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Application for Export Documentary Collection

[Branch]

[Address]
[Address 1]
[Address 2]
[Address 3]
[Address 4]
All * fields are mandatory Drawer Reference Number_______________________________________

Documents Presented under   Documentary Collection  or   Letter of Credit Reference Number:

Attached are drafts and documents as listed below for Export Collection in accordance with our instructions below Date
and subject to the Continuing agreement cum indemnity signed in favor of Citibank NA by us.
Drawer* Drawee*

Address Address

Country Country

Please contact the following for instructions/inquiries regarding these drafts and/or Phone
documents: ___________________________________________________________________________________________________

In case of need, please refer to __________________________________________________________________________________________ who Phone

will assist you to obtain acceptance/payment, but who has no authority to amend the terms of the bill.

 No Dispatch Required   Dispatch is required and dispatch details as provided below

Dispatch Details Tenor   Sight   Usance Days

Dispatch Address
Tenor Terms_________________________________________________________________________
Draft
Amount

Country Currency

Shipment Terms:
Type of Export:  If “Services,” please fill out section a. and b. only.
 Goods   Services
a. If you’ve selected “Services” as your type of Export, then please indicate Ultimate Country Where Service is Rendered. Country:
If you’ve selected “Goods” as your type of export, then please indicate the Country of Origin of Goods.
b. Description of Goods or Services:

c. Shipping Details (only for Goods):

Mode of Transport Shipping Company

or Air Carrier Name
Ship From Ship To

Vessel Name B/L Reference # B/L Date

1279105  9915_India  01/15  page 1 of 5

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Accompanied by the following documents:

Applicable Original Copies Document Description/Requirement: Applicable Original Copies Document Description/Requirement:
 Bill of Lading/Airway Bill  Packing List
 Commercial Invoice  Consular Invoice
 Insurance Certificate  Weight Certificate
 Certificate of Origin  Parcel Post Receipt
 GR  Shipping Bill ______________________________________________
 Softex 
 
 

Please Follow the Instructions Appearing Below and Mark “X”

Deliver Documents Against   Payment   Acceptance   Other: ___________________________________________________________________
Hold drafts for arrival of goods    Allow Discount of _________________%
If unpaid/unaccepted, store and insure goods    Collect interest for delay in payment at _____________________________ (% p.a.)
Interest From _____________________________ (please provide date)
Advise by Telecommunication, giving reason Protest for   Nonpayment   Nonacceptance
 Acceptance/Maturity  Payment All bank charges outside India are to the account of (in case nothing is selected,
 Nonacceptance  Nonpayment point 1 will be applicable):  (1) Importer (charges may be waived if refused)
 Noncompliance to other instructions  (2) Importer (charges may not be waived if refused)
 Noncompliance with original draft terms  (3) Exporter

Schemes Credit the proceeds (Please tick one of the below}

If financing is required, then tick one of the below:  Against Pre-shipment Credit No.______________________________________________________with you*
 Please grant us Post-shipment Credit in INR at Notional Rate.  To our Current INR Account No._______________________________________________________with you*
 Please grant us Post-shipment Credit in INR, also tick one of the two:  To our Current EEFC Account No._____________________________________________________with you*
 i. We hereby authorise you to book a forward contract for the maturity of  A gainst Pre-shipment Credit Rs._____________with________________________________________________
the export bill. {bank name} by issuing a Payorder
 ii. We have booked a Forward Contract_______________________________________(Deal No.)  A combination of the above (also please provide with the details of
at______________________________{rate}. Kindly earmark the same against the percentage split)
export bill. i.______________% against our Pre-shipment Credit No._____________ with yourselves*
 Please grant us Post-shipment Credit in Foreign Currency. ii._____________% to our INR Acct. No._________________________with yourselves*
If no financing is required, then tick one of the below: iii.____________% to our EEFC Acct. No.__________________________with yourselves*
 Pay to us on realization (after collection). iv.____________% against our Pre-shipment Credit Rs.______________ with______________________
 Proceeds have been already realized. {bank name} by issuing payorder.
 Proceeds have been already realized, FIRC Number(s)________________________enclosed
*We confirm not having availed Pre-shipment Credit against the order through another
Authorized Dealer

Special Instructions
If documents are submitted 21 days after the date of shipment, please specify the reason for the delay:
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
 We request you to scrutinise the documents & send in compliance with LC terms subject to UCP latest revision (as applicable)/as stated in the LC
 We authorize you to forward documents on Examination Basis subject to UCP latest revision (as applicable)/as stated in the LC
 We authorize you to send documents on COLLECTION Basis subject to URC 522
 Any other instructions:

