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To: Samba Financial Group, / Date: / Sunday, March 18, 2012
LETTER OF CREDIT APPLICATION
Dear Sir(s) please mark (X) where applicable;
Please issue an irrevocable Documentary Letter of Credit on my / our behalf as shown on this application:
Confirmed / Transferable / Revolving one plus ____time(s) Cumulative Non-Cumulative
Air Mail / Air mail with brief Swift/telex advice / Fully Detailed Swift/Telex
Courier / Courier with brief Swift/telex advice

Advising bank (subject to the approval of SAMBA and signature of such other agreement by me / us as SAMBA may

stipulate. If left blank, please use your branch or correspondent bank):
Beneficiary (full name and address):
Amount and currency (in figures): / Tolerance / +/- %
Amount and currency (in words):
Price basis (check one): / CIF / CFR / FOB / FAS
CIP / CPT / FCA / Ex-Works
Other (please specify):
Available by beneficiary’s / Sight draft(s) / Acceptance draft(s), please state acceptance tenor:
Other (please specify):
Day / Month / Year
Expiry Date:
Partial shipment / delivery / drawing: / Prohibited. / Permitted.
Transshipment: / Prohibited. / Permitted only at:
Shipment / delivery from / / to / via
Day / Month / Year
Latest date of shipment / delivery:

DOCUMENTS REQUIRED:

1. / Full set of clean on board bill of lading made out to the order of Samba Financial Group marked notify
applicant
Full set of clean on board multimodal or combined transport document made out to the order of Samba Financial
Group marked notify applicant
Air Waybill / Truck Consignment Note / Forwarder Consignment Receipt consigned to Samba
Financial Group (if different specify):
marked: / Freight Prepaid. / Freight payable at destination.
Freight charges payable in addition to LC value upon presentation of actual freight invoice (s)
not exceeding:
Freight charges are payable by outside LC value.
Delivery Note
2. / (Applicable to CIF /CIP Credits) Marine / Air / Land insurance policy or certificate.
3. / (Applicable to CIF /CIP Credits) A certificate appended to the insurance policy issued by the insurance company.
4. / A separate certificate appended to the bill of lading / air waybill / truck consignment note issued by the vessel / plane / truck owner, agent, captain, or company.
5. / A certificate issued by the beneficiary, in case of shipment in containers.
6. / (Applicable to sea shipments) Vessel age and classification certificate.
7. / Certificate of origin. Origin of Goods:
8. / Commercial invoice (brief details):
9. / Other documents or documentary requirements / special instructions:
Draft(s) and documents to be presented to the advising, negotiating or paying bank within / days after the date of
issuance of the transport documents but in any case within the validity of the credit.
(Applicable to non-CIF Letters of Credit). In case the Client have/has not submitted original cargo insurance policy within 30 days from submission of this LC application, the Client irrevocably and unconditionally authorize(s) Samba Financial Group that it may at any time in its sole discretion obtain, on the basis of this application, cargo insurance coverage in the name of Samba on the terms and conditions as may be agreed with the insurance company for the issuance of this Letter of Credit and to debit the Client’s account for all the premium, handling charges and any other costs and expenses associated with such insurance policy. The Client understand(s) and agree(s) that Samba Financial Group is not the insurer and is therefore not responsible and/or liable by any means for the performance of the insurer or adequacy of the insurance provided.
I / We hereby agree, understand and acknowledge that the terms and conditions included in Samba Financial Group’s indemnity form titled “General Conditions for issuing Letters of Credit” shall govern and construe all Letters of Credit, whether current ones or forthcomings, issued upon my request by Samba Financial Group”.
A/C Name
A/C No. / Signature
Address / P. O. Box / Postal Code / City
Tel. No. / Fax no.
مجموعة سامبا المالية شركه مساهمةسعودية، رأس المال 9000 مليون ريال سجل تجاري 1010035319المركز الرئيسي : الرياض ص .ب :833 الرياض 11421 المملكة العربية السعودية
Samba Financial GroupSaudi Joint Stock Company Capital SR.9000 Million, Commercial Reg.No1010035319, Head Office: Riyadh P.O. Box 833,Riyadh11421 kingdom of Saudi Arabia