1. TRANSACTION CODE :
Beneficiary Instrument Application/Agreement
Applicants must complete ALL sections of the form in order for the application to be processed. When
completed, the application will become part of your Customer Agreement. All information remains
confidential and private.
CLIENT INFO
Principal Name
Drivers' License or Passport
Number
Permanent Address
Primary Phone Number
Secondary Phone Number
Fax Number
E-mail Address
Client Bank Name
Bank Officer Name
SERVICE INFO
Time Period Instrument Needed
Type of Instrument Needed -BG, SBLC,
MTN, CD
Amount Requested
Type of Account Confirmation
Required -SWIFT? Mt760, Mt799 etc
Instrument Fee Quoted
Willing to return the Instrument
unencumbered at end of lease term?
COMPANY DETAILS
Name of Company
Principle Structure of your Business –
Corporation, LLC, Partnership, Individual
Type of Business
Date and Place of Incorporation
REFERRING AGENT [IF APPLICABLE]
The following persons are recognized as our Referring Agent(s):
Referring Agent (1) Name and PHN #
Referring Agent Email
2. TRANSACTION CODE :
Referring Agent(2) Name and PHN #
Referring Agent Email
USE OF INSTRUMENT DESCRIPTION
Provide a detailed description of how you will be using the Instrument – be as detailed as possible.
ACCURACY OF INFORMATION
I personally represent and warrant, under penalty of perjury, that the information provided is
accurate and complete. Further, I warrant that I have the legal authority to sign on behalf of my
self and/or my company. I agree to notify the leasing provider if the information which has been
supplied changes in any manner.
Name of Authorized Signatory
Title
Date
__________________________
Signature
ADDITIONAL DOCUMENTATION REQUIRED
Please attach the following documents when submitting your application:
• Companies: Corporate applicants must provide a Certificate of Incorporation and Corporate Resolution,
along with proper identification documents.
• Individuals: Individual applicants must supply two documents which show identification (Passport,
State ID, Etc.)
• Authorized Persons: Associated or authorized applicants must provide two forms of identification to
prove their residence and identity.
• Verbiage: Applicants must clearly define the verbiage needed for their transaction if there
are special conditions.
3. TRANSACTION CODE :
All information requested is in accordance with International Money Laundering Regulations and the US
Patriot Act.
BANK COORDINATES OF BENEFICIARY TO RECEIVE INSTRUMENT:
BENEFICIARY NAME:
PASSPORT #:
TELEPHONE + FAX#:
EMAIL:
BANK NAME:
BANK ADDRESS:
ACCOUNT NAME:
ACCOUNT NUMBER:
SWIFT CODE:
ABA - ROUTING #:
BANK OFFICER:
BANK OFFICER
PHONE / FAX #:
BENEFICIARY’S BANK CO-ORDINATES TO PAY FEES AND COMMISSIONS
Bank Name
Bank Address
Account Holder
Account Number
SWIFT CODE
Signatory Name
PROVIDER’S BANKING CO-ORDINATES TO ISSUE INSTRUMENTS(RWA/MT799/MT760)
Bank Name
Bank Address
Account Name
Account Number
IBAN Number
SWIFT CODE
PROVIDER’s BANKIING CO-ORDINATES TO RECEIVE ALL FEES
Bank Name
Bank Address
Account/Beneficiary Name
Account Number
IBAN NO
Sorte Code
SWIFT CODE
4. TRANSACTION CODE :
WHEREAS. The Beneficiary desires to Lease/Purchase Financial Instrument from the Provider.
Beneficiary confirms with full corporate and legal responsibility that funds available to fulfill the
requirements for Lease/Purchase of this instrument is ready and Beneficiary further confirms to cooperate
with the Provider.
WHEREAS. The Provider desires to Lease/Purchase transfer and assign all rights title and interest of the
Financial Instrument available to it to the Beneficiary. Provider represents and warrants that it has the
ability and resource to arrange through associates, contracts and sources, with full corporate
responsibility, financial instrument in the term of assignments to be provided to Beneficiary. Provider
hereby declares under penalty of perjury that the Instrument will be backed by funds that are good, clean,
clear, and free of non-criminal origin, the financial instrument will be free and clear of all liens,
encumbrances and third party interests.
