EIB 07-01A, Sectio Electronic Claim Filing System, Medium-Term Insurance

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Medium Term Bank Guarantee
Section C - Claim Information

Claim Control No.:CAP0001092 (Draft)

( * An asterisk denotes that a field is a required entry)

When were the disbursements?

What is the first default date?

First Disbursement:
Day
* Month
Second Disbursement:
Day
_ Month
Third Disbursement:
Day
_ Month
Fourth Disbursement
Day
_ Month
Fifth Disbursement
Day
_ Month
Sixth Disbursement
Day
_ Month
*
Day
* Month

What is the reason for the claim?

* Month
* Bankruptcy

Type of foreign buyer.

* Proprietorship

Type of buyer's business.

* Wholesale

What is your claim filing deadline?

Day

, Year
, Year
, Year
, Year

**

, Year
, Year
, Year
, Year

https://tpccapps.exim.gov/apps/ecfs/ecfsprod.nsf/0/122650EA5A5582D9852572A400524...

3/20/2007