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Application for Shipping Guarantee/Delivery Order
Branch
Bill of Lading/Airway Bill Number
Dear Sirs,
I/We hereby request you to authorise release of goods under,
عﺮﻔﻟا
ىﻮﺠﻟا ﻦﺤﺸﻟا ﺔﺼﻴﻟﻮﺑ/يﺮﺤﺒﻟا ﻦﺤﺸﻟا ﺔﺼﻴﻟﻮﺑ ﻢﻗر
ﻢﻴﻠﺴﺘﻟا ﺮﻣأ/يﺮﺤﺑ ﻦﺤﺷ نﺎﻤﺿ ﺐﻠﻃ
،ﺪﻌﺑو ﺔﺒﻴﻃ ﺔﻴﺤﺗ
,ﺐﺟﻮﻤﺑ ﻊﺋﺎﻀﺒﻟا ﻦﻋ جاﺮﻓا ﻰﻠﻋ ﻢﻜﺘﻘﻓاﻮﻣ ﻰﺟﺮﻳ
Note: Please attach a copy of invoice and Non‐Negotiable copy of Bill of
Lading/Airway Bill
ﻦﺤﺸﻟا ﺔﺼﻴﻟﻮﺑ ﻦﻣ لواﺪﺘﻠﻟ ﺔﻠﺑﺎﻗ ﺮﻴﻏ ةرﻮﺻو ةرﻮﺗﺎﻔﻟا ةرﻮﺻ قﺎﻓرإ ﻲﺟﺮﻳ :ﺔﻇﻮﺤﻠﻣ
ىﻮﺠﻟا ﻦﺤﺸﻟا ﺔﺼﻴﻟﻮﺑ/يﺮﺤﺒﻟا
Covered under LC Number
ىﺪﻨﺘﺴﻤﻟا دﺎﻤﺘﻋﻻا/دﺎﻤﺘﻋﻻا بﺎﻄﺨﺑ ةﺎﻄﻐﻤﻟا ﻢﻗر
Marks & Nos.
مﺎﻗرا/تﺎﻣﻼﻌﻟا
Account Name
بﺎﺴﺤﻟا ﻢﺳا
Signature(s)
تﺎﻌﻴﻗﻮﺘﻟا/ﻊﻴﻗﻮﺘﻟا
Signature(s) Verified
تﺎﻌﻴﻗﻮﺘﻟا/ﻊﻴﻗﻮﺘﻟا ﺔﻘﺑﺎﻄﻣ
Number of Packages/Parcels
دوﺮﻄﻟا/تﺎﻔﻠﻐﻤﻟا دﺪﻋ
Description of Goods
ﻊﺋﺎﻀﺒﻟا ﻒﺻو
Customs Duty Undertaking
Shipping Guarantee/Delivery Order Number Customer’s Initials
ﺔﻴﻛﺮﻤﺠﻟا مﻮﺳﺮﻟا ﺪﻬﻌﺗ
Required
بﻮﻠﻄﻣ
Currency & Amount
ﻎﻠﺒﻤﻟاو ﺔﻠﻤﻌﻟا
Date
Not Required
بﻮﻠﻄﻣ ﺮﻴﻏ
In consideration of your issuing the above guarantee, I/we authorise you to debit
my/our account with any amount as you deem appropriate as a margin deposit to
effect payment of the relative bill on presentation. I/We hereby authorise the Bank
to accept such shipping and other documents as may be presented to it without
further reference to me/us and I/we expressly waive any right to reject the
documents or to assert that any document is discrepant.
I/We hereby agree
that the Bank may at any time or times hereafter without notice to me/us set off,
transfer or apply all or any of the monies standing to the credit of any account which
I/we from time to time maintain with any of the group offices of the Bank in or
towards the discharge and satisfaction of all sums of money which now are or at any
time or times hereafter may become due or owing to the Bank in respect of any
liability whatsoever whether actual or contingent arising from the issuance of this
Guarantee/Indemnity; that I/we shall duly honour and discharge all drafts presented
to me/us to the said goods; that in the case of shipping guarantee. I/We further
undertake to hand you the relative Bills of Lading within one month, duly endorsed in
order that the guarantee may be cancelled; in the event of the shipping documents
are presented, integrated in a presentation of higher value, you are authorised to
debit my/our account or any of my/our account maintained by the group offices of
the Bank with the total value of the said presentation.
I/We hereby undertake to indemnify you and keep you indemnified against all
actions, proceedings, liability, claims, damages, costs, legal and other expenses
whatsoever which may be taken or made against you or incurred or become payable
by you as a result of you issuing this Guarantee/Indemnity.
