APPLICATION FOR BANK GUARANTEE-i
INSTRUCTION
JN ALLIANCE ISLAMIC BANK Gusurce! n scodoes eth es edarered pase.
akace dark Gost eee nciciecrptey. | em el ues oes elcome
by the tems and conditions siatd on the reverse ofthis form and in
any oer agreement executed by melus upon recall of your approval
of mylour application
DATE OF THIS APPLICATION:
‘TYPE OF GUARANTEE.
1) Performance Guarantee! Perfomance Bond 1) Tonder Guarantee Bid Bond /Eamest Money
1 Payment Guarantee! Sacuty Deposit
(€9. Customs / Uses et) 1 Oters (Pease spect)
PURPOSE OF GUARANTEE (Pease spas)
1D New Renewal (864 ret )
1D Purpose:
PARTICULAR OF APPLICANT(S) PARTICULAR OF BENEFICIARY
Name Name
Adress Address:
AMOUNT OF GUARANTEE ‘CONTRACT / PROJECT
In Fgures ( Currency: i No.1 Ret
In words: (ther information (please specity
‘VALIDITY PERIOD
From: Te:
Plus claim period aftr the expiry of the Valsty Prd
DESPATCH / COLLECTION INSTRUCTIONS (mandatory, pease choose ether one)
Despatch diet Applicant by- Courier
Name Pessomin- Cage (Full
Contact ne. (OfceMobie}:
‘Adress (Fu)
1D Anpicant to collect rom Ha Trade Window" (please specty )
1D. Special nstucton (any
Pege tof 3
Alsi@G.AUGUSTZ2‘CHARGES
1D. Debi all charges end commission to mylour Account Ne, with you
1D Other (Pease spaciy)
REMARKS:
Declaration:
1. This application is bound by the existing Maser Letler ef Indemnity for Bank Guarantees, (elusive of any modifcations or amendments
made Fom time Une thereafer or bythe eneloeed Lele of Indemeiy and where applesle, the Board Rogol,
|. We hereby ievocatly auheriae Alianca flamic Bork Bathad (the Bani) o dabt mylour account withthe BarkiAllance Bank forall
charges, o0et, expanses and abies eure in eaton to ths Bark Guarantees n the event hal hare are insusent funds in your
‘count the Bank may debt any cher accounts) whieh we may have wth the Bank
|i, UWe hereby agree that, In corsderaton of the Bank Issung the Bank Gunrartees to the Benefcary in accordance wit the Shatah
principle of Kaftan (quaratee), any cai oF demand made by the Beneficiary to the Bank for payment of money va any method
‘eceptable by the Bark shallbe wth mya seer autonty to the Bank for making uh payers.
Iv. We heraby further apr tat ve skal pay to the Bank immastately ypon demand by the Bank. Ve flo s0, the Bank shal have
the right to recourse agaist moluz up fo the amour pad the Beneficiary within one (1) month rom the date of suchdemand made by the
Bank
the Bank trom the quarenisod Fatty
fe Bank and the
1. We hereby apr that, this Bank Gusrantee acy i deslved when the Bereiciary dischara
with or without the request rom the Bank However, the ead discharge shall not affect mylouresponstiliyes) onard
Benefcay
‘i. We hereby request and authorize you fo debit one er more of mylouraecoune) wth the amount sated above being Cash Depast (the
Cash’) forthe payments to be made by you or your agons or boing moni to bo applied by you no towards payment or satisfaction of
‘any sume of money now or heater rom meta ime due or wing lo you by melusm connection wih Bank Guarantees
vil, We herby further authorise you at any time(s), 0 further debit one or more of myfouraccou() wth youn the event you incur ary loss
for foregn exchange dference or expense ue {9 insuficiert funds debited in advance under te preceding paragraph to meet myicur
‘blgations fo you in respect ofthe Bark Guarantees between the dale on which myiour acsounls) i debited in advance undar the
‘receding paragraph andthe dale on wich live amvare requied to reknburse YoU fr paynents made by you or your agents under the
‘Bank Guaranteed we futher underake (0 indemty you and save you harmless against al Sabie, damages, compensation charges,
Ccaime, expenses, costs, including bul not ted Tolga coss (eg related to oblaning prions on silty, payment, recovery) which may
‘be sored ana cured by you howsoever in relation othe Bank Guarantees
vii The Bank reserves the righ to withhold the release ofthe Cath (or part there) orto proceed with gation against melus if there is 2
faut in payment of any meriee due and owing by melve of by any other pat for which Uwe amare the guararerorislare acceurtable
for, of ie threaten fo ceate fo cary en mylour businaee of a winding Up petlon has been preserted agains! malus andor myou"
subsidies or when any one of myleur partners or decors or pernere ot directors of the myloutsubsdiarielaccocste companice have
‘received an cer agaiat them andlor hasbeen adjudged bark, ee or beameinsans,
ik. We hereby consent to and authorize you to very with andlor disclose as per the Bank's intemal poles tothe Cantal Credit Unit of
Bank Negara Nalaysa, the Central Credit Reference Information System of Bank Negare Malaysia and/or any autrriy or edy established
by Bank Negara Malaysia, any agency esiabished by the Assocation of Islamic Banks of Maaysieandior partes thereto, ary ifrmation
ncering or eating to alu whetner financial or otherwise, myiour accou(s) andor the conduct thereof for any purpose as per the
‘Bank's nal polis oft sane to Mess.
