³­®
æŃ ćĉő ĚıĒ ďœ ø úĭēŃ Ăı/Įęĉĸ Ěı ďœ ø úĭēŃ Ăı ÿĭēı øēċĸ øĸ Įĕð çęĸ ĉċ
Application for Issuance for Inland Bank Guarantee/Foreign Bank Guarantee
ĝĸ ęĭ đŐ/To,
Ěĭùĭ ŮĐĭēı/The Branch in Charge ĮĉċĭŃ ø/ Date: D D M M Y Y Y Y
øĸċēĭ ďœ ø/ Canara Bank
______________________ ĚĭùĭŽQ@MBG ďıÿı ċŃ ./BG NO.

đœ/Ğđ çčĝĸ æċIJēļĊ øēćĸ Ğœ Įø çč ċıýĸ Įĉð úð ĮęęēĆ øĸ æċIJĝĭē ďœ ø úĭēŃ Ăı ÿĭēı øēŐ (øĴčĒĭ êčĒIJ ƅ Įęøʙ čē
ĮċĚĭċ ĕúĭðŃ )
I/We request you to issue bank guarantee as per the below details (Please tick appropriate option)

æŃćĉő ĚıĒ ďœ ø úĭēŃ Ăı (çéďıÿı) Įęĉĸ Ěı ďœø úĭēŃ Ăı (ðĎďıÿı)

Inland Bank Guarantee (IBG) Foreign Bank Guarantee (FBG)
1. çęĸĉø øĭ ĮęęēĆ/Applicant’s Details:
ċĭđ/Name ùĭćĭ ĝŃ ./Account No.
ŤĭĞø çéĄı/Customer ID
çéé øĺĄ/IE Code
čćĭ/Address
ĝŃčøŊ ĝŃ ./Contact No.
é-đĸĕ çéĄı/E-Mail ID
ðĕéçé øĺĄ/ LEI Code

2. ĕĭĐĭĈŎ øĭ ĮęęēĆ/Beneficiary’s Details:

ċĭđ/Name
ĝŃčøŊ ĝŃ ./Contact No. čćĭ/Address
é-đĸĕ çéĄı/E-Mail ID

3. ĕĭĐĭĈŎ ďœø/Beneficiary Bank: 4. ĝĕĭĞøćĭŊ ďœø/Advising Bank:

ċĭđ/Name ċĭđ/Name

čćĭ/Address čćĭ/Address

ďıçéĝı øļĄ/çéðĎðĝĝı ďıçéĝı øļĄ/çéðĎðĝĝı

øļĄ/BIC Code/IFSC Code øļĄ/BIC Code/IFSC Code
ĝŃčøŊ ĝŃ ./Contact No. ĝŃčøŊ ĝŃ ./Contact No.
é-đĸĕ çéĄı/E-Mail ID é-đĸĕ çéĄı/E-Mail ID

4. ďıÿı øĭ Ůøĭē/Type of BG
Įċ˃ĭĉċ/Performance ĮęȅıĒ/Financial ĮďĄ ďĺȵ /Bid Bond ̾ĈĮúć ĐIJúćĭċ /Deferred Payment ĮĚĮčŃú /Shipping
ðĝďıðĕĝı /SBLC æɊ /Other_______________________

5. ďıÿı øĭ ĮęęēĆ/Details of BG

êȞĸ ʴ/Purpose

đIJūĭ/Currency ēĭĮĚ(æŃøļŃ đŐ ) Amount (In Figures)

ēĭĮĚ (ĚɨļŃ đŐ )Amount (In Words)

ĉĭęĭ ĝđĭİɑ ĮćĮĈ / øĭĒŊøĭĕ / æęĮĊ

ĝđĭİɑ ĮćĮĈ /Expiry Date
Claim Expiry Date Tenor /Period

NF 823/10/2022/SESHAASAI Page 1 of 4
6. Tender Details (In case of Bid Bond)

ĮċĮęĉĭ ĝŃƥĭ/Tender No. ĮĉċĭŃø/Date

7. ęˑIJ ĮęęēĆ (ĒĮĉ øļé Ğļ)/Commodity Details (if any)