ﻦﻣ اﻮﻤﺼﺨﺗ نﺄﺑ ﻢﻜﺿﻮﻔﻧ/ﻢﻜﺿﻮﻓأ هﻼﻋأ رﻮﻛﺬﻤﻟا نﺎﻤﻀﻟا راﺪﺻﺈﺑ ﻢﻜﻣﺎﻴﻗ ﺮﻴﻈﻧ
تاﺪﻨﺘﺴﻤﻟا ﻊﻓد ﺬﻴﻔﻨﺘﺑ ﻢﻜﻣﺎﻴﻘﻟ ﻲﻃﺎﻴﺘﺣا نﺎﻤﻀﻛ °ﺒﺳﺎﻨﻣ ﻪﻧوﺮﺗ ﻎﻠﺒﻣ يأ ﺎﻨﺑﺎﺴﺣ/ﻲﺑﺎﺴﺣ
ﻦﻣ ﺎﻫﺮﻴﻏو ﻦﺤﺸﻟا تاﺪﻨﺘﺴﻣ لﻮﺒﻘﺑ فﺮﺼﻤﻟا ﺾﻳﻮﻔﺘﺑ ﻪﺒﺟﻮﻤﺑ مﻮﻘﻧ/مﻮﻗأو .ﺎﻬﻤﻳﺪﻘﺗ ﺪﻨﻋ
يأ ﻦﻋ ﺔﺣاﺮﺻ لزﺎﻨﺘﻧ/لزﺎﻨﺗأو ﺎﻨﻟ/ﻲﻟ عﻮﺟﺮﻟا نود فﺮﺼﻤﻟا ﻰﻟإ ﺎﻬﻤﻳﺪﻘﺗ ﻢﺘﻳ ﻲﺘﻟا تاﺪﻨﺘﺴﻤﻟا
.ﺎﻬﻨﻣ يأ ﺾﻗﺎﻨﺗ ﺪﻴﻛﺄﺘﻟ وأ تاﺪﻨﺘﺴﻤﻟا ﺾﻓﺮﻟ ﻖﺣ
:ﻪﺒﺟﻮﻤﺑ ﻖﻓاﻮﻧ/ﻖﻓاوأو
ﺔﺻﺎﻘﻤﺑ مﻮﻘﻳ نأ ﺎﻧرﺎﻄﺧإ/يرﺎﻄﺧإ نودو ن¸ا ﺪﻌﺑ تﺎﻗوأ وأ ﺖﻗو يأ ﻲﻓ ﻚﻨﺒﻠﻟ زﻮﺠﻳ ﻪﻧأ ﻰﻠﻋ
يﺬﻟاو بﺎﺴﺣ ي ﻦﺋاﺪﻟا ﺐﻧﺎﺠﻟﺎﺑ ﺔﻤﺋﺎﻘﻟا لاﻮﻣا ﻦﻣ يأ وأ ﻞﻛ ماﺪﺨﺘﺳا وأ ﻞﻳﻮﺤﺗ وأ
ﺔﻳﻮﺴﺘﻟا نﺄﺸﺑ وأ ﻲﻓ ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﺐﺗﺎﻜﻣ ﻦﻣ يأ ىﺪﻟ ﺮﺧ ﺖﻗو ﻦﻣ ﻪﺑ ﻆﻔﺘﺤﻧ/ﻆﻔﺘﺣا
وأ ﺔﻘﺤﺘﺴﻣ ﻚﻟذ ﺪﻌﺑ تﺎﻗوأ وأ ﺖﻗو يأ ﻲﻓ وأ ن¸ا نﻮﻜﺗ ﻲﺘﻟاو ﻎﻟﺎﺒﻤﻟا ﻊﻴﻤﺠﺑ ءﺎﻓﻮﻟاو
راﺪﺻإ ﻦﻋ °ﻤﺟﺎﻧو
ً
ﻼﻤﺘﺤﻣ وأ °ﻴﻠﻌﻓ نﺎﻛ ءاﻮﺳ نﺎﻛ ﺎﻤﻬﻣ ماﺰﺘﻟا يأ نﺎﺸﺑ ﻚﻨﺒﻠﻟ ءادا ﺔﺒﺟﻮﺘﻣ
تﻻاﻮﺤﻟا ﻊﻴﻤﺟ ﺪﻳﺪﺴﺗو ءﺎﻓﻮﻟﺎﺑ لﻮﺻا ﺐﺴﺣ مﻮﻘﻨﺳ ﺎﻨﻧأ/ﻲﻨﻧأ ﻰﻠﻋ .ﺾﻳﻮﻌﺘﻟا/نﺎﻤﻀﻟا اﺬﻫ
ﻦﺤﺸﻟا نﺎﻤﺿ ﺔﻟﺎﺣ ﻲﻓ ﺎﻀﻳأ ﺪﻬﻌﺘﻧ ﺎﻨﻧإ/ﻲﻨﻧﺄﺑو ةرﻮﻛﺬﻤﻟا ﻊﺋﺎﻀﺒﻟا نﺄﺸﺑ ﺎﻨﻟ/ﻲﻟ مﺪﻘﺗ ﻲﺘﻟا
