st

Office 2, 1 Floor, La
Place Creole Building,
POB 505, Rodney Bay,
Gros-Islet, Saint Lucia

SALES REQUEST FORM FOR BG DRAFT

Validity (Example: 180 Days)

SWIFT or Hardcopy?

BRIEF DESCRIPTION

Description and Purpose of BG

Value of BG

Specific Expiry Date (If Applicable)

Attached Agreement Reference and

Date (In English)

Applicant’s Details

Name

Address

Contact Person Name

Contact Phone No.

Email:

Euro Exim Bank Ltd - Office 2, 1st Fl, La Place Creole Building, POB 505, Rodney Bay, Gros-Islet, Saint Lucia
 st
Office 2, 1 Floor, La
Place Creole Building,
POB 505, Rodney Bay,
Gros-Islet, Saint Lucia

Beneficiary’s Details

Name

Address

Beneficiary Bank Account No.

Beneficiary Bank SWIFT Code

For Advance Payment Guarantee (APG) Only (Please skip this section for other instrument types.)

Applicant Banking Details for Payments:

Name of Bank

Address of Bank

Bank BIC/SWIFT address

Applicant Account Number

Advance Payment Percentage

(As a percentage of full tender /
contract value) (Example: 5%)

We hereby confirm that the information provided above is true and correct.

_________________________________
Authorized Signatory

Name:

Title:

Date:

*The Form to be filled, signed and stamped by the Applicant and not our staff.

Euro Exim Bank Ltd - Office 2, 1st Fl, La Place Creole Building, POB 505, Rodney Bay, Gros-Islet, Saint Lucia