aanska banka ad aak

Pivarska 1
Republika Srbija
32000 aak
Odeljenje dokumentarnih poslova
(Documantry department)
Tel: 032/302-196, 302-178; faks: 032/348-898
S.W.I.F.T. code: CABARS22

Nalogodavac ( Principal ):
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Matini broj

:.....:.....:.....:.....:.....:.....:.....:.....:

ZAHTEV ZA IZDAVANJE GARANCIJE

REQUEST TO ISSUE A GUARANTEE
1) Obraamo vam se sa zahtevom da za na raun izdate garanciju/kontragaranciju
(Please issue the following guarantee/counterguarantee for our account):
Za plaanje (Payment guarantee)
Za povraaj avansa (Advance payment guarantee)
Za dobro izvrenje posla (Performance guarantee)
Za uee na licitaciji (Bid bond)
Ostale (Other)

..............................................................................................................................................................
Ovlaujemo vas da ovu garanciju izdate preko korespodentske banke po vaem izboru.
(We authorize you to issue this letter of guarantee via correspodent of your choice)
Direktna garancija (Direct guarantee)

2) Forma garancije
(form of guarantee)

3) Korisnik
(Beneficiary)

Indirektna garancija (garanciju izdaje ino banka na osnovu

kontragarancije aanske banke ad aak) -Counterguarantee
................................................................................................................
broj rauna/ (account number)

................................................................................................................
naziv i adresa/ (Name and address)

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4) Rok vanosti
(Date of expiry)

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5) Iznos garancije
(Amount)

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6) Opis osnovnog posla

(Subject of the underlying
transaction)

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7) Dokumentacija u vezi sa
osnovnim poslom
(Document details on the underlying
transaction)

8) Informacije vezane za
licitacione garancije
(Additional information for bid
bonds)

9) Tekst garancije
(Wording of the guarantee)

Profaktura br./referenca
(Proinvoice no./ref): ..............................................................................
Datum profakture
(Proinvoice date): ..................................................................................
Ugovor br
(Contract no./ ref): .................................................................................
Datum ugovora
(Contract date): .....................................................................................
Ukupan iznos posla po ugovoru
(Total amount contracted): ....................................................................
Datum dostave robe
(Delivery date): ......................................................................................
Ponuda br./referenca
(Offer no./ref): .......................................................................................
Datum ponude
(Date of the offer): .................................................................................
Poziv za uee na licitaciji br./referenca
(Invitation for tender no./ref): ...............................................................
Datum zatvaranja tendera
(Tender closing date): ............................................................................
Va standardni tekst ili tekst vaeg korespodenta (Your wording
or your corresponding bank standard wording for guarantees)
Tekst koji vam dostavljamo u prilogu (Wording as per enclosure)

Vaa banka u korist naeg partnera-korisnika garancije

(Your bank in favour of the Beneficiary)

10) Banka garant

(Issuing bank)

Korespodent po vaem izboru u korist naeg partnerakorisnika garancije (Correspondent bank of your choice in favour
of the Beneficiary)

Druga banka
(The following bank): ..................................................................

11) Konfirmacija
(Confirmation)

12) Poslovna banka korisnika

garancije

Traiti konfirmaciju (request confirmation)

Bez konfirmacije (without confirmation)
S.W.I.F.T. :.....:.....:.....:.....:.....:.....:.....:.....:.....:.....:.....:
Naziv i potanska adresa:

...................................................................................................

(Guarantee Advising Bank)

13) Garanciju dostaviti

(Guaratee to be delivered)

14) Uslovi za plaanje po

garanciji
(Conditions for payment under
guarantee)

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SWIFT-om (via SWIFT)
Kurirskom potom (by courier service)
Pisani zahtev korisnika garancije (Written demand for payment)
Transportni dokument (Transport document)
Faktura (Commerical invoice)
Ostalo (Other): ............................................................................

15) Posebni uslovi (Special / Aditional conditions) :

+
+
+
+

Nalog izvriti u skladu sa Jednoobraznim pravilima za garancije na poziv izdatim od strane MTK,
Pariz, poslednje izdanje (This L/G has to be executed in accordance with ICC UCP rules, last revision).
100% pokrie na deviznom raunu
100% pokrie na dinarskom raunu
Pokrie garancije
Delimino devizno pokrie ......... %
Delimino dinarsko pokrie ......... %
Nepokrivena
Blanko ovlaenja
Jemstvo pravnog lica
Obezbeenje za nepokriveni deo
Jemstvo fizikog lica
ili celu garanciju
Zaloga
Akceptirane menice
Hipoteka
Podaci za statistiku NBS:
1. ifra osnova,
2. broj/godina ugovora iz
kontrolnika,
3. broj/godina kreditne prijave

1.......................................................................................................
2........................./.............................................................................
3........................./.............................................................................

Prilog
1)

2)

3)

4)

Kontakt osoba (Contact person) /telefon/faks/e-mail:

Ime (name)

Telefon (phone)

Faks (fax)

e-mail
Peat i potpis ovlaenog lica:

Mesto (Place) ..................,

(signature and stamp of authorized person)

Datum (Date)............... 20.... godine

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