APPLICATION FOR LETTER OF CREDIT

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Application for Letter of Credit

With which we request on our order and for our account the issuance of an irrevocable documentary letter of credit according to the below stated instructions. Uniform Customs and Practice for Documentary Credits – UCP issued by the International Chamber of Commerce in Paris, valid on the date of issuance of the Letter of Credit apply to this Letter of Credit.



APPLICANT (50):

RN: PIN: Address: Telephone:

Contact person:

Reference:

Fax number:

E-mail:

Letter of Credit number:

RN - Registration Number/Matični broj

PIN - Personal Identification Number/OIB



BENEFICIARY/SUPPLIER (59): Street/Address: Place/City:



Country:





BENEFICIARY’S / SUPPLIER’S BANK: Street: Country:

SWIFT:



Currency (32B):

Amount:

Amount in words: Defining the Letter of Credit amount (39A):

no tolerance

Description of goods/services (45A):

+/-

+

Trade terms:

- EXW

+/-

% from weight/quantity of the goods FCA

CPT

CIP

DAT

+

+/DAP

-

+ DDP

% of Letter of Credit amount

- FAS

% from the unit price FOB

CFR

CIF

Incoterms: 2010 other: Place/port of loading/discharge according to Trade term:

Letter of Credit is issued: With cash cover up to maximum amount of L/C in the currency of L/C from the Frame nr.

(insert 10 digit number of the Contract)

For covering of /payment from the Letter of Credit debit our account held with Zagrebačka banka d.d., IBAN: We shall pay charges and commissions/fees: upon received invoice

by standing order

Available by (41A): payment

negotiation

deferred payment within:

acceptance days from:



shipment date

invoice date

presentation of documents

other (insert)

Mixed payment (insert)

Available with (41A):

Zagrebačka banka d.d.

Beneficiary’s bank

any bank (insert country):

Application for Letter of Credit Latest shipment date (44C): Shipment period (44D):

Description of goods for each shipment period:

from:

to:

from:

to:

from:

to:

Period for presentation of documents (48):

within 21 days from the shipment date, but within L/C validity



within

day(s) from

, but within L/C validity

within L/C validity



Expiry date (31D):

Expiry place (31D):

Zagrebačka banka d.d.

Beneficiary’s bank

Letter of Credit (40A) is issued as:

any bank (insert country):

non-transferable

Confirmation instructions (49): confirm Charges and commissions/fees (71B):

transferable

Standby L/C

without

may add

charges and commissions/fees of Zagrebačka banka are for the account of Applicant, and charges and commissions/fees of foreign bank are for the account of Beneficiary Applicant

Mode of transport:

Beneficiary



service



other (insert) by road

by ship

combined/multimodal

by plane

by rail

by mail

Place of Taking in Charge/Dispatch from .../Place of Receipt (44A): Place of Final Destination/For Transportation to .../Place of Delivery (44B): Port of Loading/Airport of Departure (44E): Port of Discharge/Airport of Destination (44F):

Partial shipments (43P):

allowed

not allowed

Transshipment (43T):

Required documents (46A):

Commercial invoice, signed



Packing list



Certificate of origin



Certificate of origin (Form A , GSP)



issued by (insert Issuer):



verified by (insert Issuer):



original

copy

Insurance policy



Insurance certificate



Insurance policy or certificate



indicating as an assured party:

applicant

additional description:

other legal entity:



blank endorsed



covering

% of the value of the goods and following risks:



all risks

certain risks:

excluding certain risks: EUR 1

ATR

* if only copies of document are required, one of the following is to be chosen:



not allowed

indicating origin of goods (insert country):





allowed

Beneficiary’s statement confirming that the original of document is following the goods Original instead of copy is not acceptable Photocopy instead of copy is not acceptable

endorsed in our favour

Application for Letter of Credit Transport documents (46A): Bill of Lading full set or Multimodal or combined transport document full set or made out to order of: made out to order and blank endorsed consigned to: applicant notify party: applicant according to Trade term, marked freight:

out of full set (insert number)



out of full set (insert number) applicant other legal entity: other legal entity: other legal entity: freight prepaid freight collect

original copy CMR consigned to: applicant other legal entity: AWB consigned to: applicant other legal entity: CIM consigned to: applicant other legal entity: Non-negotiable Sea Waybill consigned to: applicant other legal entity: Courier receipt Post receipt Certificate of posting consigned to: applicant other legal entity: Issued by and indicating Other documents (46A):

original copy



Quality Certificate

issued by

and indicating



Quantity Certificate)

issued by

and indicating



Analysis Certificate

issued by

and indicating



Inspection Certificate

issued by

and indicating



Health Certificate

issued by

and indicating



Phytosanitary Certificate

issued by

and indicating



Pre-Shipment Certificate

issued by

and indicating



Certificate of

issued by

and indicating



Declaration of

issued by

and indicating



Statement of

issued by

and indicating



Confirmation of

issued by

and indicating



Fax Advice



issued by



accompanied by successful fax delivery notice addressed to

and indicating

Additional conditions (47A):

Is the underlying business of the Letter of Credit directly or indirectly connected to Russia, Russian entities, and buyers or similar (not necessary to fill out in case of L/C issuance from Frame)?

yes

no

OTHER CONDITIONS: Zagrebačka banka d.d. (hereinafter: the Bank) issues the Letter of Credit based on the information and data provided in this Application only. If the data and information in the Application do not comply with the standards of Letter of Credit business, the Bank may and will seek additional documentation, data and information from the applicant, in order to confirm accuracy of the data and information stipulated in the Application. Applicant is responsible for the authenticity and integrity of all the data, information and documentation based on which the Bank had issued the Letter of Credit, and they are obligated to compensate to the Bank any possible damage, loss and/or cost occurred as a consequence of providing the Bank with inaccurate and/or incomplete data and information.

Place and Date:

Name and Surname of the signatory:

Signature of the Applicant: