Form EIB 03-02 EIB 03-02 Application for Medium-Term Insurance, Direct Loan, or G

OMB 3048-0014
PENDING 2025

APPLICATION FOR
MEDIUM-TERM
INSURANCE OR
GUARANTEE
This application is to be used for insurance and guarantee transactions, including Domestic Financing, with financed amounts
of $25 million or less (excluding financed exposure fee/premium) and repayment terms between twelve months and seven
years. An online version of this application is available on EXIM’s website. EXIM encourages customers to apply on-line, as it
will facilitate our review and allow customers a faster response time. If you are requesting a medium-term direct loan,
please apply through ELMS at https://elms.exim.gov/ as it will facilitate EXIM’s review. There is a step-by-step ELMS Direct
Loan/Guarantee Application External User Guide to assist you in completing the application.
Please note that if your financing request is between $20 and $25 million or a direct loan for any amount, excluding exposure
fee, the transaction will be subject to U.S. flag shipping requirements. For more information, visit EXIM’s website:
https://www.exim.gov/policies/us-flag-shipping-requirements.

FINANCING TYPE REQUESTED
___Loan Guarantee
___ Sovereign __ Public Non-sovereign ___ Private Sector
MGA No. (if known): ____________________
___Finance Lease Guarantee
___ Sovereign __ Public Non-sovereign ___ Private Sector
___Insurance
___ Sovereign __ Public Non-sovereign ___ Private Sector
Conversion of a Preliminary Commitment or a Letter of Interest
___ No
___ Yes
The EXIM reference number is:
Resubmission ___ Check if this is a resubmission of an application that was previously deemed incomplete or
was withdrawn for other reasons. The EXIM reference number is:
Renewal
___MTR (Medium-Term Repetitive Insurance Policy)
Product

PARTICIPANTS:
Items marked with an asterisk (*) are required fields. Under corporate ownership, provide the name of the ultimate parent
company, if there is a corporate owner. For number of employees and sales volume, aggregate for the company and all its
affiliates, including corporate owners and subsidiaries.
Applicant: The applicant may be any exporter, financial institution, supplier, the primary borrower, buyer or controlling
sponsor associated with the transaction. ___Check if the applicant has been assisted by a city or state export agency and
provide the name of the agency:
*Applicant Name:
Tradestyle:
*Business Address:
*City:

*State:

*Zip/Postal Code:

Contact Person:

Position Title:

Phone:
Duns No.

*Country:

Email:
UEI No. ________________
1

Taxpayer ID No.

1
A Unique Entity Identifier (UEI) No. is a 12-character unique number assigned to all entities (public and private companies, individuals, institutions or
organizations) who must register in SAM.gov to do business with the federal government. For a Direct Loan, the Borrower(s) is required to have a UEI. For
a Guarantee, whichever entity will be receiving EXIM’s guarantee, either the Agent or Lender(s), is required to have a UEI. If your entity is registered in
SAM.gov, your UEI has already been assigned and is viewable in SAM.gov. If you do not have a UEI No. and your entity is either a Borrower for a Direct
Loan or the recipient of EXIM’s guarantee, then you must register your entity. Visit https://sam.gov/content/home to see if your entity has a UEI No., to
register your entity or for more information.

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For an Applicant located in the United States, items marked with an asterisk (*) are required fields.
*Woman-owned business:
Yes___
No___
Decline to Answer ___
*Minority-owned business:
Yes___
No___
Decline to Answer ___
*Veteran-owned business:
Yes___
No___
Decline to Answer ___
*Disability-owned business:
Yes___
No___
Decline to Answer ___
*Race (One or more boxes may be selected.):
American Indian or Alaskan Native ___ Asian___ Black or African American ___ Hispanic or Latino___
Middle Eastern or North African ___ Native Hawaiian or Pacific Islander ___ White___ Decline to Answer ___
Exporter: The “exporter” is the company which is contracting with the Buyer for the sale of the U.S. goods and/or
services. ___Check if the exporter is the applicant. Otherwise, complete the information below for each exporter
including any ancillary service providers. For more information about ancillary services visit:
https://www.exim.gov/solutions/loan-guarantee/ancillary-services
*Exporter Name: _______________________________________________________________________________
Tradestyle: ____________________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________

Email: ______________________________________

Duns No. ___________________

Taxpayer ID No. _________________

*Corporate Ownership: _________________________________________________________________________
*Does the Exporter have any affiliates2? Yes ___ No ___