NOW THEREFORE, The Beneficiary has agreed to Lease/Purchase the Bank Instrument at X% of
Face Value (Depending on the amount of face value) for the instrument requested and Provider has
agreed to issue Financial Instrument for Lease/Purchase and both Parties hereby agree to the following:
TRANSACTION DESCRIPTION:
1. Instrument : BG/SBLC
2. Total Face Value : USD/EUR 50M AND ABOVE
3. Issuing Bank : TOP RATED BANKS
4. Age :
5. Leasing Fee : 10%
6. Purchase Fee : 55%
7. Delivery : VIA SWIFT
8. Payment : BY WIRE TRANSFER
9. Hard Copy : AFTER 7 BANKING DAYS
INSTRUMENT DELIVERY PROCEDURE
1. Both parties (Lessor and Lessee) execute, sign and initiate the Deed of Agreement, which
thereby automatically becomes a full commercial recourse contract.
2. Within 24hrs to 48hrs upon exchange between both parties the countersigned Deed of
Agreement/Application, the beneficiary will send to provider a proof of funds (POF) via
email OR the beneficiary bank account officer will send POF via bank email to
provider’s bank officer’s email.
3. Upon receipt and confirmation of POF by provider, the provider instructs his banker to
send a RWA via bank secured email or via Swift MT199 stating his readiness and ability
to deliver bank instrument according to the approved verbiage as been presented by the
beneficiary.
4. Upon receipt of RWA from provider, the beneficiary instructs his bank officer to seek
confirmation and authenticity of the letter via bank to bank email communication
5. TRANSACTION CODE :
between the account officers.
5. After confirmation of RWA, the beneficiary will pay not less than 1% of face value of
instrument needed into provider’s designated bank details or assigned account nominated
for that purpose.
6. Within Three (3) banking days after confirmation of receipt of payment of 1% of face
value of the needed instrument, the provider will instruct his bank to deliver bank
instrument via bank confirmation of Swift MT799/MT760 to the beneficiary bank.
7. Within 3 to 7 banking days after the beneficiary receive and confirm the suitability of
issued instrument, beneficiary pays provider the Leasing fee/Purchase fee and also pays
the brokers commission but deduct the initial 1% paid from the sum total.
8. In not more than seven(7) banking days after confirmation of payment of necessary fees,
provider instruct his bank to deliver hard copy of the bank instrument via bank bonded
courier.
Should Beneficiary default to pay the fees to the Provider and the brokers commission
fees as agreed after 3 to 7 banking days of confirmation of BG/SBLC MT760 in
Beneficiary's bank, Provider will instruct the issuing bank to put a claim on the
Instrument thereby forcing the Beneficiary bankers to return the instrument to the issuing
Bank.
NON-SOLICITATION
The Beneficiary hereby confirms and declares that the Provider, its associates or representatives or any
person or persons on his behalf has/have never ever solicited the Beneficiary, its shareholders or
associates or representatives in any way whatsoever that can be construed as a solicitation for this
transaction or for future transactions.
FORCE MAJEURE
Any delay in or failure of performance by either party of their respective obligations under this
agreement they shall pay 1% as penalty.
Any delay in or failure of performance by either party of their respective obligations under this agreement
shall not constitute a breach hereunder or give rise to any claims for damages if, and to the extent that
such delays or failures in performance are caused by events or circumstance beyond the control of such
party.
The term “Beyond the Control of Such Party “Include Lawful order of Government or Authority, Act of
War, Rebellion or Sabotage, Fire, Flood, Earthquake or other natural disasters. Any other cause not
within the control of such party or which is by exercise of reasonable diligence, the party will be unable
to foresee or prevent or remedy.
6. TRANSACTION CODE :
ARBITRATION
All disputes and questions whatsoever which arises between the parties to this agreement and touching on
this agreement on the construction or application thereof or any account cost, liability to be made
hereunder or as to any act or way relating to this agreement shall be settled by the arbitration in
accordance with the arbitration laws of the ICC.
This agreement contains the entire agreement and understanding concerning the subject matter hereof and
supersedes and replaces all prior negotiations and proposed agreements, written or oral. Neither of the
parties may alter, amend, nor modify this agreement, except by an instrument in writing signed by both
parties. This agreement will be governed by and construed in accordance with the laws of United
Kingdom. In the event that either party shall be required to bring any legal actions against the other it
enforce any of the terms of this agreement the prevailing party shall be entitles to recover reasonably
attorney fees and costs.
9. TRANSACTION CODE :
BENEFICIARY ENDORSEMENT/CONSENT.
Name of Beneficiary
Title
Date
Nationality
Passport No
__________________________
Signature
PROVIDER’S ENDORSEMENT/CONSENT.
Name of Provider
Title
Date
Nationality
Passport No
__________________________
Signature
10. TRANSACTION CODE :
BENEFICIARY ENDORSEMENT/CONSENT.
Name of Beneficiary
Title
Date
Nationality
Passport No
__________________________
Signature
PROVIDER’S ENDORSEMENT/CONSENT.
Name of Provider
Title
Date
Nationality
Passport No
__________________________
Signature