Invest finance bank

Disbursement Request No. [_____] (*)

1. 
   Reference is made to the murabahafacility agreement (the Agreement) dated [] between us and [Bank] (acting as agent of the Islamic Corporation for the Development of the Private Sector). This is a Disbursement Request. All terms defined in the Agreement and used but not defined herein have the meanings given to them in the Agreement.
   
2. 
   We hereby irrevocably request a Contribution on the following terms into the supplier’sbank account: _______:
   
   1. 
      Settlement Date:
      
   2. 
      Amount (in USD):
      
   3. 
      Repayment Dates:
      
   4. 
      Final Repayment Date:
      
3. 
   We attach the following supporting documents:
   
   1. 
      an executed Purchase Notice;
      
   2. 
      a duly executed Letter of Guarantee issued by [insert name of bank] with respect to requested disbursement;
      
   3. 
      an executed Offer Notice; and
      
   4. 
      [any other documents required]
      
4. 
   We confirm that each condition precedent under the Agreement which must be satisfied on the date of this Disbursement Request is so satisfied.
   
5. 
   We further certify as follows:
   
   1. 
      no Default or Event of Default under the Agreement has occurred and is continuing;
      
   2. 
      since the date of the Agreement nothing has occurred which might materially and adversely affect the carrying out of our business prospects or financial condition, or make it improbable that we will be able to fulfil any of our obligations under the Agreement;
      
   3. 
      since the date of the Agreement, we have not incurred any material loss or liability (except for permitted liabilities, if any);
      
   4. 
      all Repeating Representations remain true and correct in all material respect as of the date of Disbursement;
      
   5. 
      the proceeds of the Contribution are not in reimbursement of, or to be used for, expenditures for goods and services supplied by any country on the Boycott List of the Organization of Islamic Cooperation; and
      
   6. 
      after giving effect to the Disbursement, we will not be in violation of:
      

1. 
   our Charter;
   
2. 
   any provision contained in any document to which we are bound;
   
3. 
   any law, rule of regulation, directly or indirectly, limiting or otherwise restricting our borrowing power or our ability to borrow; and
   
4. 
   any provisions of the Agreement.
   

The above certifications are effective as of the date of this Disbursement Request and shall continue to be effective as of the date of the Disbursement. If any of these certifications is no longer valid as of or prior the date of the requested Contribution, we undertake to immediately notify the Bank.
Yours truly,
[]

By _________________

Authorized Representative

4. 
   
   Form of Purchase Notice
   

From: [NAME OF BUYER]
To: JOINT-STOCK COMMERCIAL BANK “INVEST FINANCE BANK” WITH FOREIGN CAPITAL
Date: [ ]
Attention: [ ]