The Manager

Bank Name,
Bank Address,

Date:

Subject:: Client Name

Dear Sir,

In accordance with your above named customer’s instructions given hereon, please send DIRECT
to us at the above address, as auditors of your customer, the following information relating to their
affairs at your branch as at the close of business on (Year end date) and, in the case of items 2, 4
and 9, during the period since (Year start date).

Please state against each item any factors which may limit the completeness of your reply; if there
is nothing to report, state ‘NONE’.

It is understood that any replies given are in strict confidence, for the purposes of audit.

BANK ACCOUNTS

(1) Full titles of all accounts together with the account numbers and balances thereon, including
NIL balances:

(a) where your customer’s name is the sole name in the title;

(b) where your customer’s name is joint with that of other parties;

(c) where the account is in a trade name.

NOTES

(i) Where the amount is subject to any restriction (e.g. garnishee order or arrestment) or
exchange control consideration (e.g. ‘blocked account’) information regarding nature
and extent of restriction should be stated.

(ii) Where the authority upon which you are providing this information does not cover any
amounts held jointly with other parties, please refer to your customer in order to
obtain the requisite authority of the other parties with a copy to us.

(2) Full titles and dates of closure of all accounts closed during the period.

(3) The separate amount accrued but not charged or credited as at the above date, of

(a) Mark-up/interest and

(b) Provisional charges (including commitment fees)

(4) The amount of mark-up/interest charged during the period, if not specified separately in the
customer’s statement of account.

(5) Particulars (i.e. type of document and accounts covered) of any written acknowledgement of
set-off, either by specific letter of set-off, or incorporated in some other document or
security.

FACILITIES

(6) Details of leasing facilities, loans, overdrafts, cash credit facilities (including standby
facilities), and associated gurantees/ indemnities, specifying agreed limits, unused facilities,
markup/ interest terms, overdue rentals/ installments and in case of term loans, date for
repayment or review.

(7) SECURITY

(a) In respect of facilities, contingent liabilities and derivatives and commodity trading.
Please give

(i) details of any security formally charged in favor of the bank, including the
date and type of charge, (e.g. pledge, hypothecation, etc.)

(ii) particulars of any undertaking to assign to the bank any assets.

If a security is limited to any borrowing, or if there is a prior pari passu or
subordinate charge, please indicate.

(iii) Whether the security supports facilities granted by the bank to the customer or
to another party.

(iv) For any arrangements for setoff of balances or compensating balances e.g. back
to back loans, give particulars of any acknowledgement of set off (i.e. date, type
of document and account covered)

(b) CUSTODIES: - Investments, bills of exchange, documents of title, or other assets held
but not charged. Please give details.

CONTINGENT LIABILITIES

(8) Nature, currency, amount and extent of facilities limits and details of period of availability
of agreed facility of all contingent liabilities, viz:

(a) Total of bills discounted with resource to the customer or any subsidiary or related
party of the customer;

(b) Details of any guarantees, comforts, letter of undertakings, bonds, endorsement or

indemnities given to you by the customer in favour of third parties (separately
specifying any such items in favour of any subsidiary or related party of the
customer);

(c) Details of any guarantees, bonds or indemnities given by you, on your customer’s
behalf, stating where there is recourse to your customer and/or to its holding, parent or
any other company within the group;

(d) Total of acceptances;

 (e) Total of outstanding liabilities under documentary credits;

(g) Others (please give details.)

ASSETS

(9) Details of specifying the nature, amount, and maturity date of the assets covered under
Islamic mode of finance (e.g. morabaha, musharika, modarba etc.) or any other mode of
finance including leasing:-

(a) Assets repurchase agreement;

(b) Assets resale agreement;

(c) Options outstanding at the relevant date.

DERIVATIVES AND COMMODITY TRADING

(10) Details of all outstanding contracts specifying the number, deal date, maturity or value date,
price at which the deal was transacted and currency of the contract bought and sold for: -

(a) Total of foreign exchange contracts;

(b) Bullions;

(c) Securities;

(d) Others

(11) Information in respect of any letter of comfort obtained by the bank from the parent or any
other associated concern of the company.

ADDITIONAL BANKING RELATIONSHIP

(12) A list of other banks, or branches of your bank, where you are aware that a relationship has
been established during the period.

(13) OTHER INFORMATION.

Yours faithfully,

AUTHORISED SIGNATORY
(Client’s Signature)