Company Letterhead

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Fax

Date

Applicant(Full Name & Address):

Account No

Contact Person

Tel

Shipper:

For the benifit of a third party(Name & Address):

Bills Of Landing("(BL")/Airway Bill("AWE"<)/No:

Vessel Name & Voyage No./ Flight No:

SG /AWE to be issued in favour of (name of shipping company/ carrier):

Declared value of Goods ("The Goods") Amount (Currency & Figures):

Brief Description And Qty of Goods:

We confirm that the shipping documents relating to this indemnity will be presented through the medium of your bank under-
Please tick where applicable

Latter of credit no.

Collection Basis-documents against payment/acceptance .

Others.

Enclosed: Indemnity Required by Carrier/Shipping Company in Duplicate, Copy of Invoice and Bill Of Landing

We request you to issue, endorse or countersign a letter of indemnity/guarantee in favour of the above-named party to enable us/ the party indicated above (whichever is applicable) ro obtain the release of the Goods to which the above BL/AWE/other documents of title(collectively, "the title documents") relate, such title documents having yet to arrive or which we otherwise do not as possess. We have read, understood and acknowledged the Terms and Conditions for Application For Shipping Guarantee/Airway Bill Endorsement(copies available at www.dbs.com) and fully authorize the bank to proceed with the provision of the service. We also understand and agree that the Bank may modify the Terms an Conditions for Application For Shipping Guarantee/ Airway Bill Endorsement without prior notice to us at any time.

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Authorized Signature & Applicant's Stamp

APPLICATION FOR SHIPPING GUARANTEES ["SG"]/ AIRWAY BILL ENDORSEMENT["AWE"]

TO