Document Reference No: TRD(DCN/BI-RV1/022018)

Please mark where applicable
* Delete whichever is not applicable / Date of Application: - JanFebMarAprMayJuneJulyAugSeptOctNovDec - 2014201520162017201820192020
Collection of Proceeds Presentation to Issuing / Negotiating / Restricted Bank for Payment
1. Beneficiary / Drawer / Seller (Full Name & Address):
3. Customer Ref. No.: / 2. Applicant / Drawee / Buyer (Full Name & Address):
4. Bill Amount (Currency & Figures):
/ 5. Tenor: Sight
Usance: days after
6. Brief description of goods:

7. Bill(s) of Exchange and accompanying Shipping Documents
Enclosed as follows:
Drawn under Letter of Credit-i (“LC-i”) No.:
Issued by:
/ 8. Collecting Bank (Full Name & Address):
9. Documents
Enclosed: / Bill of Exchange / Invoice / Packing List / Cert. Of Origin / Takaful Cert. / Insurance / Policy * / Bill of Lading / Air Waybill / Delivery
Order
Original
Copies
10. Instructions for documents to be sent for Collection
Deliver documents against: Payment (D / P) Acceptance (D / A)
Acceptance (D/A) and Avalisation by the Collecting Bank
*Acceptance and/or Payment may be deferred pending arrival of goods
11. Instructions to Collecting Bank / LC-i Issuing Bank / LC-i Reimbursing Bank / LC-i Nominated Bank to:
Advise *Non-Acceptance and/or Non-Payment by SWIFT
Advise *Acceptance and/or Payment and Due Date By SWIFT
12. Bank Charges:
AmBank Islamic Berhad charges paid by us. Please debit our Account No.: with you.
All Bank charges (including AmBank Islamic Berhad paid by Applicant / Drawee / Buyer or
By us. Please debit our Account No.: with you.
*Waive / Do not waive Bank charges
Collect charges from Drawee at % p.a. from to
13. Instructions for Proceeds:
Upon receipt of Reimbursement or Receipt of collection proceeds:
Please remit proceeds / full invoice value to:
Beneficiary / Drawer / Seller Bank Name:
Account No.:
Please credit our Account No.: with you or
For the conversion of the Foreign Currency Amount to Ringgit:
Please apply / use the Foreign Exchange Rate quoted by your Treasury @ for
with Foreign Exchange Contract No.:
14. Company’s Contact Person/s and Telephone Number/s if More Information is Required:
15. Additional Instructions:

1.  In consideration of our request to you, AmBank Islamic Berhad to send documents under Collection or Negotiation (as indicated above), for our account and in accordance with the above instructions, we hereby irrevocably and unconditionally agree to fully abide by the Terms and Conditions for Documentary Collection / Negotiation appearing in AmBank Islamic Berhad’s “Master Islamic Trade Terms and Conditions” and/or other relevant agreements which have been and will be advised to us by you and from time to time in force in AmBank Islamic Berhad. Unless instructed by us to do so, we acknowledge that AmBank Islamic Berhad will neither be providing instructions to protest the above mentioned Bill for non-acceptance or non-payment nor does it have obligation to store and cover / insure the goods related to the above mentioned Bill. This Documentary Collection / Negotiation Application and any subsequent amendments to the Documentary Collection / Negotiation shall be subject to the prevailing International Chamber of Commerce Uniform Customs and Practice for Documentary Credits or International Chamber of Commerce Uniform Rules for Collection, as the case may be. We hereby declare that we are aware of, and in full compliance with the Strategic Trade Act of 2010 and all the regulations and requirements connected thereto.
2.  We shall comply with the Foreign Exchange Administration (“FEA”) Rules relating to dealings in currency, financing & guarantee, investment in foreign currency asset,payments, security & financial instrument, and export of goods at all times.
3.  We confirm that the proceeds derived from the export of goods will be received within 6 months from the date of export and acknowledge the requirement to report to BNM in the event export proceeds are not received within 6 months from the date of export as required by Notice 7 of the FEA Rules.
We hereby confirm that the above information is true and correct and further confirm that we have chosen the language in this form as the language of this form. This chosen language shall prevail in the event of differences in meaning over the version of this form in any other language.

