Cerere de Deschidere de Acreditiv Documentar

Documentary Credit Application

:A1 Data Depunerii Cererii
Date of Application

/ /

(YY/MM/DD)

:A2 Nr. de Referinta a Ordonatorului:

Applicants Reference #:
_________________________________

:A3 Nr. Contului Ordonatorului:

Applicants Account #:
________________________________

(AN/LUNA/ZI)

:50 Ordonator / Applicant: .........................................................................

:59 Beneficiar / Beneficiary: .....................................................................

.............................................................................................................

...........................................................................................................

............................................................................................................;

Contul Beneficiarului: ........................................................................;

:31C Data Emiterii / Date of Issue:

/ /

(YY/MM/DD)

:31D Data Expirarii Termenului si Locul:

Date of Expiry and Place:
Data / Date:

(AN/LUNA/ZI)

/ /

(YY/MM/DD)

(AN/LUNA/ZI)

.................................................................
.................................................................

Locul / Place: ...................................................;

:51 Banca Emitenta / Issuing Bank: ..........................................................

:41D Banca de Prezentare a Documentelor:

Bank for Presentation of Documents:

................................................................;

:57D Banca de Avizare / Advising Bank: ................................................

.............................................................................................................

......................................................................................................

............................................................................................................;

.....................................................................................................;

:40A Tipul Acreditivului / Form of Documentary Credit:

:32B Codul valutei conform ISO / Currency ISO Code:

Suma in cifre / Amount in figures:

irevocabil / irrevocable;
transferabil / transferable;
Dac transferabil, ce banca autorizata s efectueze transferul:

Suma si valuta in litere / Amount and currency in words:

..
revolving [transe / tranches ____ a cate / for ___________ ];

:A4 Realizarea platii acreditivului prin / Credit Available:

, , , .

........................................................................................................
..........................................................................................................;

:71B Comisioanele bancare din contul:

Commissions and Charges for the Account of:

plata la vedere / by payment at sight

Fiecare in tara sa / Outside Moldova are for Beneficiarys account;
plata deferata la / by deferred payment: ....................(Zile/Days)
alt tip de plata / other: .........................................................;

Beneficiarului / Beneficiary
(Toate comisioanele si spezele din contul beneficiarului
All commissions and charges for the account of beneficiary);
Ordonatorului / Applicant
(Toate comisioanele si spezele din contul ordonatorului
All commissions and charges for the account of the applicant);

__________________________________________________________
Numele, Stampila si Semnatura Ordonatorului / Name, Stamp, and Signature of the Applicant

:A5 Livrarea / Shipment (as defined in UCP 500 Article 46)

:A6 Conditiile de Livrare / Terms:

conform INCOTERMS 90 / as per INCOTERMS 90

:44A Punctul initial / From: .............................................................................;

:44B Punctul de Destinatie / To: ......................................................................;

:44C Nu mai tarziu de data / Not later than (date):

/ /

(Y/M/D)

(AN/LUNA/ZI)

FAS

CIF

FOB

Ex-works

CIP

DAF

alt tip / other terms: .....................................................;

:44A Documentele Spre Prezentare / Documents to be Presented:

Factura / Invoice:

Originale / Originals;

Copii / Copies;

Polita/Policy;

Documente de Transport / Transport Documents:

..............................;

Originale / Originals;

Copii / Copies;

Certificate / Certificates:
Originale / Originals;

Copii / Copies;

Analize Sanitare / Public Healthcare Analyses;

Copii/Copies;

Analize / Analyses;

Factura Avia, originala pentru expeditor/Air Waybill, original for the

consignor;
Originale/Originals;

...........................................................................................................

De Origine / Origin;

Copii / Copies;

Scrisoare de Trasura Maritima Nenegociabila care acopera

transportarea din port-in-port / Non-negotiable Sea Waybill
covering a port-to-port shipment;
Originale/Originals;

Copii / Copies;

Copii / Copies;

Conosament Maritim care acopera transportarea din port-in-port

Ocean Bill of Lading covering a port-to-port shipment;
Originale / Originals;

Originale / Originals;

Copii/Copies;

Declaratie ce ar cuprinde urmatoarele riscuri / Declaration under

an open cover; covering the following risks: ........................................

Copii / Copies;

Document de Transport Mixt care acopera cel putin doua feluri

de transport / Multimodal Transport Document, covering at least
two different modes of transport;
Originale / Originals;

Originale / Originals;

Certificat / Certificate;

CMR
Originale / Originals;

Documente de Asigurare / Insurance Documents:

Copii/Copies;

Originale / Originals;

Copii / Copies;

Originale / Originals;

Copii / Copies;

De Calitate / Quality;

Originale / Originals;

Copii / Copies;

Altele / Other: .................................................................................