ęˑIJ øĭ ĝŃĮƗɑ ĮęęēĆ /

đĭũĭ /Quantity
Brief Particulars of commodity

ĉē/Rate øIJĕ đijʞ /Total Value

8.ĝĕĭĞøćĭŊ ďœø øĸ Įĕð ĝIJčIJĉŊúı Įċĉő Ě /Delivery Instructions for advising bank

9. ĮęĚĸĜ æċIJĉĸĚ, ĒĮĉ øļé Ğļ /Special Instructions, if any

10. đĭĮÿŊċ /Margin

ĉĸ ĒćĭôŃ øĸ Įĕð ŮĮćĐijĮćĒļŃ øĸ ŝč đŐ , ĉĸ Ē õē ÿļ đĸēĸ/Ğđĭēĸ Ȫĭēĭ ĉĸ Ē Ğļ ĝøćĭ ĞĹ , Ğđ ĮċɻĮĕİùć ŮĮćĐijĮćĒļŃ øļ Ůĉĭċ øēćĸ Ğœ͡ đœ /Ğđ ĝĞđć Ğœ
Įø ďœø êƅ ŮĮćĐijĮćĒļŃ øļ ēùċĸ øĭ Ğøĉĭē ĞĹ õē êĝøĸ čĭĝ ĕĸċĉĭē øĸ ŝč đŐ ĝĸĂ òĎ, ĮęĮċĒļú çĮĉ øĸ æĮĊøĭē ĝĮĞć ĝĐı æĮĊøĭē ĞļŃúĸ,
ÿď ćø Įø, ďœø øı ĝŃćIJĮʼ øĸ Įĕð, ĒĮĉ çęʴø Ğļ, ĝđĒ-ĝđĒ čē ñĝı ÿđĭ ēĭĮĚ øĭ ċęıċıøēĆ øēċĸ øĸ Įĕð, úĭēŃ Ăı / øĭêŃ Ăē ƗĮćčijĮćŊ Ēĭ
æɊĈĭ ĝĸ êȋɄ Ğļċĸ ęĭĕı ñĝı ĉĸ ĒćĭôŃ øļ čijēı ćēĞ ĝĸ ĝđĭɑ ċĞıŃ øē ĮĉĒĭ ÿĭćĭ ĞĹ͡/As securities for the liabilities, owing due and that may
be due by me/us, we offer following securities. I/we agree that the Bank is entitled to hold the said securities and it shall have all the rights
including right of set off, appropriation etc., as creditor until such liabilities, arising out of guarantee/counter indemnity or otherwise are cleared in
full to the satisfaction of the Bank to renew such deposit, if necessary, from time to time.

ÿđĭøćĭŊ øĭ ðĎĄıçē/øĸĄıçē ðĎĄıçē/øĸĄıçē æęĮĊ čįēčƓćĭ øı ÿđĭ ēĭĮĚ Amount êčĒļú/ĮĕŃø øı

ċĭđ /Name ċŃďē /FDR/KDR ċŃďē /FDR/KDR Period ćĭēıù Date of ÿĭċĸęĭĕı ēĭĮĚ
Of Deposit
of the number number Maturity Amount to

