PROJECT FUNDING 1st APPLICATION FORM
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COMPANY (PROJECT PROMOTER)
Company Name
*
Company Headquarter Address
*
(Address, Town, City, Country)
Company Phone Number
*
Company Registration Number
*
Company Country Registration
*
Company Year of Registration
*
Copy of Company Registration Certificate
*
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(pdf or jpg file)
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COMPANY REPRESENTATIVE
Name and Surname of Company Representative
*
Date of Birth
*
-
Giorno
-
Mese
Anno
2 digit day, 2 digit month, 4 digit year
Place of Birth
*
(Town, City, Country)
Email
*
Cell. Phone
*
Whatsapp
Skype
Linkedin
(url http://...)
Nationality
*
Copy of Passport (or any other Identity Document)
*
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(pdf or jpg file)
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of
Spoken Languages
*
English
French
Personal Notes
*
PROJECT
Country of Project Realisation
*
Afghanistan
Albania
Algeria
Andorra
Angola
Anguilla
Antigua & Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
China - Hong Kong / Macau
Colombia
Comoros
Congo
Congo, Democratic Republic of (DRC)
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Fiji
Finland
France
French Guiana
Gabon
Gambia, Republic of The
Georgia
Germany
Ghana
Great Britain
Greece
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran
Iraq
Israel and the Occupied Territories
Italy
Ivory Coast (Cote d'Ivoire)
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Korea, Democratic Republic of (North Korea)
Korea, Republic of (South Korea)
Kosovo
Kuwait
Kyrgyz Republic (Kyrgyzstan)
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar/Burma
Namibia
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Macedonia, Republic of
Norway
Oman
Pacific Islands
Pakistan
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovak Republic (Slovakia)
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syria
Tajikistan
Tanzania
Thailand
Timor Leste
Togo
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Uganda
Ukraine
United Arab Emirates
United States of America (USA)
Uruguay
Uzbekistan
Venezuela
Vietnam
Virgin Islands (UK)
Virgin Islands (US)
Yemen
Zambia
Zimbabwe
Project SECTOR
*
REAL ESTATE
INFRASTRUCTURE
INDUSTRIAL
ENERGY
Specify Project FIELD of selected SECTOR
Social Houses
Civil Building
Industrial building
Infrastructure
Energy
Wind
Photovoltaic
Waste recycling
Hydro production
If INFRASTRUCTURE, please specify type
Total Project Cost (Please specify if € or $)
*
(Please specify if € or $)
Brief Project Description & Overview
*
Project Pitch Deck (or other related Documentation)
*
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(pdf or jpg file)
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of
Project Available Documentation
*
Feasibility Study
Financial Study / Business plan
Environmental Impact Study
Architectural / Technical Study
Land Securities
Other
Total Financing Amount Requested (Please specify if € or $)
*
(Please specify if € or $)
Use of Funds
Construction
Development
Purchase
Refinance
Grace Period (in months)
*
Loan Duration after Grace Period (in months)
*
EXIT STRATEGY: Describe in detail how loan will be paid back
*
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