Please fill out the form properly and then click submit.

Name of Applicant:
Address of Registered Office:
Location of operations:

 

Contact person:		Position:
Telephone(s):		Fax:
E-mail:		Website:

:: PROJECT INFORMATION ::

Agriculture Agro-processing Entertainment Information Technology Infrastructure Manufacturing Mining Non-metallics & Minerals Science & Technology Tourism Other/Subsector

Brief description:

 

Type of Project

Projected employment

New Expansion

Men:

Women:

 

Potential 7-year Foreign Exchange

Earnings (USD$):

Savings (USD$):

 

Markets

Local Caricom Extra-regional

 

Total project cost | Financial Structure | NIBJ Financing requested

	J$	US$
Debt
Equity / Quasi
Debenture
Equity (preference)
Equity (ordinary)

 

Has all other financing been identified? Yes No Partial If Yes or Partial, please state non-NIBJ funding needs.   J$ US$ Debt     Equity-Quasi     Equity-Ordinary

Sources / Comments Personal Financial Statement(s) presented Yes No Memorandunm & Atricles of Incorpoation presented Yes No Environmental Impact Assessment presented Yes No N/A

 

:: BACKGROUND INFORMATION ::

Other lenders	Type of facility	Amount	Period	Rate

 

Date Incorporated

TRN #

TCC #

 

Total ordinary shares		Amount issued
Total authorised preference shares		Amount issued

 

Shareholders	Class of share	% Shareholding	Local / Foreign

 

Board members	Specific area of responsibility

 

Key management	Portfolio responsibility

 

Affiliated companies	Connection

 

Audited	Year	Sales / Income	Operating profit	Depreciation	Net profit / loss after tax	Dividends

 

Comments