Please complete this form in English and return it to your bank.
Date:
Name of Applicant:
Address:
Telephone:
Email:
Contact Person:
Contact Person Title:
Legal Representative:
Legal Representative Title:Applicant's Bank:
Bank Address:
Account Number:
SWIFT Code:Name of Beneficiary:
Address:
Telephone:
Email:
Contact Person:
Contact Person Title:Beneficiary's Bank (if different from Applicant's Bank):
Bank Name:
Bank Address:
Account Number:
SWIFT Code:Type of Guarantee: (e.g., Bid Bond, Performance Bond, Advance Payment Guarantee, etc.)
Purpose of Guarantee: (Please provide a brief description of the underlying transaction and the purpose of the guarantee.)
Applicable Rules: (e.g., URDG, ISP98, other)
Form of Guarantee: (Standby Letter of Credit, Demand Guarantee, or other. If other, please specify.)
Amount of Guarantee:
Guarantee Currency:
Guarantee Validity Period: (Start Date and End Date)
Place of Issue of Guarantee:
Governing Law:
Dispute Resolution: (e.g., amicable settlement, arbitration, court litigation. Please specify the chosen method and institution, if applicable)Contract Number (if applicable):
Contract Date (if applicable):
Brief Description of the Underlying Contract/Transaction:Please paste the complete and final text of the guarantee you are requesting here. If the text is lengthy, you may attach it as a separate document.
I/We agree to pay all applicable fees and charges associated with the issuance, amendment, and/or cancellation of this guarantee, as per the Bank's Fee Schedule.
By signing this application, I/We declare and undertake the following:
The information provided in this application is true, accurate, and complete to the best of my/our knowledge and belief. I/We have full power and authority to execute and deliver this application and to bind the Applicant to the terms and conditions of the guarantee. I/We understand and agree to comply with all applicable laws and regulations governing this guarantee. I/We shall indemnify and hold the Bank harmless against any and all losses, damages, costs, expenses, and liabilities (including attorney’s fees) arising from or in connection with the issuance, amendment, or cancellation of this guarantee, except to the extent such losses, damages, costs, expenses, or liabilities are finally determined by a court of competent jurisdiction to have been caused by the Bank's gross negligence or willful misconduct.Applicant's Name:
Signature:
Title:
Date:
Official Use Only
Reviewed by:
Approved/Declined:
Comments:
