Documentary Credit Application Form

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PLEASE ENSURE THIS FORM IS COMPLETED ONLINE (TYPED)Enter Customer IDCountry

Select Bank

Bank Address

I/we request that you arrange for the following Documentary Credit to be issued as follows:
GeneralExpiry Date (dd/mm/yyyy)

Currency
Place of Expiration		

Amount (Figure)This Credit isPartial Shipments
Document dispatched in		Tolerance+/-

Confirmation%(if any)

Confirmation Charges are for the account ofPARTIES
Applicant		

Beneficiary’s BankName		Name

Address

Address

CountryCountry

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

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Documentary Credit Application Form

Beneficiary
NamePhone

Address

Contact NameCountry

TERMS
Tenor
Credit available byDocuments presented within

Beneficiary’s draft at (enter number of days)

Drafts to be dated the same date asdays from date of shipment

All Charges (Mandatory)
All other bank charges other than Issuing Bank charges for account ofTerm Charges (Not Required for Sight)
Discount/Interest charges, if applicable, for the account ofAcceptance commission for the account ofRequired Documents
Required Documents (at least in duplicate unless otherwise specified)
Commercial Invoice

Certificate of Origin

Packing List

Packing Declaration

Insurance Buyers Care

Fumigation Certificate

Other Document (s)Beneficiary Certificate

Insurance Policy or Certificate endorsed in blank for invoice values plus
Australia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522.

% covering

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Documentary Credit Application Form

TRANSPORT
Shipping TermsLocation

Transhipment	freight marked	Air transport document	freight marked
OtherShipment
Port of Loading/Airport of Departure

Place of Taking Charge/Dispatch From/Receipt

Place of Final Destination/For Transportation To/Place of Delivery

Port of Discharge/Airport of Destination

Latest Shipment Date (dd/mm/yyyy)

Purporting to evidence shipment ofATTRIBUTES
Additional conditions
Please specify any changes to the additional conditions here

Settlement Instructions
Principal

At payment debit account No.
At payment finance at our cost inAustralia and New Zealand Banking Group Limited (ANZ) ABN 11 005 357 522.

fordays

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Documentary Credit Application Form	FEC / Deal No.
ChargesDue date

Debit Account No.
Cash Cover(if Applicable)

Debit Account No.

This application is subject to the terms in the ANZ Trade Terms booklet. We confirm that ANZ has provided us with a copy of the booklet and all otherapplicable documents and recommends that we read them and seek clarification from ANZ about any issues of concern.
Signatory
Company / Business Name
Include company identification number if applicable
ABN (only applicable for Australia)			

Date (dd/mm/yyyy)

Authorised Signature				Authorised Signature

Name of Authorised Signatory			

Name of Authorised Signatory

Company stamp or chop (if applicable):

Bank Use OnlyOTL Cust ID

TRO/TSO Name & Phone

Signature/s Checked

Fax Indemnity Checked

Sanctions Checked

Workability Checked

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. 76277Q 01.2012 W262236

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