Phô luc sè 12

Céng Hßa X∙ Héi Chñ NghÜa ViÖt Nam

§éc lËp - Tù do - H¹nh phóc

yªu cÇu ph¸t hμnh th− tÝn dông

application for documentary credit

KÝnh göi: Ng©n hµng Ngo¹i th−¬ng ViÖt Nam .........................

Tªn ®¬n vÞ :
§Þa chØ :
Sè Phone, Fax :
Víi tr¸ch nhiÖm vÒ phÇn m×nh, Ng−êi yªu cÇu ph¸t hµnh Th− tÝn dông:
chóng t«i ®Ò nghÞ Ng©n hµng ph¸t 50 Applicant: (Full name and address)
hµnh Th− tÝn dông theo lo¹i sau
b»ng §iÖn/ Th−:
 Irrevocable  Revocable
 Transferable  Confirmed
Víi néi dung d−íi ®©y qua Ng©n
hµng
§¹i lý:

Ng−êi h−ëng lîi: 32B Currency, Amount in figure and

59 Beneficiary: (Full name and words:
address) .................................................................
.................................................................

39A Percentage Credit Amount

Tolerance (If any):
Terms of Shipment:
 FOB  CFR  CIF  …

31D Date and place of expiry: 44A Shipment from:

44B Shipment to:

44C Latest Shipment 43P Partial Shipment: 43T Transhipment:

date:  Allowed  Not allowed  Allowed  Not allowed

45A Description of goods and/ or Services:

……………………………………………………………………………………..………
…………………………………………………………………………………..
……………………………………………………………………………………………….
……………………………………………………………………………………………….
 Phô lôc sè 12

Available by Beneficiary’s draft(s) drawn on Vietcombank at ...... days sight/ after

B/L date for ...... % invoice value accompanied by the following documents ( 46A)
(with an “X”):
 Signed commercial invoice in ................. originals and...............copies.
 Full set (... / ...) of clean “ shipped on board ” and ... non-negotiable copies of 
Multimodal Transport Document, covering at least two different modes of transport/ 
Marine/ Ocean Bills of lading, covering a port to port shipment  to the order of
Bank for Foreign Trade of Vietnam ………………………….. branch/  to order
endorsed in blank marked freight  prepaid/  payable at destination and notify
the applicant.
 Original No 3 (for shipper) of Clean Airway Bill consigned to the order of Bank
for Foreign Trade of Vietnam .….....…………………..…. branch/  to order
endorsed in blank showing flight number, flight date and number of Credit and
marked freight  prepaid/  payable at destination and notify the applicant.
 Certificate of Origin issued by .........................…......……………………………
…………………………………………………..…. in .... originals and......copies
 Detailed Packing list ............................................ in .… originals and....copies
 Inspection certificate issued by ................…….........……………………...
……………………………………………………… in ..... originals and.....copies
 Certificate of quality and quantity issued by …………………………………….
…………………………………………………..…. in ...... originals and.....copies
 Insurance Policy/ Certificate in assignable form and endorsed in blank for 110%
invoice value covering ..........…………………………. showing claim payable at
……………………..………….. in invoice currency in......originals.
 Copy of cable advising applicant of particulars of shipment.
 Beneficiary’s Certificate certifying that one set of non negotiable documents
plus
…………………............................... have been sent by Express courier to the
applicant within days after B/L date enclosing it’s receipt.
 Other documents and conditions (specify):
................................................................................................................................................
.………………………………………………………………………………….
.......................................................................................................................................
………………………………………………………………………………………..
47A Special conditions:
Documents to be presented within ..…........ days after the date of issuance the
Transport document but within the validity of the Credit.

71B Charges:
All bank charges outside Vietnam including reimbursement charges are for account of
Beneficiary/ Ourselves.

72 This Credit is subject to “the Uniform Customs and Practice for Documentary
Credits 1993 revision, ICC publication No.500”.
 Phô lôc sè 12

78 Instruction to Paying/ Accepting/ Negotiating Bank:

Upon receipt of  the Tested Telex/ Swift  the Documents which are complied with
the terms and conditions of this Credit, we make payments/ acceptances as
instructions of Paying/ Accepting/ Negotiating Bank.

ChØ thÞ cho Ng©n hµng Ph¸t hµnh Th− tÝn dông:
 ñy quyÒn ghi nî tµi kho¶n cña chóng t«i sè.....................................................t¹i
Qóy Ng©n hµng ®Ó ký quü ph¸t hµnh L/C sè tiÒn lµ.........................................t−¬ng
®−¬ng...........% trÞ gi¸ L/C.
 ñy quyÒn cho Quý Ng©n hµng ghi nî tµi kho¶n tiÒn göi/ ký quü/ tiÒn vay - theo
hîp
®ång vay ngo¹i tõ tÖ
phï®Ýnh kÌm ®Ó tr¶ tiÒn
®−îcn−íc ngoµi khi nhËnhîp®−îc ®iÖn ®ßi kiÖn
tiÒn x¸c
nhËn chøng hîp hoÆc nhËn bé chøng tõ phï víi c¸c ®iÒu vµ
®iÒu kho¶n cña Th− tÝn dông nµy.
 Th− tÝn dông nµy sö dông vèn vay n−íc ngoµi thuéc HiÖp ®Þnh nay nî sè
ngµy
……...
 Chóng t«i ®Ò nghÞ Quý Ng©n hµng ghi nî tµi kho¶n sè........................................t¹i
Quý Ng©n hµng ®Ó thanh to¸n thñ tôc phÝ, ®iÖn phÝ, b−u ®iÖn phÝ liªn quan ®Õn Th− tÝn
dông nµy.
Th− tÝn dông nµy ®−îc më theo Hîp ®ång th−¬ng m¹i sè ..........…… ngµy .
…...........
§¬n vÞ chóng t«i cam kÕt chÞu hoµn toµn tr¸ch nhiÖm vÒ giÊy phÐp NhËp khÈu
cña mÆt hµng NhËp khÈu theo Th− tÝn dông nµy.

........... , ngµy ..... th¸ng ….. n¨m ………

Khi cÇn liªn hÖ víi KÕ to¸n tr−ëng (nÕu cã) Chñ tµi kho¶n
¤ng/Bµ ......…..……….. (Ký tªn) (Ký tªn, ®ãng
Sè ®iÖn tho¹i: ......…….. dÊu)

NH ký nhËn …giê…,
ngµy… Tªn ng−êi nhËn:
…………….
Sè ®iÖn tho¹i: ……………….