Request for Guarantee for Unfair Calling
Before filling in the form – note instructions overleaf!
Applicant’s name and postal address:	Guarantee instrument is requested to be issued: Date: Signature:
EKN guarantee offer reference number	Date of providing security	Latest date for security to be utilized
Beneficiary
Type of security I Bid bond II Advance payment bond III Progress payment bond IV Retention payment bond V Performance bond
Security and export, to which the security is connected, corresponds with the prerequisites stated in the guarantee offer Yes No = See instructions for item 6 overleaf!
Currency in which the security is provided	Amount in currency in which the security is provided
EKN’s guarantee instrument in relation to export credit for the transaction to which the security relates Has been issued Has been requested Will be requested
Is the information in the application correct concerning items 20, 21 and 23 about debarment list, agent and notice served of suspicion of bribery or other criminal act or judgement of such a crime? Yes No, if no state new information in an appendix.
105.33UCe / 140314 / KSo

The OECD has adopted a recommendation to combat bribery of public officials. Accordingly, and as provided by Swedish law on bribery etc. in both the public and private sector, EKN requests that the applicant to make the following declaration. We hereby declare that (i) we understand the importance of the development, application and documentation of an appropriate control system to combat bribery; (ii) neither we, nor any group company involved or anyone else acting on our behalf, has given or will give any bribe or other improper benefit in conjunction with the export transaction specified in the application; (iii) we are aware that EKN’s liability for the guarantee may be extinguished and that indemnification amounts received, including interest from time the time when indemnification is paid out, must be repaid to EKN if we, any group company involved or anyone else acting on our behalf, has given, or will give any bribe or other improper benefit as described above; and (iv) we will hold EKN harmless in relation to all costs and expenses incurred because we, any group company involved or anyone else acting on our behalf, has given or will give any bribe or other improper benefit as described above. Note that bribery in the cases stated here, among others, is a criminal offences under Swedish law; see Chapter 10, sections 5a-5e of the Penal Code.

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

EKN’s notes

Alterations and additions to this application as stated below have been reported after it was submitted by the applicant (.............................................................................................................…….......) by phone/letter/visit on …………………………………………. and have been noted here by EKN (this means that information noted below applies instead of and over and above what has been stated in item 1-9).	Sign.
EKN’s notes	Bond amount (MSEK)	Guarantee period (months)	Premium

Instructions

General	A copy of this form must be submitted to EKN at latest one month after the security is provided. A notification must be made for each security concerned in item 5.

Item 6	If the security or the underlying export transaction does not correspond to the prerequisites of the guarantee offer (e.g. concerning beneficiary, sales amount, terms of payment, etc.) the offer is no longer binding upon EKN. Such lack of correspondence must therefore be notified to EKN, which subsequently decides to what extent the security may be covered by the offer.

Item 9	If a guarantee for the underlying export transaction is requested in accordance with an issued guarantee offer, a notification requesting such a guarantee to be issued should be submitted to EKN, if possible, at the same time as this request.