1. PROJECT NAME

2. CLIENT NAME

3. COMPANY NAME

4. ADDRESS, CITY, COUNTRY

5. PHONE, FAX, E.MAIL

6. LOAN AMOUNT IN US $

7. LOAN PERIOD

8. TERM OF GRACE

9. BRIEF DESCRIPTION OF PROJECT

Please include all applicable items listed on the aforementioned "Form" for the appropriate evaluation of our Credit Enhancement Committee, Review Board and Investor Group.