Authorised Signatory(ies) With Company’s Authorised Rubber Stamp

Page 1 of 4

Reference No.:
Bill of Exchange for / Date: / - JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC- 2014201520162017201820192020202120222023202420252026202720282029203020312032
At / after sight of this First Bill of Exchange
(Second Unpaid) pay to the order of AmBank Islamic Berhad (295576-U)
the sum of
value received drawn under
Documentary Credit No. / dated / - JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC- 2014201520162017201820192020202120222023202420252026202720282029203020312032
To / FOR AND ON BEHALF OF
TRD(DCN/BI-RV1/022018)
Reference No.:
Bill of Exchange for / Date: / - JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC- 2014201520162017201820192020202120222023202420252026202720282029203020312032
At / after sight of this Second Bill of Exchange
(First Unpaid) pay to the order of AmBank Islamic Berhad (295576-U)
the sum of
value received drawn under
Documentary Credit No. / dated / - JANFEBMARAPRMAYJUNJULAUGSEPOCTNOVDEC- 2014201520162017201820192020202120222023202420252026202720282029203020312032
To / FOR AND ON BEHALF OF
TRD(DCN/BI-RV1/022018)
Please mark where applicable
* Delete whichever is not applicable / Date : -JanFebMarAprMayJuneJulyAugSeptOctNovDec - 2014201520162017201820192020
Purchase Negotiate / Discount
1. Beneficiary / Drawer / Seller (Full Name & Address):
3. Customer Ref. No.: / 2. Applicant / Drawee / Buyer (Full Name & Address):
4. Bill Amount (Currency & Figures):
/ 5. Principal / Financing Amount Required (Currency & Figures):
AS PER ADVICE / 6. Purchase Price
AS PER ADVICE
7. Related Documentary Export *Collection / Negotiation Ref. No.:
/ 8. Financing Tenor Required (In Days):
AS PER ADVICE
9. Brief Description of Goods:

10. Instruction for Proceeds:
Upon negotiation or puchase, our instruction pertaining to the net proceeds is as per Instruction for Proceeds stated in the Application.
Pursuant to the terms and conditions of the Documentary Collection / Negotiation facility granted or to be granted by AmBank Islamic Berhad to us which is based on the Shariah principle of Bai’ Dayn (sale of debt), we hereby sell to you the debt arising from the export sale of the Goods at Purchase Price (which Purchase Price the Bank will notify to the authorized contact person via e-mail or telephone at ). In consideration of you, AmBank Islamic Berhad, agreeing at our request to purchase the debt arising from the export sale of the Goods for our account and in accordance with the above instructions, we hereby certify and irrevocably and unconditionally agree to the following:
i.  That the supporting documents presented by us to you are related to trade transactions where there are tangible goods and there is a genuine transfer of the title of the goods concerned.
ii.  That we have not obtained and shall not obtain financing from any other financial institution for this transaction.
iii.  That the export proceeds of the relating export bills shall be applied to discharge the debt arising from the export sale of the Goods.
iv.  That you are hereby authorise by us to debit our account without notice to us for any shortage, if the proceeds of the export bill received are not sufficient to discharge the debt.
v.  To fully abide by the Terms and Conditions for Documentary Collection / Negotiation and terms appearing in AmBank Islamic Berhad’s Master Islamic Trade Terms and Conditions and/or other relevant agreements which have been and will be advised to us by you and from time to time in force in AmBank Islamic Berhad. We further authorise you to release any information related to our account / transactions, to any person(s) as you may deem fit and proper at any time at your discretion. We hereby declare that we are aware of, and in full compliance with the Strategic Trade Act of 2010 and all the regulations and requirements connected thereto.
ACCEPTANCE
The Bank hereby Accepts or Reject, the purchase in accordance with the terms above.
COLL / NEGO No. :
Authorised By : ______
(name and signature)
Remarks (if any):
TRD(DCN/BI-RV1/022018) / We hereby confirm that we have read and understood the above terms and further confirm that we have chosen the language in this form as the language of this form. This chosen language shall prevail in the event of differences in meaning over the version of this form in any other language.
______
Authorised Signatory(ies) With Company’s Authorised Rubber Stamp

Page 1 of 4