depositor utilize/Link

đœ /Ğđ çčøļ èĝ ùĭćĸ čē Ēĭ Įøĝı æɊ ùĭćĸ čē Ēĭ ćļ čįēčƓćĭ čē Ēĭ ÿđĭ øı čįēčƓćĭ ĝĸ čĞĕĸ ďøĭĒĭ ēĭĮĚ, ɯĭÿ, ĚIJʋ, øđıĚċ, çĮĉ øĸ
ĉĸ Ē čIJċĐIJŊúćĭċ øĸ Įĕð êƅ ÿđĭ ùĭćļŃ đŐ ĚĸĜ ēĭĮĚ øļ ĮęĮċĒļĮÿć øēċĸ øĸ Įĕð æĮĊøĴć øēćĸ Ğœõē ñĝĭ ĮęĮċĒļú ďœø øļ ęĹĊ ĮċęŊĞċ Ůĉĭċ
øēĸ úĭ͡ ĒĮĉ ÿđĭ ēĭĮĚ øļ čįēčƓćĭ ĝĸ čĞĕĸ ĮęĮċĒļĮÿć ĮøĒĭ ÿĭćĭ ĞĹ ćļ êĝ æęĮĊ øĸ Įĕð ÿđĭ ēĭĮĚ øĸ čijęŊ ĐIJúćĭċ øĸ Įĕð ĕĭúij ĉē čē ɯĭÿ
øı æċIJđĮć ĉı ÿĭ ĝøćı ĞĹ͡ ĒĮĉ êƅ ÿđĭ øĭ ċęıċıøēĆ ĮċĒć ĮćĮĈ čē ĮøĒĭ ÿĭćĭ ĞĹ, ćļ èĝ Ůøĭē ċęıøĴć ÿđĭ øļ úĭēŃ Ăı ĝĮĞć ĝĐı
ďøĭĒĭ, ʩĒ, ŮĐĭē çĮĉ øĸ Įĕð ĝćć ŮĮćĐijĮć øĸ ŝč đŐ ēùĭ ÿĭðúĭ͡
I/we irrevocably authorize you to appropriate the balance in the said deposit accounts for due repayment of outstanding balance, including
interest, charges, commission, etc., either on this account or any other account , either on maturity or before maturity of the deposit and such
appropriation shall accord valid discharge to the bank. Incase deposit is appropriated before maturity interest may be allowed at the rate
applicable for prepayment of the deposit for the period. If the said deposit is renewed on due date, the deposit so renewed shall be held as
continuing security for all the outstandings, expenses ,charges, etc., including the guarantee.
ÿđĭ čē ĝđĒ-ĝđĒ čē æĮÿŊć ɯĭÿ ďœø øĸ Įęęĸø čē èĝ ùĭćĸ Ēĭ Įøĝı æɊ ùĭćĸ đŐ ÿđĭ ĮøĒĭ ÿĭðúĭ͡
Interest earned from time to time on the deposit shall be credited to this account or any other account at the discretion of the Bank.

ĮęĮĊęć ŝč ĝĸ ĮĄ̾ýĭÿŊ øı úé ÿđĭ ēĝıĉ ĝŃĕư ĞĹ͡

The Deposit receipt duly discharged is enclosed.

Page 2 of 4
 ðĎéðđð, 1999 øı Ċĭēĭ10(5), æȯĭĒIII øĸ ćĞć ûļĜĆĭ (ðĎďıÿı øĸ đĭđĕĸ đŐ ĕĭúij)
Declaration under Sec 10(5), Chapter III of FEMA, 1999 (Applicable in case of FBG)
đœ/Ğđ ðćȞŀęĭēĭ ûļĜĆĭ øēćĸ Ğœ Įø ĕĸċĉĸ ċ, Įÿĝøĭ ĮęęēĆ ĮęĚĸĜ ŝč ĝĸ ĒĞĭŃ æċIJĝijýı đŐ êİʟİùć ĞĹ , đŐ ĚĭĮđĕ ċĞıŃ ĞĹ , õē Įęĉĸ Ěı đIJūĭ ŮďŃĊċ
æĮĊĮċĒđ, 1999 øĸ ŮĭęĊĭċļŃĒĭ êĝøĸ æĊıċ ďċĭĒĭ úĒĭ øļé ĮċĒđ, ĮęĮċĒđ, æĮĊĝijýċĭ, Įċĉő Ě Ēĭ çĉĸ Ě øĸ Įøĝı Đı êʟŃûċ Ēĭ æčęŃýċ øĸ êȞĸ ʴ
øĸ Įĕð ċĞıŃ ďċĭĒĭ úĒĭ ĞĹ͡
I/We hereby declare that the transaction, the details of which are specifically mentioned in the schedule hereunder, does not involve, and is not
designed for the purpose of any contravention or evasion of the provisions of the Foreign Exchange Management Act, 1999, or any rule,
regulation, notification, direction or order made there under.

