Request for guarantee Guarantee for trade receivables Credit period not exceeding 12 months NB: The guarantee request must be received by EKN not later than 30 days after the date on which the claim arose

1. EKN's OFFER

EKN´s reference number

2. APPLICANT

Name as stated in contract
Address

3. BUYER

Name as stated in contract
Address	Country

4. THE TRANSACTION IS IN ACCORDANCE WITH THE offer*

Yes No, the following changes have occurred:

5. assignment/pledge/charge of contract and guarantee

The rights under the contract and guarantee will be assigned/pledged/ to

6. TOTAL SUM INVOICED (INVOICE BREAKDOWN TO BE GIVEN IN SECTION 7)

The invoices below relate to partial delivery final delivery (the offer will not be used for further deliveries)
a) Invoice currency/currencies	b) Total amount invoiced, not including interest (if any)	c) Total interest invoiced

8.02e / 2014-03-14/ Cer

7. INVOICE BREAKDOWN AND PAYMENT TERMS

a) Date when claim arose, normally the delivery date	b) Invoice number	c) Payment terms *)	d) Invoice amount and currency, not including advance payments (if any)	e) Interest charged (to be specified if interest is invoiced separately)
Continue on additional sheet if necessary.

8. NEW CIRCUMSTANCES IN COMPARISON WITH THOSE PREVIOUSLY STATED BY THE APPLICANT IN THE APPLICATION FOR GUARANTEE REGARDING ITEM 7. CONCERNING WORKING CONDITIONS, ENVIRONMENTAL IMPACT AND ANTI-CORRUPTION Yes No If yes, state additional information below or in an appendix.

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

we understand the importance of the development, application and documentation of an appropriate control system to combat bribery;

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;

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

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, amongst other, is a criminal offence under Swedish law; see Chapter 10,

sections 5a-5e of the Penal Code.

We confirm that we have read EKN's General conditions and supplementary conditions, if any, for Guarantee for trade receivables credit period not exceeding 12 months (March 2014) and supplementary conditions (september 2010).

Company name	Date
Signature	Contact person
Telephone number and e-mail

Additional information (to be completed by EKN) – applies instead of, or in addition to, the information submitted in the application

Amendments/Supplements have been made by the applicant (……………………………….….) by telephone/letter/visit on ………………Signed

* Instructions

Your request must be received by EKN not later than 30 days after the claim arose, unless stated otherwise in the offer. Section 4: If the transaction contract has been amended as compared with the assumptions on which the offer is based, e.g., as regards payment terms, the offer may be rendered void as against EKN. Section 7c: Need only be specified if alternative payment terms are given in the offer.

Important points to remember

The guarantee will refer to the invoice breakdown shown in this request. It is therefore essential that the applicant himself notes the invoice numbers, etc. quoted in section 7.

This means an enterprise belonging to the same group as the applicant that has been involved in the contract negotiations or has otherwise participated in the negotiations with the buyer.