APPLICATION FOR TRADE FINANCE LOAN

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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)

Customer Reference

From: (Customer name and address, include company identification number if applicable):

I/we request that ANZ provide a Trade Finance Loan, details of which are set out below
Currency and Amount (in figures)
TermCommencement Date (dd/mm/yyyy)

Maturity Date (dd/mm/yyyy):

SUPPORTING DOCUMENTATION
Mandatory selection of pre or post shipment required
Pre Shipment 		

Post shipment

Required to accompany this application, at least two of the following:Copy of the Commercial invoiceCopy of document evidencing Contract of Sale
Copy of Transport Document
Other documents attached (please separate with a comma)

TRANSACTION DETAILS
If not detailed in supporting documentation please complete

Buyer/Supplier (name and address)

Shipped from (country)

Shipped to (country)

Date shipped (B/L or airway bill date) (dd/mm/yyyy)

Goods Description: (brief description)
Carrier name

Vessel name

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APPLICATION FOR TRADE FINANCE LOANDISBURSEMENT INSTRUCTIONSFor Payment of [Collection/Letter of Credit] ANZ reference number (where applicable)
Credit our Domestic account number 		Forward Exchange Contract (FEC) Number (if applicable)
NB. Include additional FX details such as BID or carded rate to be
applied if applicableForeign Currency Account (Insert Currency and Account Number)
Remit proceeds as follows (Insert Currency and Account Number)
Beneficiary (name and address)

Beneficiary’s Bank (name and address)

Beneficiary Reference Details

Beneficiary Account Number

Charges:
Debit our following account for all charges relating to this Trade Finance Loan (payable on establishment):
Currency

Account Number

REPAYMENT
Repayment of principal and interest (the repayment amount) is to be effected as follows:
Principal
Debit Account		
Currency
Account No.
Interest

Exchange Rate Type (if applicable)[select]	

No. (if applicable)

Exchange Rate Type (if applicable)[select]	

No. (if applicable)

at maturity

Debit Account		
Currency
Account No.

This 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

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APPLICATION FOR TRADE FINANCE LOAN

Company stamp or chop (if applicable):In American Samoa: Amerika Samoa Bank, Inc.
In Guam: ANZ Guam, Inc.
In Vanuatu: ANZ Bank (Vanuatu) Limited
In Kiribati: ANZ Bank (Kiribati) Limited
In Papua New Guinea: Australia and New Zealand Banking Group (PNG) Limited
In Samoa: ANZ Bank (Samoa) LtdBANK USE ONLY
Date received (dd/mm/yyyy)				

Signature(s) verified
Yes

NoAll checks complete

Approved byTrade Relationship Officer

Manager / Team Leader

ANZ’s colour blue is a trade mark of ANZ. Item No. 76277K-PAC 12.2014 W421734

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