Stamp and Authorized Signature(s)

(stamp) Name (print): Signature

1279105  9915_India  01/15  page 2 of 5

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Terms and Conditions for Export Collection

In consideration of your agreeing to lend documents on collection or to purchase discount, handed over to you by us for the purpose of availing of such advance whether during
negotiate documents drawn by you. We invariably and unconditionally agree to the conditions transit or subsequently and any party employed by you for the purpose of forwarding the
set out below: documents or presentation thereof shall be deemed to be our agent. If you are unable
1. In case of Post-Shipment advance granted to us in respect of an export order covered to realise the amount of any bill by reason of such loss we agree and undertake to repay
by a letter of credit, we recognise that you, as negotiating bank, retain recourse to us. the amount of the relative advance with interest to you forthwith on demand and without
We therefore, undertake that in the event of the buyer or the bank opening the letter of demur. We further agree that if by reason of any governmental or other action in the
credit refusing payment under the letter of credit on account of any discrepancies in country of the buyer, is prevented from making payment of the amount of the bill drawn
the documents (irrespective of whether such discrepancies may have been noticed by by us we shall upon receipt of intimation in the behalf from you and a demand for payment
you at the time of negotiation of the documents presented to you for the said purpose forthwith making payment to you of the amount of the advance together with interest
or not, or whether you have had the opportunity of satisfying yourselves with regards without demur. In case of our failure to pay the amount demanded we hereby irrevocable
to the form sufficiency or genuineness of the documents submitted for negotiation) or authorise you to recover the same by debit to and appropriation thereof to our account in
the buyer or the bank opening the letter of credit refusing to accept the documents on the manner provided in clause 5 hereof.
the ground that they are not in conformity with any amendments which may have been 6. We agree that any and all our property now or at any time(s) hereafter in your possession
made to the letter of credit with our concurrence but which amendment may not have of control, or that of any third party acting in your behalf, whether for the express purpose
been brought to your notice or knowledge or on any other ground whatsoever, then in of being used by you as collateral security or for safekeeping or for any other for different
any of such events we shall be liable to repay the amount of the relative advance with purpose, including such property as may be in transit by mail or carrier to or from you,
interest forthwith upon your demand. Likewise, we undertake to indemnify you against shall be deemed to have been pledged to you as security for any and all of your obligations
all, costs, charges losses expenses, claims, or demands which you may incur, suffer or and/or liabilities hereinbefore or hereinafter referred to, now or hereafter existing, a lien
sustain due to delay in clearance of the relative documents by the buyer whether such being hereby given to you upon any and all such property for the aggregate amount of
delay is caused due to delays in communication, time lost in rectification of discrepant any and all such obligations and/or liabilities, and we hereby irrevocable authorise you,
documents or for any other reason whatsoever and we agree to pay the amount of such at your option, at any time(s), whether or not the property then held by you as security
loss to you forthwith on demand and without demur. Your demand shall be conclusive hereunder is deemed by you to be adequate, to appropriate and apply towards any and
as to the occurrence of the loss and amount thereof. In the event of failure on our part all of the said obligations and/or liabilities, whether or not then due, any all moneys now
of pay such amount when demanded from our account in the manner provided in Clause or hereafter with you on deposit or otherwise to our credit(s) or belonging to us and/or in
5 thereof. The provisions of the Uniform Customs and Practice relating to documentary your discretion, to hold any such moneys as security for any such obligated in liabilities
letters or credit for the time being in force shall be binding upon us. until the exact amount thereof, if any, shall have been definitely ascertained by you.
2. We agree and acknowledge that in cases of documents covered by the buyer’s purchase Your rights and liens hereunder shall continue unimpaired, and we shall be and remain
order/sale contract, the provisions of the ICC Uniform rules for Collections (URC 522), for obligated in accordance with the terms and provisions hereof notwithstanding the release
the time being in force shall be binding on us agree and acknowledge that you shall not be or substitution of any property which may be held as collateral hereunder at any time(s)
responsible in any way for loss may be sustained by us due to any act for omission on the or of any rights of interests therein or any delay, extension of time, renewal, compromise
part of the correspondent bank through whom the documents may be forwarded by you to or other indulgence granted by you in reference to any of the aforesaid obligations and/
the buyer not shall we be entitled to refuse payment to you on that account. or liabilities, or any promissory note, draft, bill of exchange or other instrument given to
you in connection with any of the aforesaid obligation and/or liabilities, we hereby waiving
3. In case of foreign currency bills/documents discounted/negotiated by you at our request,
