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Get Cib 01e Form

Cation : . TEL: FAX: Date of Project Approval From CDC : N0 2. FINANCIAL INFORMATION: Shareholding percentage and amount of expansion investment capital (in US Dollars): Foreign shareholding (in %): Cambodian shareholding (in %): Value: Value: Name(s) and breakdown of foreign shareholders (if any): 1. 2. 3. 4. Name(s) and breakdown of Cambodian shareholders (if any): 1. 2. 3. 4. FINANCING Foreign loan: Domestic loan: Reinvesting capital (from profit) : Bank(s)'s name: Bank(s)'s name: USD.

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