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COAL FUNDING FORM

Ref. 001/FUND/COAL/IV/2013 PRIMARY FORM Financial Instrument Required ( LC/SBLC/BG/PG/TBG/APG/BCL ) Face Value of the Instrument ( EUR / USD ) Instrument Validity ( 30/60/90/180/365 days ) Buyers Company Name Buyers Company Address Supplier/Beneficiarys Company Name Supplier/Beneficiarys Company Address Nature of Business Product Name Product Unit Price Product Quantity Supplier/Beneficiarys Bank Name Branch Name and Address Bank Account Number Swift Code Bank Officers Name Performance Bond Fee Charge Condition 7% - 9% per Face Value

Sign and Seal

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