Mu s: 13/GNN

Cng ha x hi ch ngha vit nam

c lp - T do - Hnh phc
-------------------------------------

Giy nhn n s

.........
(Km theo Hp ng tn dng s .............................................. ngy......../.........../..........)

Bn vay:
a ch: ........................................................................................................................................
in thoi:................................................................Fax:..............................................................
Tn ng i i din: .................................................Chc v: ......................................................
Giy y quyn (nu c) s: ......................................Ngy:............................................................
Cn c Hp ng tn dng s .......ngy......./......./..........., ngh Chi nhnh Ngn hng Ngoi
th ng H Ni cho rt s tin bng s: ..........................................................
(bng ch: ................................................................................................................................)
trong :

Tin mt: ..................................................................................................................

Ngn phiu: ..............................................................................................................
Chuyn khon: ..........................................................................................................

- Mc ch s dng vn vay:...........................................................................................................
- Chng t, ti liu km theo chng minh mc ch s dng vn vay (k s chng t) :
......................................................................................................................................................
- Thi hn vay:.......................thng k t ngy......................................................................
- Thi hn tr n cui cng:............................................................................................................
- Li sut cho vay: ............%/ thng;

Li sut qu hn:...........................% /thng

Chng ti lp Giy nhn n ny Ngn hng ghi n s tin trn vo ti khon vay ca
chng ti s:......................................v cam kt tr n gc v li ng hn, thc hin ng cc
iu khon k trong hp ng tn dng nu trn.
Giy nhn n ny l ph kin khng tch ri ca hp ng tn dng nu trn k gia
chng ti vi Chi nhnh Ngn hng Ngoi th ng H ni.
..............., ngy........thng..........nm...........
Bn Cho vay

Bn vay

Gim c

Gim c

(K tn, ng du)

(K tn, ng du)

Cn b tn dng
(K, ghi r h tn)

Ghi ch:

Tr ng P. TD-TH
(K, ghi r h tn)

K ton tr ng
hoc Tr ng Phng K ton
(K, ghi r h tn)

Ngn hng Ngoi th ng Vit Nam

- Tr ng hp cho vay u t , cho vay trung di hn, hoc cho vay c li sut c nh v c lch tr n

quy nh trong Hp ng Tn dng th khng cn phi ghi ni dung v li sut v thi hn vay, thi hn
tr n cui cng ti Giy nhn n ny.
- Tr ng hp Tr ng Phng k gii ngn th Bn cho vay ch cn c Tr ng Phng v Cn b cho vay.
Phn theo di nhn tin vay v tr n:

Ngy/ thng/nm

Ngy/thng/nm

Ngy/ thng/ nm

S tin vay

1. Nhn tin vay v tr n:

S tin tr
D n

2. Phn theo di gia hn n:

S tin gia hn
Thi gian gia hn
S tin tr n

3. Theo di n qu hn:
S tin chuyn n qu hn
S tin thu

Ghi ch

D n

D n cn li

Ngn hng Ngoi th ng Vit Nam