Nr. / No. Suma / Amount , Valuta / Currency

PL~TITOR / Payer

IBAN/Payer's IBAN

BIC banc` / Payer's bank BIC

BENEFICIAR / Beneficiary

IBAN/Beneficiarys account

BIC banc` / Beneficiarys bank BIC sauNumele b`ncii / Bank nameAdresa b`ncii / Bank address

}ara b`ncii / Bank countryDetalii de plat` / Payment details

Comisioane / Charges Prioritate / Priority Cod rat` negociat` / Curs schimbp SHA p OUR p BEN p standard p urgent Negociated rate ID / Exchange rate

ORDIN DE PLAT~ |N VALUT~ / PAYMENT ORDER IN FOREIGN CURRENCY

Semn`tura pl`titorului / Payer's signature Se va completa de c`tre banc` / To be filled in by the bank:Semn`turi verificate (semn`tura [i [tampila unit`]ii bancare)

__________________________________________ ___________________________________________________________

Data emiterii / Issuing date Data recep]iei / Reception date

Op]ional Banca intermediar` / Correspondent bank

Prin semnarea acestui document, certific c` am luat la cuno[tin]` de informa]iile men]ionate pe verso / Signing this form I certify that I am aware of the information on the back-side.

2100017245

Ordinul de plat` se va completa cu majuscule, corect [i lizibil / The form shall be filled in with capitals, correctly and legibly.

R O R Z B R

R Z B R R O B U

Reu[im \mpreun`.

Nr. / No. Suma / Amount , Valuta / Currency

PL~TITOR / Payer

IBAN/Payer's IBAN

BIC banc` / Payer's bank BIC

BENEFICIAR / Beneficiary

IBAN/Beneficiarys account

BIC banc` / Beneficiarys bank BIC sauNumele b`ncii / Bank nameAdresa b`ncii / Bank address

}ara b`ncii / Bank countryDetalii de plat` / Payment details

Comisioane / Charges Prioritate / Priority Cod rat` negociat` / Curs schimbp SHA p OUR p BEN p standard p urgent Negociated rate ID / Exchange rate

ORDIN DE PLAT~ |N VALUT~ / PAYMENT ORDER IN FOREIGN CURRENCY

Semn`tura pl`titorului / Payer's signature Se va completa de c`tre banc` / To be filled in by the bank:Semn`turi verificate (semn`tura [i [tampila unit`]ii bancare)

__________________________________________ ___________________________________________________________

Data emiterii / Issuing date Data recep]iei / Reception date

Op]ional Banca intermediar` / Correspondent bank

Prin semnarea acestui document, certific c` am luat la cuno[tin]` de informa]iile men]ionate pe verso / Signing this form I certify that I am aware of the information on the back-side.

2100017245

Ordinul de plat` se va completa cu majuscule, corect [i lizibil / The form shall be filled in with capitals, correctly and legibly.

R O R Z B R

R Z B R R O B U

Reu[im \mpreun`.

Subsemnatul declar pe propria r`spundere, avnd deplin` cuno[tin]` despreprevederile legale privind falsul \n declara]ii, c` fondurile transferate au originelicit` [i au ca suport tranzac]ii reale. Prezenta opera]iune respect` prevederilelegale \n vigoare, nu are drept scop sp`larea banilor sau finan]area de acte deterorism [i se circumscrie activit`]ii mele statutare. Totodat`, m` oblig ca \n termende 2 zile s` prezint orice documente justificative solicitate de banc`, cunoscndfaptul c` banca \[i rezerv` dreptul de a nu efectua opera]iunea \n cazulneprezent`rii acestor documente.