Alte Documente de Transport/Other Transport Document:

...............................;

Originale / Originals;

Copii / Copies;

.........................................................................................................;
Originale / Originals;

Copii / Copies;

Alte Documente / Other Documents:

Note Auxiliare Asupra Documentelor de Transport / Additional Transport

Documents Instructions:.......................................................................
...........................................................................................................;
La Ordinul (cui) / To the Order of : ..................................................;
andorsat in / endorsed in blank;
Greutatea marcata / Marked freight:

Lista de Ambalare / Packing list;

Originale / Originals;

Lista de Greutate / Weight list;

Originale / Originals;

prepaid;

Copii / Copies;

Copii / Copies;

Altele / Others: ................................................................................;

payable at destination;
De avizat pe / Notify: .................................................................;

Originale / Originals;

Copii / Copies;

__________________________________________________________
Numele, Stampila si Semnatura Ordonatorului / Name, Stamp, and Signature of the Applicant

:43P Livrarile partiale / Partial Shipments:

permise / allowed;

:43T Transbordarile/Transhipments:

interzise / not allowed;

permise / allowed;

interzise / not allowed;

:49B Instructiunile de Confirmare / Confirmation Instructions:

Cu Banca Confirmatoare / Confirming Bank: ....................................................
Confirmat / Confirmed;
.......................................................................................................................;
Daca confirmat / If confirmed:

De Acord cu virarea sumei ca acoperire / Acknowledge the transfer as cover;

Fara virare ca acoperire / Without transfer as cover;

:45A Scurta descriere a marfii / Brief description of goods (See UCP 500 Art. 5): ............................................................................................................
..................................................................................................................................................................................................................................
.................................................................................................................................................................................................................................;

:48 Documentele de a fi prezentate nu mai tirziu de

Documents to be presented within

zile de la data livrarii dar in cadrul termenului de validitate a acreditivului;

days from the shipment date but within the credit validity.

:A7 Instructiuni Suplimentare / Additional Instructions: .........................

.......................................................................................................
.......................................................................................................

Prin prezenta, din numele si contul nostru cerem sa emiteti acreditiv

documentar in conformitate cu instructiunile mentionate (marcate [X] la
optiune). Acest acreditiv se va subordona RUU, publicatia 500. Suntem de
acord cu rezervarea prealabila din contul nostru a acoperirii prezentului
acreditiv. De asemenea, suntem de acord sa rambursam bancii orice
plata/comision efectuat in cadrul prezentului acreditiv.

......................................................................................................;
__________________________________________________________
Numele, Semnatura si Stampila Ordonatorului / Name, Stamp, and Signature of the Applicant

Atentie / Attention (!) : 1. Acest Document Reprezinta U Instrument Operativ de Creditare.Confirmare Prin Posta Nu Va
Urma/This Documentary Credit is an Operative Credit Instrument, No Mail Confirmation Will Follow.
2.In caz de necesitate, pentru instructiuni/detalii suplimentare, se anexeaza
foi; indicand codul
instructiunii si insasi instructiuile: fiecaree pagina anexata trebuie sa fie semnata si sa poarte stampila
ordonatorului;
For additional instructions/details the above mentioned number of pages (marked[X]) are attached: on
each page, it is necessary to indicate the instruction code, and the instruction itself: also, it is compulsory
that every attached page bears the applicants signature and stamp.
3. Se completeaza in limba Engleza (limbaRomana/Rusa exceptie); daca nu este competat in limba
engleza, atunci, in caz de necesitate sunt de acord cu traducerea bancii.
4. Se completeaza in doua exemplare (unul ramane la ordonator si unul in banca);
5. Acreditivul prezent va fi tratat in corespundere cu tarifele , comisioanele, termenele si conditiile
curente la data emiterii lui in Banca

Strict Pentru Mentiunile Bancii

:20 Numarul Acreditivului Documentar/Assigned Documentary Credit
Number:
.;

:A8 Data Emiterii/ Issue Date: ):

/ /

(Y/M/D)

(AN/LUNA/ZI)

:A9 Codul Functionarului Bancii/ Bank Officers Code:________________

Stampila Bancii / Banks Stamp
Numele si Semnatura Functionarului Bancii/Name and Signature of the Bank Officer

:A10 Coordonatele de legatura cu ordonatorul

Applicants Contact Information:
Tel.:
Fax.:
E-mail:

:A11 Coordonatele de legatura cu Functionarul Bancii /

Bancs Officers Contact Information:
Tel.:
Fax.:
E-mail