Extension C, P+C, P+C combined Application for issue of an extension of guarantee offer concerning only loss on claim (C) or loss on production and loss on claim (P+C, P+C combined)

1. Applicant’s name, address and reference	Date	C	(exporter/bank)
P+C	(exporter)

2. EKN’s reference	EKN’s guarantee offer, Journal No.	Combined guarantee? (P+C combined)
Yes No
3. Exporter (to be stated only if the applicant is lender)	Name (as in contract)
NB: A Supplementary form for application for extension of guarantee offer must be submitted by the exporter unless the offer is for a combined guarantee for the exporter and lender.
Postal address
4. Buyer/equivalent, debtor	Name (as in contract)
Postal address	Country
5. The transaction is in accordance with guarantee offer *)	Yes No – state differences below or in an appendix
6. Questions concerning the circumstances of the applicant’s counterparty	If, after issue of the guarantee offer or previous extension of that offer, the applicant has gained knowledge of circumstances of the buyer/debtor or other counterparty in the transaction whereby: The counterparty is declared bankrupt or is the subject of a business reorganisation process, composition/arrangement or similar procedure. A cross-default in a contract of the counterparty has been invoked. The counterparty has received demands for payment of due debts in addition to those previously specified in the application for a guarantee or an extension of a guarantee offer. Another event has occurred at the counterpart that may be expected to represent a substantially increased risk of a loss on claims or other contractual rights as against the counterparty. No Yes If yes, and this has not been previously reported in accordance with the prescribed duty of information under a previously issued guarantee offer, state the detailed circumstances below or in an appendix.
*) See instructions on page 3! 2.02e / 140314/ KSo

7. Circumstances concerning debarment lists, bribery or agent’s costs	New circumstances in comparison with those previously stated by the applicant in an application for guarantee or extension of guarantee offer concerning debarment lists, notice served of suspicion of bribery, indictment or judgment concerning bribery or similar criminal acts. No Yes If yes, and these circumstances have not been previously reported, state the detailed circumstances below or in an appendix.
8. For the exporter: CSR	Has the exporter received information about working conditions and environmental impact additional to the information previously provided under items 11-12 of the Supplementary form for application for guarantee or extension of guarantee offer under “Working conditions at the buyer company” or “Environmental impact of the transaction”? No Yes If yes, state the additional information below or in an appendix.

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

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

Amendments/supplements have been made by the applicant (……………………………………………………………) by telephone/letter/visit (date) …………………………………………………………..	Sign.

Instructions for completing the form

General	If a request for extension of a guarantee offer is not received within one month from the expiry of the offer, the applicant risks EKN withdrawing the offer, following written notice to that effect.

An extension of a guarantee offer to a lender requires that the exporter in the transaction to be financed also submit a supplementary form to the lender’s application. If both the exporter and the lender are applying for an extension of the offer of a combined guarantee to the exporter and lender, it suffices that each party applies for an extension of its offer.

Item 5	If the contract governing the transaction has been amended so that it no longer accords with the premises on which the guarantee offer was made, e.g. as regards payment terms, this may render the guarantee offer void as against EKN. EKN should therefore be contacted for confirmation that the amendment is acceptable. The term “contract” means the applicant’s own contract in the transaction.

Item 6	In relation to the exporter, the term “counterparty” means the exporter’s buyer/equivalent. In relation to the lender, the term means the lender’s debtor/equivalent.

Item 7	The question on debarment, bribery or agent’s costs concerns not only the applicant, but also anyone acting on behalf of the applicant and any group company involved. This means enterprises belonging to the same group as the applicant that have been involved in the contract negotiations or otherwise been involved in the negotiations with the buyer.

Item 8	For instructions on what is referred to in respect of environment, environmental issues and duty of information with regard to the establishment and location of the project, we refer to the application for export credit guarantee, Special Instructions.