Performance carried out (exporter) NOTIFICATION of performance carried out under guarantee for Loss on Production and Loss on Claim (T+F) as well as in connection with combined guarantee (T+F-comb) Date of notification
1 Guarantee holder	Name
2 EKN's reference	Guarantee number	Refers to comb guarantee (T+F-comb)	Country
Yes	No
3 Goods, services
4 Buyer
5 The notification of performance carried out in accordance with guarantee *)	Yes	No - the following items are not in accordance with the guarantee
6 Partial performance / final performance	The performance carried out refers to
partial performance	final performance

7	Invoicing carried out regarding delivery (equivalent) or regarding contract works/consulting works

Claims mentioned below refer to
the guarantee-holder's claims only	the consortium's claims, whereof the guarantee-holder's part %
The invoice comprises
the total sales amount	the sales amount % in advance

Invoice	Invoiced amount	Accumulated, invoiced amount
Invoice number	Date of shipment (equiv)	Currency	Amount	Currency	Amount
continued overleaf

*) See instructions overleaf

Supplementary statements (filled in by EKN) - applicable instead of/in addition to the information given in the application

Changes/additions made by the applicant ………………………………………………..……………………….. Sign. by phone/letter/visit on ……………………………………

2.05e / 2008-09-15 / KSo

7	Invoicing carried out regarding delivery (equivalent) or regarding contract works/consulting works
(continues from the previous page)

Invoice	Invoiced amount	Accumulated, invoiced amount
Invoice number	Date of shipment (equiv)	Currency	Amount	Currency	Amount

Company name	Contact persons (preferably two names)
Signature	Telephone number
E-mail address

Instructions for completing the form

General	The form must be received by EKN within one month after the delivery or other invoicable performance has been carried out. The notification may refer to either the total transaction under the guarantee (if the contract is completed in one performance) or a part of the total transaction (if the contract will be completed in partial performances). The guarantee-holder can, however, on the same notification include several performances, e g partial deliveries. The invoices shall not be appended.

Item 4	The notified performance must be in accordance with the guarantee (e g with regard to the buyer,	terms of payment, securities, etc). EKN must be notified of any discrepancy, after which EKN	decides if the guarantee will cover the referred performance.