EBRD financing enquiry form

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If you are interested in obtaining EBRD finance, please complete this form to give us a better idea of how we could work together.

Forms will only be accepted from commercial companies or by an intermediary authorised to act for them.

The EBRD enforces a policy of strict confidentiality. Details submitted will not be disclosed to any other party without prior consent.

You will receive a response from an EBRD representative within 7working days of submitting the form.

Please ensure that you have read the following information prior to completing this form:

To follow up on a submitted form, please contact the EBRD Business Development unit: Tel:+44 20 7338 7168.

*denotes required information

Company name*
First name*
Last name*
Position*
Telephone*
Email*
Fax
Street address
City*
Post code*
Country*
Web site

Country/countries of investment (EBRD only provides finance to projects in these countries)*

Albania	Kazakhstan	Russia
Armenia	Kyrgyz Republic	Serbia
Azerbaijan	Latvia	Slovak Republic
Belarus	Lithuania	Slovenia
Bosnia & Herzegovina	FYR Macedonia	Tajikistan
Bulgaria	Moldova	Turkmenistan
Croatia	Montenegro	Ukraine
Estonia	Mongolia	Uzbekistan
Georgia	Poland
Hungary	Romania

Briefly describe your business*

Outline the ownership structure of the company* Include the percentages owned by both private shareholders and the state.

Summarise your investment plans* State the total capital required from EBRD and, if needed, from other sources in order to develop your buiness. Specify the required amount for capital investment and for working capital/other purposes. Indicate how much of shareholders' own funds are available for investment in the project. Indicate the exact location of the project.

Explain how the investment programme will generate the returns necessary to repay the financing provided*

Other relevant information. For example: annual sales, profits, tax; basic balance sheet data (debt and shareholders' funds); integrity of financial statements; auditing organisation; credit history; bonds/securities issues.

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