International Chamber of Commerce I C c1
International Chamber of Commerce I C c1
International Chamber of Commerce I C c1
C 400/500/600)
NON-CIRCUMVENTION, NON-DISCLOSURE & WORKING AGREEMENT (NCNDA)
IRREVOCABLE MASTER FEE PROTECTION AGREEMENT (IMFPA)
Contract Code :
Seller’s Code :
Buyer’s Code :
Type of deal :
Product :
Product origin :
Contract Quantity :
Price :
Contract Period :
Delivery Terms :
Seller's Name :
Seller's side :
Representative
Buyer's Name :
Buyer's Side :
Representative
Contract Date :
''Accepted and agreed without change (Electronic signature is valid and accepted as hand
signature)"
EDT (Electronic document transmissions) shall be deemed valid and enforceable in respect of any
provisions of this Contract. As applicable, this agreement shall be:-
Incorporate U.S. Public Law 106-229, ''Electronic Signatures in Global & National Commerce Act’’ or such
other applicable law conforming to the UNCITRAL Model Law on Electronic Signatures (2001)
THE SELLER
Name:
Passport:
Nationality:
Company
Name:
Designation:
Address:
Telephone:
Fax:
Mobile:
Email Address :
Web Address:
BTC Address:
Today's Date:
SIGNATURE
& SEAL
THE BUYER
Name:
Passport:
Nationality:
Company
Name:
Designation:
Address:
Telephone:
Fax:
Mobile:
Email Address:
Web Address:
BTC Address:
Today's Date:
SIGNATURE
& SEAL
SELLER'S MANDATE
Name: Commission:
Beneficiary's
Passport:
Name:
Company
Account:
Name:
Fax: EMAIL:
Today's Date:
SIGNATURE
& SEAL
BUYER S MANDATE
Name: Commission:
Beneficiary's
Passport:
Name:
Telephone: Iban:
Fax: BIC:
Today's Date:
SIGNATURE &
SEAL
INTERMEDIARY - 1
Name: Commission:
Passport: Beneficiary's
Name:
Company
Account:
Name:
Telephone: Iban:
Fax: BIC:
Bank
Email Address: Telephone:
SIGNATURE
& SEAL
INTERMEDIARY - 2
Name: Commission:
Beneficiary's
Passport: Name:
Company
Account:
Name:
Telephone: Iban:
Fax: BIC:
Email Address:
Bank Telephone:
SIGNATURE
& SEAL
INTERMEDIARY - 3
Name: Commission:
Beneficiary's
Passport:
Name:
Company
Account:
Name:
Telephone: Iban:
Fax: BIC:
Bank
Email Address: Telephone:
Today's Date:
SIGNATURE
& SEAL
INTERMEDIARY - 4
Name: Commission:
Beneficiary's
Passport:
Name:
Company
Name: Account:
Telephone: Iban:
Fax: BIC:
Today's Date:
SIGNATURE
& SEAL
INTERMEDIARY - 5
Name: Commission:
Beneficiary's
Passport: Name:
Company
Account:
Name:
Telephone: Iban:
Fax: BIC:
SIGNATURE
& SEAL
NOTARY PUBLIC
(if necessary and/or desired)
BEFORE ME, THE UNDERSIGNED NOTARY PUBLIC, PERSONALLY APPEARED THE FOLLOWING:
MY COMMISSION EXPIRES:
_________________________
NOTARY PUBLIC SIGNATURE
OFFICER NAME:
TITLE:
ADDRESS:
TEL:
TODAY'S DATE:
[SEAL]
THIS IS TO CERTIFY THAT THE ABOVE IRREVOCABLE PAYMENT ORDER HAS BEEN LODGED
WITH US AND WILL BE EXECUTED IN ACCORDANCE WITH THE INSTRUCTIONS STIPULATED IN
THIS DOCUMENT.
______________________________
1st BANK OFFICER SIGNATURE
BANK NAME:
BANK ADDRESS:
BANK TEL:
TODAY'S DATE:
[SEAL]
_____________________________
2nd BANK OFFICER SIGNATURE
TITLE:
PIN NUMBER:
BANK NAME:
BANK ADDRESS:
BANK TEL:
TODAY'S DATE:
[SEAL]
END OF DOCUMENT
.