(Ref: Para. 40c)

Addressee

Name of Bank

Address of Bank

Date

Dear ………………

[Entity’s (ies’) Name(s)]—Bank Confirmation Request and Authority to Disclose Information

I/We authorise you, [Name of Bank], including all branches and subsidiaries of the bank, to provide to our auditor [Name of Auditor] any information that the auditor may request from you regarding all and any of our accounts and dealings with you.

More specifically, it would be appreciated if you would complete and return, for audit purposes, the information requested in the attached form(s) by (insert date):

Bank Confirmation—Audit Request (General)

Bank Confirmation—Audit Request (Treasury and Other Operations)

Please mail the original of the completed form(s) direct to our auditor as named in the form(s) and the duplicate(s) to us in the stamped, addressed envelopes enclosed for this purpose.

Any charge for providing this information is to be debited to the following account: [insert account details]

Yours faithfully

(Authorising Officer’ Signature) (Authorising Officer’ Signature)

(Authorising Officer’s Name) (Authorising Officer’s Name)

(Authorising Officer’s Title) (Authorising Officer’s Title)