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CIF FORM
Please fill in the project information requested below for our exclusive and confidential use in assessing your project and in determining our best means of cooperation and that of our Lenders. There is no obligation on your part in submitting this information.
1. Client Full Name:
*
First
Last
2. Client Full Company Name:
3. Client Full Mailing Address:
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba,Bahamas
Barbados
Belize
Canada
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country
4. Client Direct Contact Person / Title
*
5. Client Direct Telephone:
*
6. Client Direct Facsimile:
7. Client Email Address:
*
8. Client Website Address:
9. Client Nature of the Business:
*
10. Client Full Project Name:
*
11. Client Actual Project Location:
*
12. Amount Requested in $USD
*
13. What is your Preferred Term of borrowing in
Years
*
14. What is the Purpose of Financing
*
15. Is this your first time you are seeking
finance for this project?
Yes
No
16. How long have you been seeking finance for
this project:
*
17. Are you engaged with other funding sources at
this time:
Yes
No
18. If Yes to (17) above then please provide full
details and name of those your dealing with and
clearly state your present stage of
developments
with them:
*
19. What is the total expenditure (funds invested
by you) to date which you have incurred so far for
this project development?
*
What are the matters covered in 19., above:
(
Studies, land acquisition, tests, surveys,
etc…..)
20. Although not required in most cases, we need
to know shareholders” – owner’s personal
willingness to issue ‘personal
guarantees”.
Are you willing to provide personal
guarantees?
*
Yes
No
21. Are there any outstanding litigation matters
against the company, and / or its owners /
officers
*
Yes
No
22. Are you contemplating using all / part of any
future loans for any payments other than for your
project?
*
Yes
No
23. Are there any past outstanding loans to repay
from the loan(s) you are seeking? (Not
necessarily for this project)
*
Yes
No
24. Are you aware and agree that costs will be
payable at the appropriate time if you wish to
request the services of the Financiers.
*
Yes
No
25. Indicate which of the documents are currently
available: (These do not have to be provided
immediately, but should be available upon
request).
Business Plan
Feasibility Studies
Financial Projections
Architectural / Engineering Plans
Appraisals
Financial Histories
Video Tape – CD – Dvd – Power Point
Others: (list separately)
What are the other documents included in 26.,
above:
You may upload the documents that are currently
available in 26, above
Upload your available documents. This is not compulsory at this moment.
Upload a File
Upload a File
Upload a File
Upload a File
Upload a File
The date when you have completed this CIF Form:
MM
/
DD
/
YYYY
Confirm the information contained herein is to the
best of my knowledge, true and accurate and that I
have the authority to provide this information and
execute this Declaration.
Check as appropriate:
*
Confirm
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