Caribbean Disaster
Mitigation Project |
NAME OF CLIENT:_____________________________ APPL. NO. _________
DATE: __________
ADDRESS: _________________________________ TEL NO: ( H ) ______________
_________________________________ ( C ) ______________
_________________________________
SEX: M/F _____________ LOCATION: ( Rural/Urban )_______________
AMOUNT REQUESTED: $ ___________ AMOUNT RECOMMENDED:$ ___________
CONDITIONS: _________________________________ INT. RATE: _________________
_________________________________ TERM: _________________
_________________________________
COMMENTS BY PROJECT OFFICER & ESTIMATOR: _______________________________________________________________
SIGNATURE: __________________________________ DATE: _______________________
DECISION - Executive Director/ or Credit Committee Chairman:
_______________________________________________________________________________________________
_______________________________________________________________________________________________
_______________________________________________________________________________________________
______________________________________ | _______________________ |
Signature | Date |
CDMP home page: http://www.oas.org/en/cdmp/ | Project Contacts | Page Last Updated: 20 April 2001 |