đœ /Ğđ çúĸ çčøļ ñĝı ĝĐı ÿĭċøĭēı/ĮęęēĆ ĉĸ ċĸ øĸ Įĕð ĝĞđć Ğœ ÿļ çčøĸ Ȫĭēĭ çęʴø Ğļ ĝøćı Ğœ õē ĒĞ ĮċĊĭŊįēć øēċĸ øĸ Įĕð Įø
Ɛĭ ñĝĭ ĕĸċĉĸ ċ Įęĉĸ Ěı đIJūĭ ŮďŃĊċ æĮĊĮċĒđ Ēĭ èĝøĸ ćĞć ďċĭð úð Įøĝı æɊ ĮċĒđ, ĮęĮċĒđ, æĮĊĝijýċĭ Ēĭ çĉĸ Ě øĸ Įøĝı Đı ŮĭęĊĭċ øĭ
êʟŃûċ øēćĭ ĞĹ͡
I/We further agree to give you all such information/particulars as may be required by you and called for by you to determine whether such
transaction contravenes any of the provisions of the Foreign Exchange Management Act or any other rule, regulation, notification or order made
hereunder.

đœ /Ğđ ðćȞŀęĭēĭ ûļĜĆĭ øēćĸ Ğœ Įø Ğđĭēĸ Ȫĭēĭ ĉı úé ĝĐı ÿĭċøĭēı/ĮęęēĆ đĸēı/Ğđĭēı ĝęŖȅđ ÿĭċøĭēı øĸ æċIJĝĭē ĝȑ õē ĝĞı Ğœ͡
I/We hereby declare that all the information/particulars given by us are true and correct to the best of my/our knowledge and information.

đœ /Ğđ ĒĞ Đı ĝđĀćĸ Ğœ õē ĝĞđć Ğœ Įø ĒĮĉ đœ /Ğđ ñĝı Įøĝı Đı çęʴøćĭ øĭ æċIJčĭĕċ øēċĸ ĝĸ èċøĭē øēćĸ Ğœ Ēĭ øĸęĕ æĝŃćļĜÿċø
ŝč ĝĸ æċIJčĭĕċ øēćĸ Ğœ, ćļ ďœø ĕĸċĉĸ ċ øēċĸ øĸ Įĕð Įĕİùć ŝč đŐ đċĭ øēċĸ øĸ Įĕð ĞđĸĚĭ ˢćŃũ ĞĹ õē ĒĮĉ êĝøĸ čĭĝ ĒĞ Įęʷĭĝ øēċĸ
øĭ øĭēĆ ĞĹ Įø øļé đĸēĸ/Ğđĭēĸ Ȫĭēĭ Įøĝı Đı êʟŃûċ/æčęŃýċ čē Įęýĭē ĮøĒĭ ÿĭćĭ ĞĹ ćļ èĝ đĭđĕĸ øĸ ĝŃďŃĊ đŐ ĐĭēćıĒ įēĢęŊ ďœø øļ ĝijĮýć
øēŐ ͡
I/We also understand and agree that if I/We refuse to comply with any such requirement or make only unsatisfactory compliance therewith, the
bank is always at liberty to refuse in writing to undertake the transaction and shall if it has reason to believe that any contravention/evasion is
contemplated by me/us report the matter to Reserve Bank of India.

đœ /Ğđ çúĸ ûļĜĆĭ øēćĸ Ğœ Įø æĊļĞˑĭƗēı øĸ čĭĝ ĎđŊ /øŃčċı øı ôē ĝĸ ĒĞ ûļĜĆĭ õē ęýċ ĉĸ ċĸ øĭ æĮĊøĭē ĞĹ͡
I/We further declare that the undersigned has/have the authority to give this declaration and undertaking on behalf of the firm/company.