*Primary Industry NAICS3: ______________________

*Total Number of Employees: ______________________

* Annual Sales Volume: ________________________

For an Exporter located in the United States, items marked with an asterisk (*) are required fields.
*Woman-owned business:
Yes___
No___
Decline to Answer ___
*Minority-owned business:
Yes___
No___
Decline to Answer ___
*Veteran-owned business:
Yes___
No___
Decline to Answer ___
*Disability-owned business:
Yes___
No___
Decline to Answer ___
*Race (One or more boxes may be selected.):
American Indian or Alaskan Native ___ Asian___ Black or African American ___ Hispanic or Latino___
Middle Eastern or North African ___ Native Hawaiian or Pacific Islander ___ White___ Decline to Answer ___
How many years has the Exporter been in commercial operations? _______________
Does the Exporter have experience with transactions of similar size, scope and complexity? Explain below:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________

2 Affiliations exist when one individual or entity controls or has the power to control another or when a third party or parties control or have the
power to control both. Factors such as common ownership, common management, previous relationships with or ties to another entity,
and contractual relationships may cause affiliation. The complete definition of ‘affiliation’ is found at 13 C.F.R. § 121.103.
3 A company’s Primary Industry NAICS code is the NAICS that accounts for the largest share of sales for the most recently completed fiscal
year. The full definition of “primary industry” is set forth at 13 C.F.R. § 121.107.

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Supplier. The "supplier" is the U.S. company which manufactures the goods and/or performs the services to be exported.
___Check if the Supplier is also the Exporter. Otherwise, complete the information below for each exporter
including any ancillary service providers. ____Check if the Supplier is not determined. If neither applies, attach the
same information for the primary supplier as requested above for the Exporter.
.
*Supplier Name: _______________________________________________________________________________
Tradestyle: ____________________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________

Email: ______________________________________

Duns No. ___________________

Taxpayer ID No. _________________

*Corporate Ownership: _________________________________________________________________________
*Does the Exporter have any affiliates2? Yes ___ No ___*Primary Industry NAICS3: _______________________
*Total Number of Employees: ______________________

* Annual Sales Volume: ________________________

How many years has the Supplier been in commercial operations? _______________
Does the Supplier have experience with transactions of similar size, scope and complexity? Explain below:

________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________

For a Supplier located in the United States, items marked with an asterisk (*) are required fields.
*Woman-owned business:
Yes___
No___
Decline to Answer ___
*Minority-owned business:
Yes___
No___
Decline to Answer ___
*Veteran-owned business:
Yes___
No___
Decline to Answer ___
*Disability-owned business:
Yes___
No___
Decline to Answer ___
*Race (One or more boxes may be selected.):
American Indian or Alaskan Native ___ Asian___ Black or African American ___ Hispanic or Latino___
Middle Eastern or North African ___ Native Hawaiian or Pacific Islander ___ White___ Decline to Answer ___
Borrower or Lessee: The borrower is the entity that agrees to repay the loan. The lessee is the entity that agrees to
lease the goods and services from the lessor and pay rent under a finance lease. ___Check if the borrower is the
applicant. If not, complete the information below.
*Borrower/Lessee Name: ________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________

Email: ______________________________________

Duns No. ___________________

UEI No. __________________ Taxpayer ID No. ________________
1

For a borrower located in the United States, items marked with an asterisk (*) are required fields.
*Woman-owned business:
Yes___
No___
Decline to Answer ___
*Minority-owned business:
Yes___
No___
Decline to Answer ___
*Veteran-owned business:
Yes___
No___
Decline to Answer ___
*Disability-owned business:
Yes___
No___
Decline to Answer ___

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*Race (One or more boxes may be selected.):
American Indian or Alaskan Native ___ Asian___ Black or African American ___ Hispanic or Latino___
Middle Eastern or North African ___ Native Hawaiian or Pacific Islander ___ White___ Decline to Answer ___

Guarantor: The guarantor is the person or entity that agrees to repay the credit if the borrower or lessee does not.
Refer to the Medium-Term Credit Standards (at http://www.exim.gov/tools/credit-standards.cfm) to determine in what
situations personal or corporate guarantors are required for medium-term transactions.
Complete the information below for each guarantor if a guarantor is offered or required.
Check to indicate: ___There is no guarantor
___Guarantor is an individual ___Guarantor is a financial
institution
___Guarantor is a corporation. Complete the information below for each guarantor if a guarantor is offered or required.
*Guarantor Name: ______________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________

Email: ______________________________________

Buyer: The buyer is the entity that contracts with the exporter for the purchase of the U.S. goods and services.
Check if the buyer is also the ___borrower/lessee or lessor or ___guarantor. Otherwise complete the information
below.
*Buyer Name: _________________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________
Phone: ________________________________________

Position Title: ________________________________
Email: ______________________________________

Primary Source of Repayment (PSOR). The PSOR is the entity whose financial statements form the basis of
EXIM’s evaluation of reasonable assurance of repayment. For this transaction, indicate whether the PSOR is:
___buyer or ___guarantor or ___business combination (e.g., the consolidated or combined financial statement of the
buyer and one or more corporate guarantors or controlling sponsor(s).) If business combination, indicate which entities
comprise the combination:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Is the PSOR a financial institution?
The risk category of the PSOR:

