AND
PARTY B –RECEIVER: 100% (ONE HUNDRED PERCENT) IN USD
COMPANY NAME
ADDRESS
REPRESENTED BY
PASSPORT NUMBER
ISSUED PLACE & DATE
DATE OF EXPIRY
COUNTRY OF ISSUE
BANK NAME
BANK ADDRESS
SWIFT CODE
ACCOUNT NAME
ACCOUNT NO.
SIGNATURE of RECEIVER
HEREINAFTER REFERRED TO AS: “PARTY B” OR “EXCHANGE RECEIPIENT-B”
DESCRIPTION OF TRANSACTION:
1 INSTRUMENT: BANK TO BANK
2 TOTAL FACE VALUE: USD 100 BILLION WITH ROLL & EXTENTIONS
3 FIRST TRANCHE: USD 100,000,000 (ONE HUNDRED MILLION) to USD 1,000,000,000 (ONE BILLION)
4 PARTY B SIDE: 100% (ONE HUNDRED PERCENT) OF THE TOTAL VALUE FOR RECEIVER/BANK
5 SENDER SIDE1: 80% (EIGHTY PERCENT) OF THE TOTAL VALUE FOR SENDER,
IN EURO CURRENCY OR THB (THAI BAHT)
6 RECEIVER SIDE: 15% (FIFTEEN PERCENT) OF THE TOTAL VALUE FOR RECEIVER/BANK/ DECLARE/ CLEAR/ OTHER, IN THB (THAI BAHT)
7 CONSULTANCY FEES: Intermediaries Seller-Sender side/ Cambodian Group:2.5% (TWO POINT FIVE PERCENT) OF THE TOTAL VALUE
8 CONSULTANCY FEES: Intermediaries Buyer-Receiver side/ Thai Group: 2.5% (TWO POINT FIVE PERCENT) OF THE TOTAL VALUE
Exchange Recipient s Initial……………………… Page 5 of 10Exchange ‘s Initial…………………..