Original (please submit in duplicate) Account No. Date

Export Bill purchase/collection/negotiation Form

To Mashreqbank psc Foreign Trade Centre Fax no + 917 4 4247190-2

Beneficiary Details

Fax No. Tel No

Fax No. Tel No

Drawer /Beneficiary name

Address

Drawee/consignee name

Address

Bill of exchange

Sight Days after Sight Other please specify

Purchase upon acceptance at bank risk

Debit our account no. for your charges

Non restricted Restricted with/without recourse Official Stamp

Discounting at our risk:

Negotiation under Documentary credit

if yes, attach discounting form .

release documents against payment (DP)

Protest for non-acceptance and/or non-payment

Do not protest Tele advice/airmail advice non-payment or non-acceptance

Collect overseas charges from the drawees

Waive interest and/or collection charges if refused

release documents against acceptance (DA)

release documents against acceptance duly avalized by collecting bank If

unpaid/unaccepted, store and insure goods

Deduct charges from the proceeds

Do not waive interest and/or collection charges if refused

Collect interest at %per annum from drawees from

Discounting not required Attach Discounting request form

until

Discounting required

Yes No

Documentary Credit No

Issued by Bank Branch /present documents through

Negotiate Forward for Negotiation/Acceptance

Please fax a copy of your collection/negotiation advice On approval basis under Protection of Letter of Credit

X This document should be handled with the current Uniform Rules for Collection or Customs and Practice for Documentary Credit (ICC Publications) In accordance with the current Uniform Customs for Documentary Credit, we confirm that all accepted amendments are duly submitted.

Number of documents attached indicated below

Proceeds disposal, please follow instructions

Draft Packing / Weigh list Commercial Invoice

Certificate of Origin Original Bills of Lading

Insurance Policy Certificate Visa/Counsular invoice

Inspection Certificate

Delivery / Truck Consignment Note Air Way Bill

Non Negotiable Bills of Lading

Other documents X One extra set of documents attached for your records

Documents under Export LC

Name / Address of Collecting Bank

Instructions for bills NOT under Letter of Credit (LC), please follow as marked

Credit our acc no

Authorized signatory

For Bank Use Only Ref No

If unpaid/unaccepted, store and insure goods

Bill CCY Amount Brief Description of goods