notice of any such delay, extension, release, substitution, renewal compromise or other
the exchange risk will be borne by you till 30 days after the notional due date of the bill
indulgence, and hereby consenting to be bound thereby as fully and effectually as if we had
or as determined by FEDAI guidelines. However, in the event of refusal of the buyer/or the
expressly agreed thereto in advance.
bank opening the letter or credit to accept the documents and to make payment for any
reason whatsoever at any time after presentation of the documents the exchange loss 7. We undertake at any time and from time to time, on demand, to delivery, convey, transfer,
arising as a consequence of such refusal shall be to our account and be borne by us. It is or assign to you as security for any and all of our obligations and/or liabilities hereunder,
agreed by us that in cases where the documents negotiated with you are accompanied by and also for any and all other obligations and/or liabilities, absolute or contingent, due
foreign currency sight/usance bill, you may make payment to us of the rupee equivalent to become due, which are now, or may at any time hereafter, be owing by us to you,
as per the Post shipment financing scheme opted for by us, and explicitly communicated additional security of a value and character satisfactory to you, or to make such cash
to yourselves through our request letter. Likewise, in the event of your receiving payment payment(s) as you may require.
earlier than the due date in case of usance bill any exchange loss that may arise by reason 8. You are hereby authorised, at your option but without any obligation so to do, transfer
of such earlier payment shall also be borne by us and such loss will be recoverable by you to and/or register in the name(s) of your nominee(s) all or any part of the property which
from us. In the event of any foreign currency bills not being paid within thirty days from may be held by you as security at any time(s) hereunder, and to do so before or after the
its due date the bills shall be crystallized on the thirtieth day into a local currency bill and maturity of any of the said obligations and/or liabilities and with or without notice to us.
any exchange risks arising beyond the thirtieth day shall be to our account. In case the 9. Upon the non-performance of any of any of the promises to pay hereinabove set forth,
thirtieth day is holiday the bill will be crystallized on the next working day. or upon the non-payment of any of the other obligations or liabilities above mentioned,
4. You have agreed to grant us advances as hereinafter provided on the strength of shipping or in the event of our failure forthwith upon being required by you to furnish satisfactory
documents submitted to you on collection basis and drawn against goods exported by additional collateral or to make payments on accounts as herebefore agreed or to perform
us in case the relative bill is a foreign currency bill, we agree that for the purpose of or comply with any of the other terms or provisions of this Agreement, or in the event of
granting the advance, you may convert the amount of the bill into local currency at a death of any one of us or failure in business, dissolution or termination of existence or in
national rate of conversion as you way in your absolute discretion decide. The exchange case any petition in bankruptcy or for winding up should be filed by or against us, or any
risk till the date of realization on such bill will be borne by us. Upon realization of the proceedings in bankruptcy or liquidation, or under any Laws or Government relating to the
foreign currency proceeds the foreign currency amount received will be converted into relief of debtors, be commenced for the relief or readjustment of any of our indebtedness
rupees at the prevailing spot Telegraphic Transfer buying rate on the date of realization either through reorganization composition, extension or otherwise, or if we should make
and the net proceeds after adjustment of the advance and your other charges will be an assignment for the benefit of creditors or take advantage of any insolvency law, or
paid to us. In case, however, we have booked a forward contract in respect of any such if a receiver or liquidator of any of our property should be appointed at any time, or if
foreign currency bill the rate for conversion purpose shall be the exchange rate at the any of our funds or other property which may be in, or come into, your possession of
forward contact may have been made by us. control, or that of any third party acting in your behalf as aforesaid, should be attached or
5. We agree to be bound by the rules prescribed by the Foreign Exchange Dealers Association distrained or should be or become subject to any mandatory order of court or other legal
of India with respect to advances. In respect of foreign currency bills as also any other laws, process, then, at any time after the happening of any such event, any or all our aforesaid
rules or regulations applicable thereto which may be in force at the relevant time. You will obligations and/or liabilities shall at your option become due and payable immediately,
not be liable to grant any such advance unless we certify and satisfy you that all relevant without demand or notice; and full power and authority are hereby given to you without
exchange control regulations and any other regulations such as those relating to export intimation to us, to sell, assign and deliver all or any of the property hereinbefore referred
have been duly complied with. You shall not be responsible for any loss of documents to, through any broker or at public or private sale, at your option either for cash or on credit

Stamp and Authorized Signature(s)