ĝĭđĭɊ ûļĜĆĭ /General Declaration

çčøĸ èĝ úĭēŃ Ăı øļ ÿĭēı øēċĸ /đĸēĸ/Ğđĭēĸ æċIJēļĊ čē úĭēŃ Ăı øĭ Įęˑĭē øēċĸ čē Įęýĭē øēćĸ Šð, đœ/Ğđ čIJĮʼ øēćĸ Ğœ Įø đœ /Ğđ çčøĸ čƗ đŐ
đĸēĸ/Ğđĭēĸ Ȫĭēĭ Įċ˃ĭĮĉć đĸēĸ/Ğđĭēĸ øĭêŃ Ăē ƗĮćčijĮćŊ ĮĉċĭŃø ____________ øĸ ĝĐı ĮċĒđļŃ õē ĚćŘ Ȫĭēĭ ĚĭĮĝć ĞļŃúĸ͡ õē ĒĞ Įø øĭêŃ Ăē ƗĮćčijĮćŊ
õē çčøĸ Ȫĭēĭ Ċĭįēć ĝĐı ŮĮćĐijĮćĒĭŃ çčøĸ Įĕð ćď ćø êčĕɩ ēĞŐúı ÿď ćø Įø đĸēĸ/Ğđĭēĸ æċIJēļĊ čē ĝđĒ-ĝđĒ čē ÿĭēı úĭēŃ ĮĂĒĭŃ çčøļ
ĮęĮĊęć ēȞ ċĞıŃ øē ĉı ÿĭćıŃ õē çčøļ èĝøĸ ćĞć ĉĸ ċĉĭįēĒļŃ ĝĸ đIJƅ ċĞıŃ øē ĮĉĒĭ ÿĭćĭ ĞĹ͡
In consideration of your issuing this guarantee /extending the guarantee at my/our request, I/We confirm that I/we will be governed by all the
terms and conditions of my/our Counter Indemnity dated ____________ executed by me/us in your favour and that the counter Indemnity and all
securities held by you will continue to be available to you till the guarantees issued at my/our request from time to time are returned to you duly
cancelled and you are relieved of the liabilities there under.

đœ /Ğđ ĒĞ Đı ûļĜĆĭ øēćĸ Ğœ Įø ĕĸċĉĸ ċ øĭ ôðĎðĝı/Ēijðċ/ĒijēļčıĒ ĝŃû øĸ ŮĮćďŃĊļŃ øĸ ćĞć ĝijýıďȠ ĮęĚĸĜ ŝč ĝĸ ċĭĮđć ēĭʼŌļŃ õē æęŜȠ
ʩİƅĒļŃ (ðĝĄıðċ) ĉĸ ĚļŃ øĸ ĝĭĈ Įøĝı Đı ćēĞ ĝĸ øļé ĝŃďŃĊ ċĞıŃ ĞĹ͡ đœ /Ğđ ôðĎðĝı ĝĸ ÿIJģĸ/Ēijðċ/éĒij ˢıøĴć ĕĸċĉĸ ċ øĸ ĝŃďŃĊ đŐ øĸċēĭ ďœø
øı Įøĝı Đı øĭēŊ ęĭé Ēĭ ĮċİʻĒćĭ øĸ Įĕð Įÿʃĸĉĭē ċĞıŃ ăĞēĭċĸ øĭ ęýċ ĉĸ ćĸ Ğœ͡
I / We also declare that the transaction does not have linkage with specially designated nations and blocked persons (SDN) countries listed
under OFAC / UN/ EU sanctions in any manner. I / We undertake not to hold Canara Bank responsible for any of its action or inaction in respect
of the OFAC-linked / UN/EU Sanctioned transactions.

đœ /Ğđ ðćȞŀęĭēĭ ûļĜĆĭ øēćĭ šŃ/øēćĸ Ğœ Įø đIJĀĸ/ĞđŐ çčøı Įĕİùć ĝĞđĮć øĸ Įďċĭ Įøĝı Đı čįēİ̾ĈĮć đŐ èĝ çęĸĉċ õē/Ēĭ êčēļƅ
êİʟİùć øĭêŃ Ăē ƗĮćčijĮćŊ ĮĉċĭŃø _________ øļ ēȞ øēċĸ Ēĭ ĝŃĚļĮĊć øēċĸ Ēĭ æĚļĮĊć øēċĸ øĭ øļé æĮĊøĭē ċĞıŃ ĞĹ͡
I/we hereby declare that I/we have no right to revoke or amend or modify this application and /or the counter Indemnity dated________________
referred to above, under any circumstances without your written consent.

