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Private Sector – EPC Contractors/ Developers/ O&M/ Service Providers

1. Organization Level Information

Components Information

1. EPC Contractor/ Developer/ O&M/ Service Provider/ Others


If others, please specify_______________
Type of Entity (please tick the most appropriate)
2. Social enterprise (not for profit)/ commercial enterprise/ Others
If others, please specify_______________

Year of incorporation/ establishment

Years of experience in water supply and sanitation sector

Vision and mission of the company

No. of employees at present

List of products/ services offered

Operating areas (scale of operation) – name of cities/


towns/ villages/ districts/ divisions etc.

Public utility/ private utility/ households/ industries/ others


Customer Segments (please tick the most appropriate)
If others, please specify_______________

List of projects executed in water supply and sanitation


sector in last 3 years

List of projects currently under execution in water supply


and sanitation sector

Project 1____________________ Investment ________________


Project 2____________________ Investment ________________
Project 3____________________ Investment ________________
List of projects proposed in WSS sector with planned
.
investment (BDT/USD million)
.
Project n____________________ Investment ________________

Average ticket size of projects (BDT/USD million)

Description of business model

List of sources of finances in last 3 years

Average turnover for last 3 years (BDT/USD million)

Revenue and Expenditures for the last three years


(BDT/USD million)

Year on Year growth rate (%)

Impacts achieved in last 3 years

Current market share (%)


Components Information

Future projected market share in 5 years (%)

Expected annual revenue in next 5 years (BDT/USD


million)

Investment required in next 5 years (BDT/USD million)

Investment required from WaterEquity (BDT/USD million)

Impacts intended to achieve through investment from


WaterEquity

2. Project Level Information

Project Name

Location

Estimated Project Cost (USD)

Utilities Provider/ Client

Developer/ Partner

Current Status and Expected


Implementation Date

Project Description

Potential Investment for


WaterEquity (USD)

Description of Revenue/
Business Model

Potential Impact (preliminary)

Engagement so far by
Water.org/ WaterEquity (if any)

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