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asf ¢p Tapes Bi. Bi. Ni. Form No. 3 2 Laxmi Bank Limited Details of Letter of Credit Established Date__/_20__ Branch ‘We request you to L establish/ C] amend/ 0 cancel Import L/C on account of 1 _a, Name of the firm/ company (applicant): bd. Name of firm’s owner: ¢, Income Tax Registration No. 4. Country of ‘shipment ‘e. Custom Point of Entry 2. a) Name of Commodity In ease of amendment or cancellation: L.LICNo. 2. Clauses to be amended: a) b) For Bank’s Use Only |. Letter of Credit No. 2. Date of Opening; 4.Date of Expiry: 4, Value of LIC in FCY: ‘5. Mode of Payment ;ClBank Balance Cilmporter’s FCY A/C 6. Exchange Rate Advising Bank 8. Terms of Payment: CiSight (BUsance (Number of Days) ‘This is to certify that the letter of credit (1 established/ C1 amended C_ cancelled as per the details above. ‘Authorized Signature Bank's Stamp

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