Transaction code: SCB/UBS/799/500M/2017/001

MT799 BLOCKED FUND VERBIAGE

SWIFT OUTPUT: FIN 799 MESSAGE

SENDER SWIFT CODE:
RECEIVER SWIFT CODE:

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FROM:
BANK NAME :
BANK ADDRESS :
ACCOUNT NAME : :
ACCOUNT NO. :
IBAN CODE :
SWIFT CODE :
BANK CODE :

****************************** ****************************** *********

TO:
BANK NAME :
BANK ADDRESS : :
ACCOUNT NAME :
ACCOUNT NO. :
SWIFT CODE :
BANK OFFICER :
BANK TEL. No :
BANK EMAIL :
TRANSACTION CODE: :

WE, STANDARD CHARTERED (HONGKONG) LTD, LOCATED AT xxxxxxxxxxxxxxxxxxxxx REPRESENTED BY

THE UNDERSIGNED OFFICERS, HERBY CONFIRM, WITH FULL BANK RESPONSIBILITY AND LIABILITY ON
BEHALF OF OUR VALUED CLIENT xxxxxxxxxxxxxxx WITH CASH FUNDS IN THE AMOUNT OF USD FIVE
HUNDRED MILLION ONLY (USD $ 500,000,000.00) IN THE ACCOUNT NUMBER xxxxxxxxxxxxxxxx.

THE SAID FUNDS ARE BLOCKED AND RESERVED IN FAVOUR OF YOUR CLIENT xxxxxxxxxxx
ACCOUNT NUMBER: xxxxxxxxxxxx AND WILL NOT BE CHANGED, ALTERED, AMENDED OR PLEDGED FOR
A PERIOD OF THREE HUNDRED AND SIXTY FIVE (365)DAYS + THIRTY (30) DAYS AS OF THE DATE OF THIS
TRANSMISSION AND CAN BE ROLLED OVER AND EXTENDED. WE HEREBY IRREVOCABLY CONFIRM
THAT THESE FUNDS ARE PRESENTED TO BE GOOD, CLEAN AND CLEAR FUNDS AND FREE OF CRIMINAL
ORIGIN AND LEGALLY EARNED. THESE FUNDS ARE FREE FROM ANY LIENS AND ENCUMBRANCES OF
ANY KIND AND ARE FREELY AVAILABLE TO THE BENEFICIARY NAMED HEREIN.

THIS SWIFT MT799 BLOCKED FUND FOR xxxxxxxxxxxx FOR THE AMOUNT OF USD FIVE HUNDRED MILLION
ONLY (USD $500,000,000.00) IN ACCOUNT NUMBER xxxxxxxxxxxxxxx IS AN OPERATIVE, FULLY
CONFIRMED, TRANSFERABLE, DIVISIBLE AND CALLABLE INSTRUMENT AND MAY BE VERIFIED ON A
BANK-TO-BANK BASIS IN ACCORDANCE WITH THE UNIFORM CUSTOMS AND PRACTICE AS PUBLISHED
BY THE I.C.C. PUBLICATION PARIS (LATEST REVISION) AND GOVERNED BY THE LAWS OF SWITZERLAND.

DATE RECORDED: (INSERT DATE)

FOR AND ON BEHALF OF:
[Issuer Bank – with full address],

BANK OFFICER: BANK OFFICER:

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