(stamp) Name (print): Signature

1279105  9915_India  01/15  page 3 of 5

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Terms and Conditions for Export Collection

or for future delivery, without assumption of any credit risk, and without either demand and performance, and none of its terms or provisions may be waived, altered modified or
advertisement or notice of any kind all which are hereby expressly waived. At any sale amended except in writing duly signed for and on your behalf.
hereunder, you may, in you discretion, purchase whole or any part of the property sold, 18. We agree to be liable notwithstanding the fact that the bank had dispensed with recourse
free from any right of redemption or our part, all such rights being also hereby waived and to the party at whose instance the credit(s) may have been issued or to the buyer under
released. You shall not be responsible or accountable for any loss or deficiency that may any purchase order.
be occasioned by reason of exercise by you of any of the aforesaid powers. In the event of
19. Your rights and our obligations hereunder shall be in addition to and shall not affect or
any sale or other disposition of any of the property aforesaid, after deducting all costs, or
prejudice any other or further security required or obtained by your in relation to our
expenses of every kind for care, safekeeping, collection, sale delivery or otherwise, you may
liability to you with respect to the said credit(s) and shall be continuing indemnity until all
apply the residue of the proceeds of the sale(s) or other disposition thereof, to the payment
obligations covered by the said credit(s) are discharged.
or reduction either in whole or in part of all or any of the aforesaid obligations and/or
liabilities, whether or not then due, making proper allowance of interest on obligations or 20. Performance: Citibank will perform in good faith and with reasonable care as determined
liabilities not then due, and return the surplus, if any, to us for one(s) of us whose property in accordance with the standards and practices of the banking industry, and may use any
may have yielded the surplus all without prejudice to your rights as against us with respect communications, clearing or payment system, intermediary bank or other entity, (each
to any all amounts which may be or remain unpaid on any of the aforesaid obligation and/ a “System”) it reasonably selects; Citibank’s performance is subject to the rules and
or liabilities at any time. regulations at any time of any system and (in respect of reimbursement, documentary
collection and letter of credit related service) to the international guidelines and
10. The word “property” as used herein includes goods and merchandise, as well as any
procedure promulgated by the International Chamber of Commerce in effect at the time
and all documents relative thereto; also securities funds and any of our right or interest
of performance.
therein or thereto.
21. Customers information: Citibank will treat information relating to the customer as
11. That in the event of any change or modification with respect to (a) the amount or duration
confidential, but unless prohibited by law, Citibank may transfer and disclose any
of the said credit(s); (b) the time or place of shipment of any relative property; (c) the
information relating to the customer and to and between the branches, subsidiaries and
drawing, negotiation, presentation, acceptance, or maturity of any drafts, acceptances
Representative Offices, affiliates and gents of Citibank and third parties selected by any
or other documents; or (d) any of the other terms or provisions of the said credit(s), such
of them, wherever situated, for confidential use in connection with the provision of any
being done at our request, this Agreement shall nevertheless be binding upon us in all
Service (including for data processing, statistical and risk analysis purposes). Citibank and
respects with regard to the said credit(s) so changed or modified, inclusive of any action
any branch, subsidiary, representative office, affiliate, agent or third party may transfer
taken by you or any of your branch or correspondence relative thereto.
and disclose any such information as required by any law, court, regulator or legal process.
12. That you may assign or transfer the Agreement or any instrument(s) evidencing all or any
22. Multiple Role disclosure: “Citibank and its affiliates offer a wide range of financial services,
of the aforesaid obligations and/or liabilities, and deliver all or any of the property then
including back office letter of credit processing services on behalf of financial institutions
held as security therefor to the transferee(s), who shall thereupon become vested with all
and letter of credit beneficiaries — our services are provided internationally to a wide
the powers and rights in respect thereto given you herein or in the instruments transferred,
range of customers, some of whom may be applicant’s counter parties or competitors. We
and you shall thereafter be forever relieved and fully discharged from any liability or
acknowledge and accept that Citibank and its affiliates may perform more than one role in
responsibility with respect thereto, but you shall retain all right and powers hereby given
selection to a particular credit and not raise any “Conflict of interest” issues.”
with respect to any and all instrument(s), rights or property not so transferred.
23. “We understand that communication sent via Facsimile machines, Internet, Diskettes or
13. Notwithstanding that this facility is intended to be continuing facility we agree and
any other method over public lines is not encrypted, and these transmission methods are
acknowledge that you shall be entitled to enforce your rights and remedies hereunder
therefore not secure means of transmission of information. We acknowledge and accept
in respect of one or more of the advances which may have been granted by you to us
that such unsecure transmission methods involve the risk of possible unauthorized
hereunder without affecting your rights with respect to the other advances that may have
