E-Mail Indemnity Form

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F
/ E-
I
F
AX
MAIL
NDEMNITY
ORM
If you wish to provide Credit Europe Bank N.V. – Malta Branch (hereinafter referred to as “Credit
Europe”) with transfer orders or other instructions via fax or scanned through e-mail*, you will first
need to authorise Credit Europe to do so, by completing this form and returning it to the address
shown below. Do not wait until you wish to make a transfer order or other instruction. Returning
this form now will ensure that we have all the necessary information required to respond to any fax
or e-mail instruction you subsequently make. References to “scanned through e-mail” in this form
refers solely to e-mails attaching a scan (whether in portable document format (pdf) or otherwise)
of signed instructions.
I/we hereby authorise Credit Europe to accept and execute transfer orders or other instructions received
by fax or scanned through e-mail* from me/us bearing or purporting to bear my/our signature/s.
I/we hereby undertake to keep Credit Europe fully indemnified and free from all claims, damages, charges
and expenses which Credit Europe may incur, directly or indirectly, by reason of complying with this
request/instruction or any incorrect or improperly authorised transfer order or other instruction from
me/us received by Credit Europe via fax or scanned through e-mail*, unless Credit Europe acts
fraudulently or with gross negligence.
Notwithstanding the foregoing, Credit Europe may at any time at its absolute discretion decline to execute
any request or instruction given via fax or scanned through e-mail* pursuant to this request/instruction.
This request/instruction shall remain in force until I/we shall give Credit Europe written notice to the
contrary.
I/we assume all risks in relation to any such communication via fax and / or scanned through e-mail* and,
in particular, and without prejudice to the generality of the foregoing, risks due to errors or breakdown in
transmission.
Date
___________________
Account Number:
___________________
* Please indicate whether Credit Europe may accept instructions via fax and/or scanned through e-
mail by ticking the boxes below:
Accept my/our instructions by fax:
Yes
No
Accept my/our instructions by scanned through e-mail:
Yes
No
A blank answer will be read as “No”.
Account Holder (1)
Account Holder (2)
Name: _______________________________
Name: _______________________________
Signature:
Signature:
_____________________________________
_____________________________________
Please return this form to:-
Credit Europe Bank N.V. – Malta Branch, 143/2 Tower Road, Sliema SLM 1604.
(PLEASE RETURN THE ORIGINAL - DO NOT FAX OR E-MAIL)

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