APPLICATION FOR BILL OF EXCHANGE GUARANTEE (to be accompanied by Supplementary Form from exporter) Date of application: Period of credit: up to and including one year more than one year
Deadline for submission of application: The application must be received by EKN no later than the date on which the bill of exchange was acquired.
EKN’s reference number
The terms defined in EKN’s general conditions for bill of exchange guarantees have the same meaning in this application.
For instructions, see page 3.
Applicant (lender / bill of exchange acquirer)	Name	Corporate identity number
Postal address
Exporter (bill of exchange issuer / assignor)	Name	Corporate identity number
Postal address
3a) Buyer (debtor, acceptor)	Name
Postal address	Country
3b) Bill of exchange guarantor	Name
Postal address	Country
4. Amount and currency	a) Currency	b) Total bill of exchange amount
5. Due dates for bills of exchange	Number of bills of exchange, periods and first due date (fill in information on page 4)	Bills of exchange issued (date, place)
Bills of exchange accepted (date, place)
6. Place of payment	Place of payment according to bills of exchange	Guarantee for transfer of the bill of exchange amount is requested. (See instructions item 6).
Transfer to (place):
7. Expected date for acquisition of bills of exchange
3.01e / 22.04.2021 / KSo

8. Credit report on acceptor and any bill of exchange guarantor	Credit report (must not be older than 6 months) Attached Already submitted to EKN To be submitted to EKN as soon as possible
9. Information on acceptor and any bill of exchange guarantor	Describe any previous experience of the acceptor’s and any guarantor’s fulfilment of obligations during the last three years.
10. Mutual ownership	Mutual ownership with acceptor or guarantor (directly or indirectly) No Yes (Specify in item 13)
11. Debarment list	Is the applicant, any group company involved or anyone else acting on behalf of the applicant included on the World Bank’s debarment list? If yes, provide information under item 13. (A link to the list may be found at www.ekn.se )
Yes No
12. Under charge/convicted or notice served of a suspicion of crime	Has the applicant, any group company involved or anyone else acting on behalf of the applicant, within a five-year period preceding the application, been (i) convicted in any court for bribery or a similar criminal act, or (ii) subject to equivalent measures or (iii) found as part of a publicly available arbitral award to have engaged in bribery or a similar criminal act? And/or Is the applicant under charge, under formal investigation by a public prosecutor, or has been served with notice of suspicion of bribery or similar criminal act, or has the applicant knowledge of anyone else, natural or legal person acting on behalf of the applicant, under charge, under formal investigation by a public prosecutor, or having been served with notice of suspicion of bribery or similar criminal act?
Yes, specify in item 13 No
13. Special and additional information on above items. Use separate sheet if necessary.
The OECD has adopted a recommendation to combat bribery. Accordingly, and as provided by Swedish law on bribery etc. in both the public and the private sector, EKN requests that the applicant make the following declaration. We hereby declare that (i) we understand the importance of the development, application and documentation of an appropriate control system to combat corruption, (ii) neither we, nor any group company involved or anyone else acting on our behalf, have given, or give any bribe or other improper benefit in conjunction with the export transaction specified in the application, (iii) any commissions or fees paid, or agreed to be paid, to a natural or legal person acting on our behalf in relation to the transactions to which the application relates, is, or will be, for legitimate services only. (iv) we are aware of the fact that EKN’s responsibility for the guarantee may lapse, and that already received amounts of compensation - including interest thereon from the date of disbursement of such compensation - shall be repaid to EKN, if we, any group company involved or anyone else acting on our behalf, have given, or give any bribe or other improper benefit as described above, also (v) we will indemnify EKN for all its costs and expenses which will be the consequences of the fact that we, any group company involved or anyone else acting on our behalf, have given, or give any bribe or other improper benefit as described above. Note that bribery stated in here, among others, is a criminal offence under Swedish law, see Chapter 10, sections 5a – 5e of the Penal Code.
We confirm that we have studied EKN’s general conditions for bill of exchange guarantees (December 2005).
Company name	Contact persons (preferably 2 names)
Signature	Telephone number
E-mail address

FREEDOM OF INFORMATION AND CONFIDENTIALITY Freedom of information applies at EKN. Information in public documents can only be treated as confidential by EKN if so provided by the Freedom of Information and Secrecy Act. Confidentiality applies to information about an individual party’s business or operations if it may be assumed that the individual party will incur damage if EKN discloses an item of information. Certain information concerning third parties is subject to absolute confidentiality. In case of projects classified by EKN in environmental and social category A and exceeding 10 million SDR (Special Drawing Rights) and with credit period exceeding two years; EKN will make the Environmental and Social Impact Assessment (ESIA), or a summary of it, available to the public for at least thirty days before issuing a guarantee. This procedure is in line with the OECD recommendation on common approaches on environmental and social due diligence for export credit agencies. EKN will also disclose the above information to anyone requesting it during the guarantee period.

Important information Supplementary statements (filled in by EKN) – applicable instead of or in addition to the information given in the application:
Changes/additions made by the applicant (.........................................................................................................) Sign. by phone/letter/e-mail/visit on…………………………………………….

Due dates for bills of exchange:

Bill of exchange	Due date	Bill of exchange amount
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total

Instructions for completing the form

Item 3a

If the acceptor is a party other than the buyer/debtor, this must be specified.

Item 5

Indicates how many bills of exchange the application refers to, whether they fall due on a quarterly, six-monthly or other basis and the due date of the first bill of exchange.

Item 6

Even if the bills of exchange are payable in the buyer country, the applicant can apply for the guarantee to include conversion and transfer of the bill of exchange amount. The applicant must then state the place to where the payment will be transferred. If such extended guarantee is required, the applicant must attach a document to the application certifying that necessary permissions are at hand (Certificate from the guarantee holder). Specific conditions apply for such extended guarantee which will be included in EKN’s offer and guarantee.

Item 11

The question on debarment concerns not only the applicant, but also anyone acting on behalf of the applicant and any group company involved. This means enterprises belonging to the same group as the applicant and that, on behalf of the applicant, have been involved in the bill of exchange transaction that the application refers to.

Item 12

Note that, with regard to under charge or conviction, not only the applicant as a legal person is covered by this question; it also concerns the applicant’s employees, employees of any group company involved or anyone else acting on behalf of the applicant.

The question on knowledge if any of notice of suspicion of criminal act refers to any other natural or legal person than the applicant in its capacity as a legal person.

See the definition of ' group company involved ' under item 11 in the Special Instructions

Approx SEK 100 million