alteration and/or unauthorized use of communication. We agree to exempt Citibank
been granted to us under this facility.
from any and/or all responsibility of any misuse of communication, and to hold Citibank
14. No delay on your part in exercising any power of sale or any other fights or options harmless for any cost or loss that Citibank may incur due to any error, delay or problem in
hereunder, and not notice or demand, which may be given to or made upon us by you with transmission or otherwise cause by using Facsimile machines, Internet, Diskettes or any
respect to any power of sale or other right or option hereunder, shall constitute a waiver method over public lines as a means of transmission”.
thereof, or limit or impair your right to take any action or to exercise any power of sale, or
24. The said offering is subject to Exchange Control Manual, Foreign Exchange Management
any other rights or options hereunder, without notice or demand, or prejudice your rights
Act, Reserve Bank of India Guidelines, FEDAI Rules, Indian Banks Association, Ministry of
as a against us in any respect.
Finance, Indian Stamp Act, and EXIM Policy guidelines and regulation prevailing from
15. We hereby irrevocably agree to keep you indemnified and saved harmless in respect of any time to time.
amount payable towards Indian Income tax, with-holding tax, interest or any other dues
25. The provisions of the ICC Uniform Customs and Practices relating to documentary Credits,
under the said letter(s) of credit or in respect of anything done or omitted to be done in
ICC Uniform Rules for Bank-to-Bank reimbursements under documentary letters of Credits,
connection therewith as also for all costs, charges, losses, expenses, claims or demands
and the ICC Uniform rules for Collections, as applicable, for the time being in force shall
which you may incur, suffer or sustain be put to or which may be made against your for
be binding upon us.
or on account of any reason whatsoever including but not limited to acts of state and or
government and/or public policy of any concerned state or government. 26. All amounts payable by us hereunder shall be payable at our discretion in Bangalore/
Calcutta/Chennai/Delhi/Hyderabad/Mumbai/Pune and any other Citibank N. A. branch
16. This Agreement shall be binding upon us, our heirs, executors, administrators, successors
located in India.
and assignee, as the case may be, and shall ensure for the benefit of and be enforceable by
you, your successors, transferees and assignees in all respects. If this Agreement should 27. We hereby declare that this export transaction does not involve and is not designed for
be terminated or revoke by operation of laws as to us, we shall nevertheless indemnify the purpose of any contravention or evasion of the provisions of the FEMA 1999 or of
and save you harmless from any claim, demand, loss damages, costs, charges or expenses any rule, regulation, notification, direction or order made thereunder. We also hereby
which may be made against, suffered or incurred by you and whether actual or contingent agree and undertake to give such information/documents as will reasonably satisfy you
in acting hereunder prior to the receipt by you, or your successors transferees or assigns about the transaction. We also understand that if we refuse to comply with any such
of notice in writing of such termination or revocation. requirement or make only unsatisfactory compliance therewith, Citibank N.A. India shall
if it has reason to believe that any contravention/evasion is contemplated, report the
17. If this Agreement is executed by two or more parties they shall be severally liable
matter to the Reserve Bank of India.
hereunder and the word “we” wherever used herein shall be construed to refer to each
of such parties separately, all in the same manner and with the same effect as if each of 28. We agree and acknowledge that for all items presented to Citibank, to be handled
them had signed separate instruments; and in any such case, this Agreement shall not onwards on collection basis, Citibank shall accept the items for transmission only, at
be revoke or impaired as to any one or more of such parties by the death of any of the our risk, Further, for items presented to, but not payable at this institution, we shall
others or by the revocation of release of any obligations hereunder of any one or more of not hold Citibank responsible for any act, neglect, default failure or insolvency of any
such other parties. Further more, this Agreement shall be deemed to be made under and correspondent, agent, or sub-agent or of our or their employees or for losses or delays
shall be governed by Indian law in all respects, including matters of construction, validity occurring in the course of such transmission.

Stamp and Authorized Signature(s)

(stamp) Name (print): Signature

1279105  9915_India  01/15  page 4 of 5

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Date __________________________________________________________________________ 20 ___________________________________

At__________________________________________________________________________________________ Days After________________________________________________________________________________________________________________________ of this Sole Bill of Exchange

Pay to the Order of_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

The sum of ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

______________________________________________________________________________________________________________________________________________
VALUE RECEIVED AND CHARGE THE SAME TO ACCOUNT

To:
__________________________________________________________________________________________________________________________________________________________
Drawer’s Name

(DRAWEE NAME AND ADDRESS) __________________________________________________________________________________________________________________________________________________________

Authorized Signature

Please tear at the dotted line.

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