YOUR COMMERCIAL RISKS UNDER CONTROL 20 PLACE DE SEINE 92086 PARIS LA DEFENSE CEDEX. FORMULARY OF CREDIT INSURANCE N08 5487/ ABB / 00263 / 9842013 This form of insurance must be carefully filled and be signed: Surname:. Given names:. Country:. Address:. Phone:. Profession:. Reason for the credit:. Amount of the credit: 7 000, 00. Type of subscription: Credit insurance. Duration of insurance: 60 months. Insurance fees: 205, 00. Name and address of the lender: VIS NELLIE, 10 rue dassy 97430 tampon, France. BENEFICIARY CHIEF FINANCIAL OFFICER COMPANY NB: Insurance fees, which are referred to in this document must be paid by the recipient of the loan.