ON THE COMPANY LETTER HEAD

Date:
The Manager,
Mashreqbank PSC,
Name of the Branch
Dubai.
Ref : Delivery of Secure Items to Authorize Perso!!el for A"c #
Dear Sir,
We ou!" !ike to ha#e secure items as !iste" be!o "e!i#ere" to the fo!!oing authori$e"
Com%an& reci%ients at our offices hose courier a""ress is %ro#i"e" be!o.
Shou!" the cheque book's sent b& courier be returne" un"e!i#ere" for an& reason, e
authori$e Mashreq to ha#e it resent b& courier after e reconfirm the authori$e"
reci%ient is a#ai!ab!e. (f fresh instructions to courier the cheque book's are not sent to
Mashreq ithin a month, e authori$e Mashreq to "estro& the un"e!i#ere" cheque
book's.
(n consi"eration of &our com%!&ing ith our request, e hereb& agree an" un"ertake to
%rotect, "efen", ho!" harm!ess, an" kee% Mashreq Bank an" its officers fu!!& in"emnifie"
in case of an& ina%%ro%riate use or misuse of our cheque books' !ea#es after the item is
"e!i#ere" b& courier at our office a""ress gi#en abo#e to our authori$e" re%resentati#e
mentione" abo#e.
We hereb& "ec!are that:
(n case of returned outward clearing cheques, Cheque Book and Company bank
statement e authori$e:
)* Mrs'Mr+.++++++++++++. ho!"er of ,(D T&%e - No*++++++
.* Mrs'Mr++++++++++++++ ho!"er of ,(D T&%e - No.*+++++..
(n consi"eration of &our com%!&ing ith our request as aforesai", e hereb& agree an"
un"ertake to %rotect, "efen", ho!" harm!ess, in"emnif& an" kee% &ou fu!!& in"emnifie"
of, from an" against an& an" a!! c!aims, "eman"s, !iabi!ities, ob!igations, "amages,
%ena!ties, actions, causes of actions, costs an" e/%enses of an& kin" or nature
hatsoe#er im%ose", or hich ma& be im%ose", incurre", asserte", or hich ma& be
asserte" against, or suffere" b& &ou, or be require" to be %ai" b& reason of, as a resu!t
of, or arising "irect!& or in"irect!& out of &our com%!iance ith our aforesai" request.
The signatures of the re%resentati#es ha#e been atteste" b& the com%an&.
This authorisation i!! remain #a!i" un!ess re#oke" b& us in riting.
000000000000000000 0000000000000000000
1uthori$e" Signator& 1uthori$e" Signator&
,Name* ,Name*
0000000000000000000000 000000000000000000000000
1tteste" Signature of Re%resentati#e 1tteste" Signature of Re%resentati#e
for counter "e!i#er& for counter "e!i#er&
,Name* ,Name*