Export Collection Presentation Form

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PLEASE ENSURE THIS FORM IS COMPLETED ONLINE (TYPED)
To: The Manager
ANZ Trade and Supply Chain
Select (Branch)
Date (dd/mm/yyyy)
anch
From (customer name and address, include company
identification number if applicable):

Export Verification Ref. No. (if applicable)
Customer Reference

Contact person and Telephone number

I/we request that ANZ handle the attached documents in accordance with instructions marked “X” and subject to the Uniform Rules for Collections(1995 Revision) ICC Publication No. 522.
COLLECTION egotiate by crediting account/s stated below immediately andN
forward for collection.

Forward for collection and negotiate by crediting account/s statedbelow upon receipt of the collecting bank’s guarantee of thepayment of the bill (avalisation)
Forward for collection and credit proceeds to account’s statedbelow on receipt of payment from Collecting Bank.

Drawee’s Bankers (name, address and SWIFT code)

Drawee (name and address)

Currency

Tenor

Amount

DOCUMENTS PRESENTED (No of copies)
Originals

Originals

Duplicates

DuplicatesBills of Exchange

Health Certificate

Invoice

Inspection Certificate

Bill of Lading

Test Certificate

Air Waybill

Quality Certificate

Insurance Certificate

Beneficiary’s Certificate

Certificate of origin

Tally Sheet

Packing List

Log List[Other][Other][Other][Other][Other][Other][Other][Other]Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522.

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Export Collection Presentation Form

Dispatch documents as follows
Original and Duplicate [one copy/two copies]
SHIPPING DETAILSFromTo		Via

Shipping Date (dd/mm/yyyy)

ETA of Vessel

Carrier Name			

Vessel nameDescription of Goods

COLLECTION INSTRUCTIONSRelease documents against Payment – D/P (for Sight Collections).

Release documents against Acceptance – D/A (for Term Collections).

 btain advice of acceptance / payment by authenticatedO
telecommunication.

 verseas / local / other bank charges, including commission, stampO
duty, telecommunication costs and postage are for drawee’s account.

ANZ charges (including interest if applicable) are for the account of. (Charges for our account will be calculated at
the exchange rate applicable on the day of lodgement).

Presentation may be delayed until arrival of goods at port ofdestination without Noting / Protesting.

 equest buyer’s bank to guarantee payment of the bill of exchangeR(avalise) and confirm by SWIFT

Collect interest at
fromto% p.a (based ondate.

day year)[waive/ do not waive] charges / interest if refused.

If the drawee has not effected acceptance withindays of presentation or made payment on due date then ote or protest forNDo not note or protest forA dvise by Telecommunications
Store and insure goods.

SPECIAL INSTRUCTIONS

Please note: Banks have no obligation to take action in respect of goods to which the documentary collection relates, including storage and insuranceof the goods even when specific instructions are given to do so.

Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522.

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Export Collection Presentation Form

CREDIT PROCEEDS TO
Domestic Account No

Apply proceeds against Forward Exchange

NoForeign Currency Account NoDueAccount held with (Beneficiary’s Bank’s name and address)
Charges:Debit our following account for all charges relating to this instruction:
Currency

Account NumberThis application is subject to, and we are bound by, the terms in the ANZ Trade Terms booklet and any other applicable Trade Agreements. We confirm
that ANZ has given us the booklet or we have accessed it at anz.com/corporate and given us the other applicable Trade Agreements. We acknowledge
ANZ recommends that we read these documents and seek clarification from ANZ about any issues of concern.
Authorised Signature

Name of Authorised Signatory

Authorised Signature

Name of Authorised Signatory

Company stamp or chop (if applicable):

BANK USE ONLY
Date received (dd/mm/yyyy)

Signature(s) verified		 YesNoAll checks complete

Approved by

Trade Relationship Officer

Manager / Team Leader

Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522. ANZ’s colour blue is a trade mark of ANZ. Item No. 76277D 01.2012 W262236

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