Company Letterhead

Date:

C/O: ……………………………………… Co., Ltd.

Dear Sirs

1. We seek your professional services to facilitate project finance.

2. As the owner/legal representative of ……….., I hereby submit our Client

Information Summary (CIS) to support our application for project finance.

3. We warrant that our business operations are not involved with terrorist or
illegal activity in any way. Furthermore, our funds are clean and cleared, and
all taxes paid.

Yours sincerely

Signature
Name

CLIENT INFORMATION SUMMARY (CIS)

Basic information required for KYC due diligence and documentation purpose.

Instructions:
** Do not modify this CIS template in any way.
** Only fully completed CIS will be processed.
** If any field does not apply to you, then put “Not Applicable” for that field.

INFORMATION OF THE CLIENT:

Date
Name of person who prepared this CIS

Company Section
Company name
Company address
Country & State of incorporation
Business registration number
Main business activity
Company website
Personal Section
Passport name
Nationality
Passport number
Passport issue date
Passport expiry date
Date of birth
Marital status
Country of residence

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Business background

INFORMATION OF THE COLLATERAL:

Type of collateral to be provided
Currency and face value
Source of funds
Issuing bank name
Bank address
SWIFT code
Account name
Account number
Bank Officer in charge of this transaction
(provide copy of name card)

INFORMATION OF THE PROJECT:

Name of project
Location of project
Brief description of the project
Main mission of the project
Size of the project (US$)
Competitive advantages
Current stage of the project
Time required to generate first revenue
Financial statements
Management team (provide CVs)
Lawyer (provide copy of name card)
Accountant (provide copy of name card)

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APPENDIX 1
PASSPORT COPY

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APPENDIX 2
BUSINESS REGISTRATION CERTIFICATE