APPLICATION FOR ADVICE OF AMENDMENT

TO TRANSFER OF LETTER OF CREDIT

（信用狀轉讓修改申請書）

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

Date

Dear Sirs：

Irrevocable and Transferable Credit No. （原信用狀號碼）

Issued by（原信用狀之開狀銀行）

For Amount（原信用狀之金額）

Beneficiary（原信用狀之受益人）

Your Advising No.（原信用狀之通知號碼）

Your Transfer No.（轉讓信用狀號碼）

Transfer Amount（轉讓金額）

Transferee（受讓人）

In regard to the above mentioned transfer, I/we (the undersigned） hereby request you to make the following amendment(s) in its terms and advise the same to the transferee.

Airmail / Cable without mail confirmation

Amount increased by Amount decreased by

making a total amount of

Latest shipment extended to Expiry date extended to

Other amendments:

All other terms and conditions remain unchanged.

The amendment charges are for our account account of transferee.

（信用狀轉讓費用由本公司/受讓人承擔，請勾選）

手續費NT$	課 長	檢 印	作 成	核 章
實行日
Yours faithfully,

__________________________________

(Authorized Signature)

(D4061) Electronic Application 20130701

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。