Enerjik's Buyer Application Form (EBAF)

(Fill please this EBAF for your each demand request separately !)

1. Company Name:
2. Sender's Name:
3. Sender's Position:
4. Telephone Number(s):	(Telephone Number(s) of the Applicant or Sender's Company)
5. Facsimile Number(s):	(Facsimile Number(s) of the Applicant or Sender's Company)
6. E-Mail Address(es):	(E-Mail Address(es) of the Applicant or Sender's Company)
7. Postal Address(es):	(Postal Address(es) of the Applicant or Sender's Company)
8. Requested Commodity:	(Please advise the Name of the Commodity requested)
9. Specifications:	(Please advise requested standard or describe detailed if not in international standards)
10. Quantity:	(In Metric Ton (MT) or in Liter (Lt))
11. Packing:	(Bulk, in bottles, bags, cans, drums, flexi tanks or any different packing)
12. Delivery Size:	(In lot of shipment quantity in Metric Ton (MT) or in Liter (Lt))
13. Schedule:	(Spot or the delivery month(s), calendar week(s), until date, etc.)
14. Destination Port(s):	(Unloading port(s) if your request included the shipment)
15. Payment Terms:	(Please advise either Shipment After Payment Confirmation or Fully Funded Letter of Credit for Entire Amount (FFL/C), irrevocable, confirmed, and 100% payable at sight against documents)
16. Bank Details:	(Bank name, address, phone and facsimile numbers, SWIFT code, officer name and title, direct phone and facsimile numbers, account holder name, account number or IBAN)
17. Other Related Information:	(Any other related details)
Security Code:
Once received demand request detail information above, Enerjik is able to accept and process your demand request according to advised Enerjik's Sale and Purchase Procedure (ESPPB) for Buyer . Please note we are able to sign a Enerjik's Non-Circumvention Non-Disclosure Agreement (ENCNDA) with the Buyer or / and Intermediary(ies) if requested.

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