|n cazul acestei cereri se vor aplica Condi]iile generale de derulare a opera]iunilorbancare (CGB), Cererea de deschidere cont curent Persoane Fizice [i/sau orice alte\n]elegeri \n vigoare semnate de client.Instruc]iuni de completareaa.. AAcceesstt oorrddiinn ddee ppllaatt`` ssee vvaa ccoommpplleettaa \\nn ccaazzuull:: -- ppll``]]iilloorr \\nn vvaalluutt`` ssuubb 5500..000000 EEUURR ssaauu eecchhiivvaalleenntt-- ppll``]]iilloorr \\nn vvaalluutt`` eeggaallee ssaauu mmaaii mmaarrii ddee 5500..000000 EEUURR ssaauu eecchhiivvaalleenntt ppeennttrruu ccaarreennuu eessttee nneecceessaarr`` rraappoorrttaarreeaa ssttaattiissttiicc`` ddee cc``ttrree cclliieenntt-- ppll``]]iilloorr \\nn lleeii eexxtteerrnnee..b. Comisioane: pentru pl`]ile externe \n lei v` rug`m s` bifa]i comisioane "SHA";c. Prioritate Standard \nseamn` D+1 sau D+2, iar Urgent \nseamn` D sau D+1 \nfunc]ie de valuta tranzac]iei [i/sau sediul prestatorului de servicii de plat` albeneficiarului pl`]ii. Pentru a alege corect prioritatea care corespunde intereselorDvs, v` rug`m s` consulta]i \n prealabil informa]iile referitoare la aceste aspecte,afi[ate \n Agen]ie (tabel "Ore Limit`").d. Cod rat` negociat`/curs schimb este cmp op]ional [i se va completa \n cazulpl`]ilor efectuate \ntr-o valut` diferit` de valuta contului, \n baza informa]iilor primitede la Departamentul de Trezorerie al b`ncii, dup` negocierea ratei de schimbaplicat`; \n cazul necomplet`rii acestui cmp, banca va aplica cursul de schimbconform CGB.e. Banca intermediar` este cmp op]ional [i se va completa cu numele b`ncii/codulBIC prin care se dore[te transmiterea pl`]ii la banca beneficiar`. Banca va folosiintermediarul indicat \n m`sura \n care exist` o rela]ie de corespondent cu acesta;|n cazul necomplet`rii cmpului, banca va stabili unilateral traseul bancar pe bazarela]iilor proprii de corespondent.f. |n cazul complet`rii BIC-ului b`ncii beneficiare, Numele b`ncii [i Adresa devincmpuri op]ionale. Dac` ambele informa]ii sunt completate, banca va transmiteplata c`tre beneficiar folosind BIC-ul indicat.g. Comisionul Repara]ii cod IBAN va fi suportat de ordonatorul pl`]ii, indiferent deop]iunea de comisionare selectat` (BEN, OUR, SHA).

I, the undersigned customer, having complete knowledge about the legal provisionsin making false statements, I hereby declare under full responsibility that thetransfered funds have legal origins and are related to real transactions. Thistransaction conforms to the law in force, does not represent money laundering orfinancing terrorism activities and conforms to my lstatutory activity. Also, I herebyengage that within 2 days to present at your counters any documents required bythe bank, being already informed that the bank reserves the right not to process thisoperation in case of non-presentation by me of the required documents.

This order is subject to the General Conditions for banking operations (CGB),Application for client enrollment and current account opening - individuals and/orany other agreements signed by the client.Instructions for filling in:aa.. TThhiiss ffoorrmm wwiillll bbee uusseedd ffoorr::-- ffoorreeiiggnn ccuurrrreennccyy ppaayymmeennttss uupp ttoo EEUURR 5500..000000 oorr eeqquuiivvaalleenntt-- ffoorreeiiggnn ccuurrrreennccyy ppaayymmeennttss eeqquuaall oorr aabboovvee EEUURR 5500..000000 oorr eeqquuiivvaalleenntt,, wwhhiicchh ddoonnoott rreeqquuiirree ssttaattiissttiiccaall rreeppoorrttiinngg bbyy cclliieenntt-- eexxtteerrnnaall ppaayymmeennttss iinn LLeeii..b. Charging options: in case of external payments in Lei, SHA option should be used.c. Standard priority means D+1 or D+2 and Urgent priority means D or D+1depending on the transaction currency and/or the payee's service provider location.To choose the correct priority to meet your interests, please check in advancethe information related to this subject displayed in the Branch (see "Limit hours"table). d. Negociated rate ID/ exchange rate is an optional field and should be filled in incase of payments which involves two different currencies, based on the informationreceived from Treasury Department of the bank, after the negotiation of theexchange rate applied; in case this field is not provided than the bank will applythe exchange rate according to CGB.e. Correspondent bank is an optional field and should be filled in with the name/BICof the bank intended to be used for sending the payment to the beneficiary bank.The bank will use the correspondent indicated as long as there is a billateralrelationship with it; In case the field is not provided, the bank will establish thebanking route based on own correspondent relationships.f. Bank name and address are optional fields if Beneficiary's bank BIC is provided.In case both details are filled in, the bank will use the indicated BIC to send out thepayment.g. Commission IBAN code repair will be supported by the originator, regardlessof the selected commission option (BEN, OUR, SHA)