For Bank Use Only CIF L/C No. APPLICATION FOR BILLS RECEIVABLES PURCHASE (BRP) FINANCING To: DBS Bank (Taiwan) Ltd. Trade Operations Department Submission via Mail: (114)台北市內湖區瑞光路 399 號 13 樓後棟 - 貿易融資 作業部 Fax: (02) 6612 9268 DBU (Domestic Banking Unit) OBU (Offshore Banking Unit) Application Date: - - (DD-MM-YY) (*) Mandatory Fields FINANCING INSTRUCTION Applicant Company Registration Number(*) Bill Currency & Amount (*) Applicant Name (*) Financing Currency & Amount (*) Applicant Address (*) Financing Type (*) New: - Financing period from (DD) for tenor (DD) Contact Tel No. (*) Ext. (YY) days Extension Extend the maturity date to Contact Person(*) (MM) (MM) (YY) for deal number Contact Fax No. (*) Should financing due date fall on a holiday, the finance will automatically be extended to fall due on the next working day. Description of Goods (*) Forward Contract No. Interest rate is calculated on the basis of: Fixed rate Floating Rate Others: Actual interest is charged based on the interest rate specified in the Letter of Offer or otherwise agreed by the Bank and the applicant. The interest rate of the financing will be calculated based on floating cost if no further instruction is received by the Bank. SETTLEMENT INSTRUCTION On maturity of the financing, the Bank is authorized to debit the applicant’s account no.: Others (please specify): If account number is not specified as above, the applicant authorizes the Bank to debit all settlement amount from any of our accounts held with the Bank. DBSTW-TRADE-IMP-001EN 201505 Page 1 of 3 APPLICATION FOR BILLS RECEIVABLES PURCHASE (BRP) FINANCING DISBURSEMENT INSTRUCTION Code and Description of Outward Remittance Classification (*) Remittance Currency & Amount (*): Payments for customs-cleared imported goods 70A Payments for imported goods with customs clearance handled by payee Beneficiary Bank (*) 701 Prepayments for goods not yet imported 706 Payments for imported goods with customs clearance not Beneficiary Account No (*) handled by payee 801 Payments for imported goods with customs clearance not Beneficiary Name (*) handled by payee (without proof documents) Payments for goods not cleared through R.O.C. customs 710 Payments for processing trade 711 Payments for merchanting trade Beneficiary Address Payments for goods supplied onshore 720 Payments for goods ordered offshore but supplied onshore 802 Payments for goods ordered offshore but supplied onshore (without proof documents) Payment Details: Intermediary Bank(*): Outward Remittance Charges(*): SHA – Charges shared by both sides BEN – Beneficiary to bear all charges OUR – Applicant to bear all charges The Bank is authorized to debit the account number for any difference between the remittance and financing amount. If the authorized account number is not specified above, the Bank is authorized to debit any difference between the remittance and financing amount from any of our accounts held with the Bank. We hereby confirm that in accordance with the terms and conditions appearing below, we have received the above mentioned goods relating thereto. We have read, understood and acknowledged the Terms and Conditions for Bills Receivable Purchase Financing and fully authorize DBS Bank (Taiwan) Ltd. to proceed with the provision of the service. We also understand and agree that DBS Bank (Taiwan) Ltd. may modify the Terms and Conditions for Bills Receivable Purchase Financing without prior notice to us at any time, and DBS Bank (Taiwan) Ltd. will publicly announce the amended Terms and Conditions for Bills Receivable Purchase Financing on its premises and official website. We hereby acknowledge and confirm our receipt, understanding and acceptance of the bank’s BILLS RECEIVABLE PURCHASE FINANCING TERMS AND CONDITIONS (version 2012JAN ). S.V. ____________________________________________________ Authorized Signature(s) & Company Stamp DBSTW-TRADE-IMP-001EN 201505 Page 2 of 3 BILLS RECEIVABLE PURCHASED FINANCING TERMS AND CONDITIONS (VERSION 2012JAN) 進口記帳融資申請書條件及條款 (版本日期:2012JAN) In the event that DBS Bank (Taiwan) Ltd. (which expression shall include its Offshore Banking Unit) provides us with Bills Receivable Purchased Financing, we hereby agree to all terms and conditions stipulated below as well as the terms and conditions set out in [General Agreement for Banking Transactions] and any letter of offer or any facility letter from DBS Bank (Taiwan) Ltd. to us. 如星展銀行(台灣)(包括其國際金融業務分行)提供本公司進口記帳融資時,本公司同意下列各條件及條款以及銀行往來總約定書之 條款及其他本公司自星展銀行(台灣)收受之授信函或其他授信文件所載內容之約束。 Bills Receivable Purchased Financing provided or to be provided to us and without prejudice to the provisions set out below, we warrant and/or agree that: 就星展銀行(台灣) 已提供或將提供本公司之進口記帳融資,於不影響下列條文之前提下,本公司聲明及/或同意: 1. There is a genuine, underlying transaction for the sale / purchase of the Goods. 確有貨品銷售/購買之標的交易,且該交易為真實。 2. We will at the request of DBS Bank (Taiwan) Ltd. provide other documents evidencing the transaction.本公司將於星展銀行(台灣)要求時,提供其他交易證明文件。 3. We have not obtained and shall not obtain any other form of type of financing from any party other than DBS Bank (Taiwan) Ltd. for the Goods or the Letter of Credit.就 貨品或信用狀,本公司並未且亦將不會自除星展銀行(台灣)外之任何人取得任何型態之融資。 4. We will repay the full amount of financing extended to us on due date as well as all outstanding interest, charges and commissions due to DBS Bank (Taiwan) Ltd. 本公司將於融資到期時,償還星展銀行(台灣)融資全額及所有未償之利息、費用及手續費。 5. On maturity of the loan, DBS Bank (Taiwan) Ltd. are authorised to deduct our account and we undertake to indemnify or repay DBS Bank (Taiwan) Ltd. of all outstanding amounts including principal, interest, charges and commissions. 於融資到期時,本公司承諾補償或償還所有未償款項,包括本金、利息、費用及手續費,本公司並授權 星展銀行(台灣)自本公司帳戶中扣抵該等未償款項。 6. This Terms and Conditions is governed by and construed in accordance with the laws of the Republic of China (“R.O.C.”) and we hereby agree to submit to the nonexclusive jurisdiction of Taipei District Court. 本條件及條款依中華民國法律解釋及適用,雙方同意以臺灣臺北地方法院為非專屬之管轄法院。 7. The Terms and Conditions are made in English and Chinese. In case of any discrepancy between the English and Chinese versions, the English version shall prevail. 本 條件及條款以英文和中文作成,如英、中版有歧異,以英文版為準。 DBSTW-TRADE-IMP-001EN 201505 Page 3 of 3