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Application For Irrevocable Documentary Credit (DC) : DD M M Y Y Y Y

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1.

Date: D0 D1 M
0 M
9 Y
2 Y
0 Y
2 Y
1

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Application for Irrevocable Documentary Credit (DC) viewHU to enable all smart content

To : ☐ HSBC Bank PLC


☐HSBC UK Bank PLC (* Denotes a mandatory field)

This is an application for the trade service(s) specified below. Please complete the required information and provide any instructions
related to the trade service(s).
2.1 Applicant Name* (the Customer) 2.2 Applicant Address*

2.3 Applicant Contact Person*

2.5 Import Account No. (if known)


2.4 Applicant Tel*

3.1 Beneficiary Name* 3.2 Beneficiary Address*

3.3 Beneficiary Contact Person*

3.5 Beneficiary Email / Fax


3.4 Beneficiary Tel*

4.1 DC Currency* 4.3 Currency and DC Amount* (in words)

4.2 DC Amount*

4.4 Expiry Date 4.5 Place of Expiry*


D D M M Y Y Y Y ☐ Country of Beneficiary / ☐ Country of Applicant
4.6 Allowance in DC value +/- %* 4.7 Allowance in Qty +/- %* 4.8 Confirmation*
☐ Yes ☐ No
4.9 Partial Shipments* 4.10 Transhipments* 4.11 Drafts Required* 4.12 DC availability*
☐ Allowed / ☐ Not Allowed ☐ Allowed / ☐
Not Allowed ☐ Yes ☐ No ☐ Restricted /
4.14 DC availability and Tenor* ☐ Freely Negotiable

☐ At Sight ☐ ☐ By Negotiation
by Sight Payment / 4.13 Transferable*
☐ Yes ☐ No
☐ At Maturity ☐ by Deferred Payment ☐ By Acceptance ☐ By Negotiation
Tenor at ☐ Days from ☐ Sight ☐ Shipment Date ☐ Invoice date

☐ Other
4.15 Period for presentation of documents*

☐ Documents to be presented within days after the date of shipment but within the validity of the DC.
☐ Other (please specify)
5.1 Advising Bank SWIFT code (if known) 5.3 Advising Bank Address

5.2 Advising Bank Name


GTRF-UK-DC-001-Sep21

If no details are provided in section 6 (above) then HSBC will choose the Advising Bank for the Customer
6. Description of Goods* (please summarise, specific details are not required)

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7.1 Place of Taking in Charge/Receipt 7.5 Incoterms*
☐ EXW ☐ FCA ☐ FOB ☐ CFR ☐ CIF
7.2 Departure Port /Airport of Departure* ☐ CPT ☐ CIP ☐ DDP ☐ Other
7.3 Destination Port /Airport of Destination*
Place*

7.4. Place of Final Destination/Place of Delivery 7.6 Latest date of Shipment*


D D M M Y Y Y Y

Documents required*
8.1 Signed commercial invoice in originals copies

8.2 Packing List in originals copies

8.3 ☐ For shipment by sea, full set of original clean "On Board"
☐ bills of lading or ☐ multimodal or combined transport document made out to
☐ the order of shipper and endorsed in blank; or ☐ the order of
marked: "Freight ☐ Prepaid or ☐ Collect" and "Notify"

8.4 ☐ For shipment by air, original Air Waybill marked "For the consignor/shipper" signed by the carrier or his agent, marked:
"Freight ☐ Prepaid or ☐ Collect", showing flight number and date of despatch of goods,
consigned to:

and Notify

8.5 ☐ Road, Rail or other transport document (please provide details of the other transport document(s) below (9.10), if the
transport documents are to be blank endorsed, state “blank endorsed”)
8.6 ☐ Marine/ ☐ Air Insurance Policy or certificate in negotiable form and blank endorsed for full CIF/CIP value

plus % covering (10% minimum) ☐ Additional Clauses


Institute Cargo Clauses -( ☐ (A)/ ☐ Air )
Institute War Clauses - ( ☐ Cargo/ ☐ Air Cargo )
Institute Strikes Clauses -( ☐ Cargo/ ☐ Air Cargo )
warehouse to warehouse cover, evidencing claims payable at destination in the currency of the DC.
8.7 ☐ Beneficiary’s certificate certifying that one set ☐ Original or ☐Copy(ies) of shipping documents has been sent to applicant
within day(s) after shipment.

8.8 ☐ Certificate of Origin in originals copies

Stating the place of origin issued by


Form of certification ☐ GSP Form A
8.9 ☐ Inspection Certificate
Issued by

Certifying
8.10 Additional Conditions / Other Documents required
GTRF-UK-DC-001-Sep21

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9. Charges* Debit our account number Sort Code
- -

☐ Applicant/ ☐ Beneficiary to pay overseas charges ☐ Applicant/ ☐ Beneficiary to pay confirmation charges
☐ Applicant/ ☐ Beneficiary to pay foreign bank charges
☐ Applicant/ ☐ Beneficiary to pay country of issue charges

10. Settlement Instruction* (if applicable)


☐ Account Debit. Debiting to account number
sort code - -

☐ Loan. Drawing a buyer loan ☐ for days

☐ set date D D M M Y Y Y Y
☐ Maximum allowable term period
Loan Currency Loan Amount in DC Currency

for shortfall debit Account No. for shortfall debit Account Sort Code
- -
Loan Repayment Account No. Loan Repayment Account Sort Code
- -
For Loan Interest and Charges debit Account No. For Loan Interest and Charges debit Account Sort Code
- -
Customer Reference

Currency Conversion HSBC FX contract number(s) to be used for foreign currency exchange transactions

We refer to HSBC’s Standard Trade Terms (as amended from time to time) which can be accessed, read and printed by visiting
www.gbm.hsbc.com/gtrfstt or alternatively the Customer can request a copy from its Relationship Manager
(the Standard Trade Terms).
This application incorporates and is subject to the Standard Trade Terms as though they were set out in full in this application, and
together they form an important agreement.
By signing this application the Customer:
• irrevocably requests HSBC to provide the above trade service(s) in accordance with the instructions in this form; and
• confirms that it has read and understood the Standard Trade Terms and agrees that this application incorporates the
Standard Trade Terms and that the Standard Trade Terms apply to the above trade service(s).
Signed for and on behalf of the Customer:
Date
D D M M Y Y Y Y
Print Name
PLEASE VALIDATE THIS FORM BEFORE PRINTING AND SIGNING
GTRF-UK-DC-001-Sep21

Print Name

Authorised Signature(s) (signed in accordance with the bank mandate)

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© HSBC Group. All Rights Reserved


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