Cerere de Deschidere de Acreditiv Documentar

Documentary Credit Application

:A1 Data Depunerii Cererii
Date of Application

/ /

:A2 Nr. de Referinta a Ordonatorului:

Applicants Reference #:
_________________________________

(YY/MM/DD)

:A3 Nr. Contului Ordonatorului:

Applicants Account #:
________________________________

(AN/LUNA/ZI)

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

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

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

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

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

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

:31C Data Emiterii / Date of Issue:

/ /

:31D Data Expirarii Termenului si Locul:

Date of Expiry and Place:
Data / Date:

(YY/MM/DD)

(AN/LUNA/ZI)

/ /

(YY/MM/DD)

:41D Banca de Prezentare a

Documentelor:
Bank for Presentation of
Documents:

(AN/LUNA/ZI)

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

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

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

:51 Banca Emitenta / Issuing

Bank: ..........................................................

:57D Banca de Avizare / Advising

Bank: ................................................

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

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

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

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

:40A Tipul Acreditivului / Form of Documentary Credit:

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

irevocabil / irrevocable;
transferabil / transferable;
Dac transferabil, ce banca autorizata s efectueze transferul:
..
revolving [transe / tranches ____ a cate / for ___________ ];

Suma in cifre / Amount in figures:

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

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

:A4 Realizarea platii acreditivului prin / Credit Available:

plata la vedere / by payment at sight
plata deferata la / by deferred payment: ....................
(Zile/Days)

alt tip de plata / other: .........................................................;

:71B Comisioanele bancare din contul:

Commissions and Charges for the Account of:
Fiecare in tara sa / Outside Moldova are for Beneficiarys
account;
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)

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

:A6 Conditiile de Livrare / Terms:

conform INCOTERMS 90 / as per INCOTERMS 90

:44B Punctul de Destinatie /

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

/ /

FAS

CIF

FOB

Ex-works

CIP

DAF

alt tip / other

terms: .....................................................;

(Y/M/D)
(AN/LUNA/ZI)

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

Factura / Invoice:

Originale / Originals;

Copii /

Copies;

Documente de Transport / Transport Documents:

CMR
Originale / Originals;

Polita/Policy;

Originale / Originals;

Copii/Copies;
Certificat / Certificate;

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;

Documente de Asigurare / Insurance Documents:

Declaratie ce ar cuprinde urmatoarele riscuri / Declaration

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

Copii/Copies;

Factura Avia, originala pentru expeditor/Air Waybill, original

for the
consignor;
Originale/Originals;

Copii/Copies;

Alte Documente de Transport/Other Transport Document:

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

Originale / Originals;

Copii /

Copies;

Certificate / Certificates:

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 /

Copii / Copies;

Conosament Maritim care acopera transportarea din port-inport

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

Originale / Originals;

Copies;

Copii / Copies;

De Origine / Origin;

Originale / Originals;

Analize Sanitare / Public Healthcare Analyses;

Originale / Originals;

Copii /

Originale / Originals;

Copii /

Copies;
Analize / Analyses;
Copies;
De Calitate / Quality;

Originale / Originals;

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

Copies;

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

Alte Documente / Other Documents:

Greutatea marcata / Marked freight:

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

Lista de Ambalare

prepaid;
payable at destination;

De avizat pe /
Notify: .................................................................;

Originale / Originals;

Packing list;

Originale / Originals;

andorsat in / endorsed in blank;

Copii /

Copies;

Note Auxiliare Asupra Documentelor de Transport / Additional

Transport Documents
Instructions:.......................................................................

La Ordinul (cui) / To the Order

of : ..................................................;

Copii /

Copies;

Copii / Copies;

Lista de Greutate / Weight list;

Originale / Originals;
Altele /

Copii / Copies;

Copii /

Others: ................................................................................;
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;

:49B Instructiunile de Confirmare / Confirmation Instructions:

Bank: ....................................................

interzise / not allowed;

Cu Banca Confirmatoare / Confirming

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

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

acreditivului;
Documents to be presented within

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