Contact Information
Business Name*
Contact*
CEO or General Manager*
Address*
City*
Country*
Telephone*
Fax*
E-mail*
P.O. Box
Sponsor Information
Sponsor Name*
Historical Audit Data (last 2 years)*
Company / Project Information
Project Country*	-- Select One --AnguillaAntiguaArgentinaBahamasBarbadosBelizeBoliviaBrazilBritish Virgin IslandsCayman IslandsChileColombiaCosta RicaDominicaDominican RepublicEcuadorEl SalvadorGrenadaGuatemalaGuyanaHaitiHondurasJamaicaMexicoMontserratNicaraguaPanamaParaguayPeruSt. Kitts and NevisSt. LuciaSt. Vincent and the GrenadinesSurinameTrinidad and TobagoTurks and Caicos IslandsUruguayVenezuela
Infrastructure Sector*	-- Select One --Agua y SaneamientoEnergíaMedioambienteServicios RelacionadosSocialTelecomunicacionesTransporte y LogísticaTurismo
Project Name*
Brief Project Description*
Business Rationale*
Management names*
Background of Key Players*
Investment Costs Data
Detailed estimate of fixed + other assets including working capital*
Contingencies*
Pre-operating and interest during construction*
Funding Plan
Potential sources of equity*
Potential sources of debt*
Prior Debt Amount (In millions)*
Approval status and main terms and conditions of all investors/lenders*
Total Project Cost (In millions)*
CIFI funding requested (In millions)*
Company Historical Performance
Audited financial and operating performance (last 2 years)*
Financial Prospects
At least 5 years financial projections*
Project IRR Calculations*
Technical and Environmental
Summary of studies undertaken*
Relevant contracts*
Environmental impact analysis*
Industry and Market Analysis
Summary*
Regulatory and Legal Frameworks
List and discuss briefly relevant agreements and regulations*