTER THE MATURITY DATE.
SUCH PAYMENT SHALL BE MADE WITHOUT SET-OFF AND CLEAR OF ANY DEDUCTIONS, OR CHARGES, FEES OR WITHHOLDING OF ANY NATURE, NOW OR HEREINAFTER IMPOSED, LEVIED, COLLECTED, WITH-HELD OR ASSESSED BY THE GOVERNMENT OF UNITED KINGDOM OR ANY POLITICAL SUBDIVISION OR AUTHORITY THEREOF OR THEREIN.
THIS GUARANTEE IS TRANSFERABLE AND ASSIGNABLE WITHOUT PRESENTATION TO US, OR PAYMENT OF ANY TRANSFER OR ASSIGNMENT FEE.THIS BANK GUARANTEE IS SUBJECT TO THE UNIFORM RULES FOR BANK GUARANTEE’S UNDER ICC PUBLICATION NO.ICC458 600.
_____________________ _______________________ Authorized Signatory Authorized Signatory Bank Officer Bank Officer Title Title
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Buyer’s Initials ___________ Seller’s Initials__________ UNAUTHORIZED CONTACT TO PROVIDER’S BANK IS NOT ALLOWED
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TRANSACTION CODE: SELLER’S REF. CODE: BUYER’S REF. CODE:
CLIENT INFORMATION SUMMARY 1. Date of Submission 2. Name of Company 3. Client Name (Signatory) 4. Passport NO: 5. Country of Residence 6. Passport Issue Date 7. Passport Expiry Date 8. Date of Birth (Place) 9. Address 10. Mobile Tel Number 11. Clients Email Address 12. Do you speak English? 13. Business Name
14. Business Address 15. Registered Office Domicile 16. Business Tax ID Number 17. Years in Business 18. Registration Number 19. Country / State of Incorporation 20. CELL Number 21. Legal Adviser Mail Address 22. Address for Mail Delivery 23. Address for Courier Delivery same 24. Bank Name
BUYER’S BANKING COORDINATES Bank Name: Bank Address: Bank Officer: Telephone: Fax: Account Name: Account Number: ABA Routing: SWIFT: For the benefit of: SIGNATORY:
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Buyer’s Initials ___________ Seller’s Initials__________ UNAUTHORIZED CONTACT TO PROVIDER’S BANK IS NOT ALLOWED
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TRANSACTION CODE: SELLER’S REF. CODE: BUYER’S REF. CODE:
BANKING MAY BE CHANGED WITH NOTICE
37. How were Funds earned: (3 lines of brief explanation) - 38. Origin of Funds:
Are funds free and clear?
39. Brief Overview of Corporate Activity: A
Declaration: I/we swear under penalty of perjury, the information given above is both true and accurate. I am the signatory on the aforementioned bank account. All monies engaged in this transaction are derived from non-criminal origin: and are good cleared. The origin of funds is in compliance with Anti-Money-Laundering Policies as set forth by the Financial Action Task Force (FATF) 6/01 FOR AND ON BEHALF OF: THIS , 2011
Accepted by the BUYER:
________________________________ Signature Title
: : : : :
Mr. President
Passport # :
Date issue Expiry Date Place Issue
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TRANSACTION CODE: SELLER’S REF. CODE: BUYER’S REF. CODE:
NON-CIRCUMVENTION AND NON-DISCLOSURE ALL PARTIES DO HEREIN AGREE THAT THE NON-CIRCUMVENTION AND NON-DICLOSURE RULES (NCND) OF ALL ISSUES FROM THE ICC 600 APPLY TO THIS TRANSACTION FOR A PERIOD OF FIVE (5) YEARS FROM DATE OF EXECUTION OF THIS AGREEMENT BY THE UNDERSIGNED, HIS OR HER ASSIGNS, AGENTS AND/OR HEIRS. THIS NCND ALSO APPLIES TO ANY AND ALL OTHER TRANSACTIONS DIRECT OR INDIRECT INITIATED BY THESE INTERMEDIARIES. THE UNDERSIGNED AGREES THAT THIS FEE PROTECTION IS ASSIGNABLE AND TRANSFERABLE TO THE BENEFICIARIES, DESIGNS, HEIRS AND ASSIGNS UPON WRITTEN NOTICE OF ALL PARTIES, AND SHALL NOT BE AMENDED WITHOUT THE EXPRESS WRITTEN CONCENT OF THE PARTIES. IF NO CONTRACT IS COMSUMMATED, THIS FEE PROTECTION AGREEMENT IS NULL AND VOID IN ITS ENTIRETY.
ALL DISCLOSED BANKING INFORMATION SHALL BE STRICTLY CONFIDENTIAL. NO COMMUNICATION BETWEEN BANKING OFFICERS. OTHER THAN TRANSMISSION BY SWIFT WIRE TRANFER AND ANY OTHER TRANSMISSION SPECIFICALLY AUTHORIZED BY THE BENEFICIARIES, IS PERMITTED. ALL COMMUNICATION SHALL CLEARLY REFERENCE THE TRANSACTION CODE, THE SELLER’S CODE AND THE BUYER’S CODE REFERRED TO HEREIN. SHOULD A CONTRACT BE SIGNED BETWEEN THE SELLER AND BUYER, A BANK ENDORSED CORPORATE PAY ORDER WILL BE ISSSUED TO THE PAYMASTER OF EACH GROUP, FOLLOWED BY A SWIFT WIRE TRANSFER TO THE PAYMASTER’S ACCOUNT, WHEN PAYMENT FOR THE BANK INSTRUMENT IS COMPLETED. AN EXECUTED FACSIMILE OR EMAIL COPY SHALL BE DEEMED TO BE AS AN ORIGINAL.
Executed this , 2011 by the buyer Signature Title
: : : : :
Mr. President
Passport # :
Date issue Expiry Date Place Issue
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Buyer’s Initials ___________ Seller’s Initials__________ UNAUTHORIZED CONTACT TO PROVIDER’S BANK IS NOT ALLOWED
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