擔保信用狀／銀行保證函修改申請書

Application For Amendment To Standby Letter of Credit/

Bank Letter of Guarantee

致:日商瑞穗銀行股份有限公司	臺北分行	臺中分行	高雄分行	國際金融業務分行

To:Mizuho Bank, Ltd.	Taipei Branch	Taichung Branch	Kaohsiung Branch	Offshore Banking Unit Taiwan

日期 Date: 申請人茲請求 貴行修正 Applicant hereby request you to amend 不可撤銷擔保信用狀/銀行保證函 the Irrevocable Standby Letter of Credit / Bank Letter of Guarantee 編號： No : 請修正該擔保信用狀或銀行保證函如下： Please amend this Standby Letter of Credit or Bank Letter of Guarantee as follows： 金 額： 增加金額 減少金額 Amount : Amount increased by Amount decreased by 到期日延展至： Expiry date extended to 其他修訂： Other amendments: 註： (1) 本修改申請書之內容於 貴行認可後成為與上述原擔保信用狀或保證函相關文件或合約之一部。 (2) 除本修改申請書所載之條件外，申請人所簽署之任何與上述原擔保信用狀或保證函相關之文件或合約之條款均應繼續有效。 Notes： (1) This Application serving as an amendment after the Bank’s approval shall be attached to and become an integral part of the original Credit / Guarantee instrument. Seal is omitted when sending through Mizuho Global e-Banking (2) All other terms and conditions of all documentation the applicant executed with the Bank in connection herewith the original Credit / provided otherwise in this Application. FOR BANK USE ONLY
主 管	經 辦	核 章	Authorized Signature(s) / Seal(s) of Applicant 申請人簽章

(L6003) Electronic Application / Mizuho Global e-Banking Applicable 20141020

Note: 使用此申請書時，本人/本公司同意不更動除填記欄位以外之申請書內容及文字，若更動該申請書內容或文字而造成 貴行損失時願負一切責任。