ĒĞ Įøĝı Đı úĭēŃ Ăı øļ ÿĭēı øēċĸ ĝĸ èċøĭē øēċĸ øĸ çčøĸ æĮĊøĭē čē ŮĮćøijĕ ŮĐĭę Ąĭĕĸ Įďċĭ ĞĹ, Įÿċ ĮċĒđļŃ õē ĚćŘ øļ çč æčċĸ čijĆŊ
Įęęĸø ĝĸ Įøĝı Đı ĝđĒ Ēĭ æɊ úĭēŃ Ăı ÿĭēı øēċĸ ĝĸ èċøĭē øēćĸ Ğœ Ēĭ ˢıøĭē ċĞıŃ øēćĸ Ğœ͡
This is without prejudice to your right to/refuses to issue any guarantee, the terms and conditions of which you do not approve or to refuse to
issue any further or other guarantee/s at any time in your absolute discretion.

đœ /Ğđ çčøļ çčøĸ ďœø ĚIJʋ õē čIJĮʼøēĆ õē Įęĉĸ Ěı ďœø ĚIJʋ (ðĎďıøĸ) ĚIJʋ, ĒĮĉ øļé Ğļ, øĸ Įĕð Ğđĭēĸ ĝıð / ôĄı / ĝıĝı ùĭćĸ
_______________________________ ĝĸ ĚIJʋ Ąĸ ĮďĂ øēċĸ øĸ Įĕð æĮĊøĴć øēćĸ Ğœ͡
I/ We authorize you to debit the charges from our CA / OD / CC Account ___________________________________ for your bank charges and
confirmation and foreign bank charges (FBK) charges ,if any.

Page 3 of 4
 ďıÿı øĸ ç˪ĭċ øĸ đĭđĕĸ đŐ , đœ /Ğđ çčøļ ĉĭęĸ õē ɯĭÿ ĚIJʋ ćĈĭ çčøĸ ĚIJʋ, ĒĮĉ øļé Ğļ, øĸ ĐIJúćĭċ øĸ Įĕð Ğđĭēĸ ĝıð/ôĄı/ĝıĝı ùĭćĸ
__________________________________øļ Ąĸ ĮďĂ øēċĸ øĸ Įĕð æĮĊøĴć øēćĸ Ğœ͡
In case of invocation of BG, I/We authorize you to debit our CA/OD/CC Account _____________________________________for payment of claim
and interest charges and your charges, if any.

ÿĭēı øı úé úĭēŃ Ăı èŃ ĂēċĸĚċĕ ýœďē òĎ øĺđĝŊ (çéĝıĝı), čĸįēĝ Ȫĭēĭ ĮċĊĭŊįēć đĭŃú úĭēŃ Ăı-çéĝıĝı ŮøĭĚċ ĝŃƥĭ 758 (ĒijçēĄıÿı 758) øĸ
ðøĝđĭċ ĮċĒđļŃ øĸ ŮĭęĊĭċļŃ øĸ æĊıċ ĞĹ͡
The guarantee issued is subject to provisions of Uniform Rules of Demand Guarantee-ICC Publication No 758 (URDG 758), set by International
Chamber of Commerce (ICC), Paris.

**øĭúÿ/ĐĽĮćø ŝč đŐ ÿĭēı ĝĐı æŃćĉő ĚıĒ ďœø úĭēŃ Ăı ćĐı ŮĐĭęı Ğļúı ÿď ÿĭēıøćĭŊ ďœø Ȫĭēĭ İˢɝ èŃ ĮĄĒĭ/ðĝðĎðđðĝ øĸ đĭȯđ ĝĸ (ĕĭĐĭĈŎ
øĸ ďœø) ďıÿı ĝĕĭĞ ŮĸĮĜć øı ÿĭćı ĞĹ͡
**For all Inland Bank Guarantee issued in paper/physical form shall be effective only when the BG advice is transmitted by the Issuing Bank
through SWIFT India/SFMS to (Bank of Beneficiary)