ﺎﻫﺮﻴﻬﻈﺗ ﺪﻌﺑ ﺪﺣاو ﺮﻬﺷ لﻼﺧ ﺔﻴﻨﻌﻤﻟا ﻦﺤﺸﻟا ﺺﻟاﻮﺑ ﻢﻜﻤﻴﻠﺴﺘﺑ مﻮﻘﻧ/مﻮﻗا نأ يﺮﺤﺒﻟا
ﻲﻓ ﺎﻬﺠﻣد وأ ﻦﺤﺸﻟا تاﺪﻨﺘﺴﻣ ﻢﻳﺪﻘﺗ ﺔﻟﺎﺣ ﻲﻓو .نﺎﻤﻀﻟا ءﺎﻐﻟإ ﻦﻜﻤﻳ ﻰﺘﺣ لﻮﺻا ﺐﺴﺣ
ﻦﻣ ﺐﻠﻄﻟا ﻚﻟﺬﻟ ﺔﻴﻟﺎﻤﺟا ﺔﻤﻴﻘﻟا ﻢﺼﺨﺑ اﻮﻣﻮﻘﺗ نأ ﻢﻜﻟ ﻖﺤﻳ فﻮﺳ ،ﻲﻠﻋأ ﺔﻤﻴﻗ يذ ﺐﻠﻃ
.ﻚﻨﺒﻟا ﺔﻋﻮﻤﺠﻣ ﺐﺗﺎﻜﻣ ﻦﻣ يأ ىﺪﻟ حﻮﺘﻔﻣ ﺎﻨﻟ/ﻲﻟ بﺎﺴﺣ يأ وأ ﺎﻨﺑﺎﺴﺣ/ﻲﺑﺎﺴﺣ
تﺎﻣاﺰﺘﻟﻻا تاءاﺮﺟاو ﺎﻳﺎﻀﻘﻟا ﺔﻓﺎﻛ ﻦﻋ ﻢﻜﺿﻮﻌﺗ ﻲﻓ راﺮﻤﺘﺳﻻاو ﻢﻜﻀﻳﻮﻌﺘﺑ ﺪﻬﻌﺘﻧ/ﺪﻬﻌﺗأ
ﻊﻓﺮﺗ وأ ﺬﺨﺘﺗ ﺪﻗ ﻲﺘﻟاو ﺖﻧﺎﻛ °ﻳأ ﺎﻫﺮﻴﻏو ﺔﻴﻧﻮﻧﺎﻘﻟا تﺎﻘﻔﻨﻟاو ﻒﻴﻟﺎﻜﺘﻟاو راﺮﺿاو تﺎﺒﻟﺎﻄﻤﻟاو
ﻢﻛراﺪﺻ ﺔﺠﻴﺘﻧ ﻢﻜﻠﺒﻗ ﻦﻣ ﻊﻓﺪﻟا ﺔﻘﺤﺘﺴﻣ ﺢﺒﺼﺗ ﺪﻗ ﻲﺘﻟا ﻚﻠﺗوأ ﻢﻜﻴﻠﻋ ﺐﺗﺮﺘﺗ وأ ﻢﻛﺪﺿ
.ﺾﻳﻮﻌﺘﻟا/نﺎﻤﻀﻟا اﺬﻬﻟ
Account Number
بﺎﺴﺤﻟا ﻢﻗر
Bank Use Only
SG/DO Number
ﻢﻴﻠﺴﺘﻟا ﺮﻣأ/يﺮﺤﺒﻟا ﻦﺤﺸﻟا نﺎﻤﺿ ﻢﻗر
Transactions are Governed by the Bank’s Standard Terms and Conditions
ﺔﻗرﻮﻟا ﻰﻠﻋ عﻮﺒﻄﻣ ﻮﻫ ﺎﻣ ﻰﻟإ ﺔﻓﺎﺿإ فﺮﺼﻤﻠﻟ ﺔﻴﺳﺎﻴﻘﻟا مﺎﻜﺣاو طوﺮﺸﻠﻟ تﻼﻣﺎﻌﻤﻟا ﻊﻀﺨﺗ
Emirates Islamic is a registered brand name of Emirates Islamic Bank PJSC
ﻲﻣﻼﺳا تارﺎﻣا فﺮﺼﻤﻟ ﺔﻠﺠﺴﻤﻟا ﺔﻳرﺎﺠﺘﻟا ﺔﻣﻼﻌﻟا ﻮﻫ ﻲﻣﻼﺳا تارﺎﻣا