Xe hereby declare ane agra tht any dalainveematon (ncusing personal dat) resting 1 oF asin fom or In eae wth mylour
‘applistion hersunder and alsa inermation peraning to mylour alae whether hereunder ee otherwise on this application may be hele,
Used and cecised bythe Bank fr the purpose of processing hs appleaton a proving subsequent services ferthis and oer products
‘and sovces andlor droct marketing to communicate wth metus fo such purpose
x. We hereby cont and declare as fotos:
(a) Inthecase ofa sole-gropretor or panrarshis
Nove ef my spouse(s). parents, chucren, brothers, sisters, thir spouses andr fnancial dependents andlor my agents and
‘quaraniors aren he employment ofthe Bank or te subsiariss ardor rated to a director, olfcer or employe of the Bank os
Page 2of3
AISIEG-IAUGUST22cabelas,
(b)_Inthecsve ofa company, society or other body not covered unde: paragraph (2) above
[None of eur avoctors, manager, conteling shareholder (whether directly or drei ilorested) andor agerte and guarantors are
Inthe employment ofthe Banko” ls subsidiaries andi are rlatod to any arector, fie” or employao cf the Bank oe subsiavos,
“Whether as paren spouse, brother, ster archi ander th ancial dependant excep! those sata ine apleation.
2c, lWe futher undertake to lrform the Bank imeesately i ny such relationship set out in paragraphs Xi (a) or (6) above i established!
intended tobe estate at any te
i, Further we hereby agree that, tis Bank Guarani facity shal be deemed to be no longer requied upon te eccutance of ary
‘ofthe folowing ereumstance:
') We make fll setoment of tho guaranteed labity (at paymonts made by the Bank othe Benefeary)
2) sot fel det obigatons between mals andthe Benicar:
)_ waiver rom the Beneficiary to claim on the entire guaantsedlebilty: or
13) the expiry ofthe css prod for he Bena toca tne guaranteed lablty amount,
iv. Upon the occurence of ary of the atove circumstances in paragraph xi the Bank shall be dscharged from any abi under the Bark
Guarantee
Xv. Unless otherwise specified herein, the Bank's charges excude ary curent taxes and flue taxes that may be imposed under tw relevant
legislation. Upon the efesve date of mplemeniaton of any suc Taxes Inthe flute and wherever applicable, Ue Bank wil be eiiled 10
recover such ares rom metus
We hereby declare thatthe infomation given an this Form and in other related documents are Yue and corct and in fll compliance with
tha Islamic nancial Sanices Act 2013 ad the Catral Bank of Malaysia Act 2009 wa shal be fly responsible fr any inaccurate, urttus
tr incomplete information provided. Ie alse auhorce Align leamis Bark Barna (tho Bank’) to make tie formation avaiable
‘Bark Negara Malaysian complance with the llamic Finan Seriees Act 2079 and tha Cenral Bank of Maayeia Act 2009
FOR BANK USE ONLY
Signatue(e)
vored oy
[AUTHORISED SIGNATORY(IES) & COMPANY STAMP
Note
(1) Mandatory to compete form and tick Y where applicable.
(2) Deals of isamie Trade Finance Fee & Charges Ie avaiable in our wets ioe hy allancebank.com my
Fogo 3 of 3
AisBG-JAUGUST22