đœ /Ğđ ðćȞŀęĭēĭ çčĝĸ æċIJēļĊ øēćĸ Ğœ Įø ĝŃĕư Ůĭŝč øĸ æċIJĝĭē ďœø úĭēŃ Ăı ÿĭēı øēŐ ͡
I/We hereby request you to issue bank guarantee as per format enclosed

ĮĉċĭŃø/Date :
̾Ĉĭċ/Place : (øŃčċı / ĎđŊ øĸ æĮĊøĴć ĞˑĭƗēøćĭŊ , đIJĞē ĝĮĞć /
Authorized Signatory of the Company / Firm with Seal)
____________________________________________________________________________________________________________________

Ěĭùĭ ŮđĭĆčũ/Branch Certificate

ĝĸ ęĭ đŐ/To,

øĸċēĭ ďœ øCanara Bank

ĝıčıĝı-çéĂı/ĝıčıĝı-ðĎĂı /CPC-IT/CPC-FT
Ěĭùĭ ďıÿı ĝŃĉĐŊ ċŃ .Branch BG Ref No. _________________________________ ĮĉċĭŃø/Dated:

ìĆ ĝıđĭ øĸ Ůøĭē ìĆ ĝıđĭ(øēļģđŐ ) ĉĸ ĒćĭðŃ (øēļģ đŐ) ďœø úĭēŃ Ăı øı ēĭĮĚ (øēļģ đŐ) øIJĕ ĉĸ ĒćĭðŃ (øēļģ đŐ)
Type Of Limit Limit (In Cr) Liability(In Cr) Amount of this BG(In Cr) Total Liability (In Cr)

 Ğđ ŮđĭĮĆć øēćĸ Ğœ Įø èĝ ďœø úĭēŃ Ăı øļ ÿĭēı øēċĸ øı đŃ ÿijēı ďœø Ȫĭēĭ ĝđĒ-ĝđĒ čē ŮȑĭĒļĮÿć êčĒIJƅ đŃ ÿijēı
ŮĭĮĊøĭēı Ȫĭēĭ ĉı úé ĞĹ ͡/We certify that the issuance of this bank guarantee has been sanctioned by the appropriate sanctioning
authority as delegated by the bank from time to time
 Ğđ ĒĞ Đı čIJĮʼ øēćĸ Ğœ Įø đŃ ÿijēı øĸ ĝĐı ĮċĒđļŃ õē ĚćŘ øĭ čĭĕċ ĮøĒĭ úĒĭ ĞĹ õē ŤĭĞø ĝĸ ĮĉĚĭĮċĉő ĚļŃ øĸ æċIJ ĝĭē
æɊ ĝĐı ŮĭĝŃĮúø ĉˑĭęĸÿ Ůĭɑ øē Įĕð Ğœ ͡/ We also confirm that all terms and conditions of the sanction letter have been
complied and have obtained all other relevant documents as per guidelines from the customer.

 ÿĞĭŃ Đı đŃ ÿijēı øĸ æċIJ ĝĭē çęʴø Ğļ, Ğđ čIJĮʼ øēćĸ Ğœ Įø Ğđċĸ éĝıÿıĝı ĝĸ øęē Ůĭɑ øē ĮĕĒĭ ĞĹ ͡/Wherever required as
per the sanction, we confirm having obtained cover from E.C.G.C.

Ěĭùĭ ŮĐĭēı/æċIJ Đĭú ŮĐĭēı

BRANCH IN-CHARGE/ SECTION IN-CHARGE

ċļĂ: ĒĮĉ Ěĭùĭ øļ ŮȑĭĒļĮÿć Ěİƅ øĸ ćĞć ùļĕĭ ÿĭćĭ ĞĹ ćļ Ěĭùĭ øĸ ŮĐĭēı Ȫĭēĭ èĝ Ěĭùĭ ŮđĭĆ čũ čē ĞˑĭƗē Įøð ÿĭċĸ
ýĭĮĞð͡
Note: This branch certificate must be signed by the in charge of the branch if opened under power delegated to the branch.

Page 4 of 4