aanska banka ad aak Pivarska 1 Republika Srbija 32000 aakOdeljenje dokumentarnih poslova (Doumantr! department)"el# 032$302%1&'( 302%1)*+ ,aks# 032$3-*%*&*S./.0.1.". ode# 2343RS225alo6odava ( Prinipal 7#......................................................................................................................................................................................8atini broj#.....#.....#.....#.....#.....#.....#.....#.....#ZAHTEV ZA IZDAVANJE GARANCIJEREQUEST TO ISSUE A GUARANTEE1) Obraamo vam se sa zahtevom da za na raun izdate garanciju/kontragaranciju (Please issue the following guarantee/counterguarantee for our account):9 Za plaanje (Payment guarantee)9 Za povraaj avansa (Advance payment guarantee)9 Za dobro izvrenje posla (Performance guarantee)9 Za uee na licitaciji (Bid bond)9 Ostale (Other)..............................................................................................................................................................Ovlaujemo vas da ovu garanciju izdate preko korespodentske banke po vaem izboru.(We authorie you to issue this letter of guarantee via correspodent of your choice)) !orma garancije(form of guarantee)9 "irektna garancija (!irect guarantee)9 #ndirektna garancija $garanciju izdaje ino banka na osnovu kontragarancije %aanske banke ad %aak) &"ounterguarantee') (orisnik(Beneficiary)................................................................................................................broj rauna/ (account number)................................................................................................................naziv i adresa/ (#ame and address)...............................................................................................................)) *ok va+nosti(!ate of e$piry) ...............................................................................................................,) #znos garancije(Amount) ...............................................................................................................-) Opis osnovnog posla(%ub&ect of the underlying transaction).........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................) "okumentacija u vezi saosnovnim poslom(!ocument details on the underlyingtransaction)/ro0aktura br./re0erenca(Proinvoice no'/ref): .............................................................................."atum pro0akture(Proinvoice date): ..................................................................................1govor br("ontract no'/ ref): ................................................................................."atum ugovora("ontract date): .....................................................................................1kupan iznos posla po ugovoru((otal amount contracted): ...................................................................."atum dostave robe(!elivery date): ......................................................................................2) #n0ormacije vezane za licitacione garancije(Additional information for bidbonds)/onuda br./re0erenca(Offer no'/ref): ......................................................................................."atum ponude(!ate of the offer): ................................................................................./oziv za uee na licitaciji br./re0erenca()nvitation for tender no'/ref): ..............................................................."atum zatvaranja tendera((ender closing date): ............................................................................3) 4ekst garancije (Wording of the guarantee)9 5a standardni tekst ili tekst vaeg korespodenta (*our wordingor your corresponding ban+ standard wording for guarantees)9 4ekst koji vam dostavljamo u prilogu (Wording as per enclosure)16) 7anka garant ()ssuing ban+)9 5aa banka u korist naeg partnera&korisnika garancije (*our ban+ in favour of the Beneficiary)9 (orespodent po vaem izboru u korist naeg partnera&korisnika garancije ("orrespondent ban+ of your choice in favour of the Beneficiary)9 "ruga banka((he following ban+): ..................................................................11) (on0irmacija ("onfirmation)9 4ra+iti kon0irmaciju (re,uest confirmation)9 7ez kon0irmacije (without confirmation)1) /oslovna banka korisnika garancije (-uarantee Advising Ban+)8.9.#.!.4.:.....:.....:.....:.....:.....:.....:.....:.....:.....:.....:.....:;aziv i potanska adresa:......................................................................................................................................................................................................1') >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>=>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>=>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>=>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>;alog izvriti u skladu sa ?@ednoobraznim pravilima za garancije na pozivA izdatim od strane B4(C /arizC poslednje izdanje ((his //- has to be e$ecuted in accordance with )"" 0"P rules1 last revision)'/okrie garancije 9 166D pokrie na deviznom raunu9 166D pokrie na dinarskom raunu9 "elimino devizno pokrie ......... D9 "elimino dinarsko pokrie ......... D9 ;epokrivenaObezbeEenje za nepokriveni deo ili celu garanciju9 7lanko ovlaenja9 @emstvo pravnog lica9 @emstvo 0izikog lica9 Zaloga9 Fkceptirane menice9 Gipoteka/odaci za statistiku ;78:1. i0ra osnovaC. broj/godina ugovora iz kontrolnikaC'. broj/godina kreditne prijave1................................................................................................................................/.............................................................................'........................./............................................................................./rilog1) )') ))(ontakt osoba ("ontact person) /tele0on/0aks/e&mail:#me (name) 4ele0on (phone)!aks (fa$) e&mailBesto (Place) ..................C"atum (!ate)............... 6.... godine/eat i potpis ovlaenog lica:(signature and stamp of authoried person)..................................................................