Yes ___ No ___
Sovereign ___ Public Non-sovereign ___

Private ___

Does the PSOR have a bond rating? Yes ___ No ___If yes, indicate the name(s) of the rating agency, rating, and
the date of rating:
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
End-user. The end-user is the foreign entity that uses the U.S. goods and services. Check if the end-user is also
the ___borrower or ___guarantor or ___buyer or ___PSOR. Otherwise, complete the information below.
*End-user Name: _______________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________

Email: ______________________________________

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Lender/Lessor. The lender is the company that extends the EXIM guaranteed loan to the borrower. The Lessor is
the company that extends the EXIM guaranteed finance lease to the Lessee. If the application is for a guaranteed loan,
check if the lender is also the ____applicant or otherwise, complete the information below. If a direct loan is being
requested, complete for Lessor, if applicable.
*Lender/Lessor Name: __________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________

Email: ______________________________________

Duns No. ___________________ UEI No. _____________ MGA No.: ___________________________________
1

Agent. An agent is a business entity or individual, usually located in the country of the borrower or buyer, who
has assisted in the sourcing, packaging, and/or preparation of a request for support from EXIM, and who will
receive compensation in some form for their services. Is an agent involved in the transaction? Yes ___ No ___
If yes, complete the information below.
*Agent Name: __________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________

Email: ______________________________________

Broker. ___ Check if there is no broker
*Lender/Lessor Name: __________________________________________________________________________
*Business Address: _____________________________________________________________________________
*City: _______________________ *State: _____________ *Zip/Postal Code: _________ *Country: ____________
Contact Person: _________________________________

Position Title: ________________________________

Phone: ________________________________________
Duns No. ___________________

Email: ______________________________________

SPECIAL FEATURES REQUESTED
Check the box(es) for the coverage(s) that apply to the transaction. View the fact sheets describing the coverage
on EXIM’s website as noted below. Complete and attach the Required forms.
___Co-financing with a Foreign Export Credit Agency: Required: Attachment H (Form EIB 22-09): Co-financing with
Foreign Export Credit Agency. For more information: Co-Financing | EXIM.GOV
___Domestic Finance: Required: Attachment F (Form EIB 95-10f): Foreign and Domestic Project Finance and Required:
Attachment I (Form EIB 22-05): Domestic Finance Transactions. For more information: Make More in America Initiative |
EXIM.GOV
___Environmental and Social Screening: Required: Attachment B (Form EIB 95-10b): Environmental Screening Document
____Foreign Dealer Support: Required: Attachment C (Form EIB 22-03) Supplemental Information Requirements for
Foreign Dealer Support
___Pre-Export Payment Questionnaire: Required: Attachment J (Form EIB 22-02): Pre-Export Payments Questionnaire. For
more information: Pre-Export Payments | EXIM.GOV
___Structured or Corporate Finance: Required: Attachment G (Form EIB 95-10g): Credit Information. For more
information: https://www.exim.gov/solutions/project-and-structured-finance/structured-finance-for-small-projects
___Used Equipment: Required: Attachment E (Form EIB 22-08): Used Equipment Questionnaire. For more
information: Used Equipment | EXIM.GOV
___Ancillary Service Fees: For more information: Ancillary Services | EXIM.GOV
___China and Transformational Exports Program (CTEP): For more information: CTEP | EXIM.GOV
___Engineering Multiplier Program (EMP): For more information: Engineering Multiplier Program (EMP) | EXIM.GOV
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___Environmental Exports Program: For more information: Environmentally Beneficial Exports | EXIM.GOV
___Finance Lease Structure: For more information: Finance Lease Structure | EXIM.GOV
___Foreign Currency Guarantee: For more information: Foreign Currency Guarantee | EXIM.GOV
___Local Cost Support: For more information: Local Cost | EXIM.GOV
___Military/Security/Police: For more information: Military | EXIM.GOV and Security Forces Sales | EXIM.GOV
___Supply Chain Resiliency Initiative (SCRI): For more information: Supply Chain Resiliency Initiative | EXIM.GOV
___Other (please specify):

CHINA AND TRANSFORMATIONAL EXPORTS PROGRAM (CTEP)
Check one or both applicable Section 402 boxes, as appropriate, if (a) the items to be exported from the U.S. face export
subsidies from competing goods and/or services financed by the People’s Republic of China (PRC) or by other countries (as
designated by the U.S. Secretary of the Treasury)4; and/or (b) the export items qualify as one or more of the
Transformational Export Areas designated by Congress, as necessary to advance the comparative leadership of the U.S.
which include:
___Section 402(A) – Your export is facing competition from an entity backed by the People’s Republic of China (PRC) or
other covered countries.
___Section 402(B) – Value of your export largely consists of equipment or services (Export Value) that fall into and/or
will the foreign buyer use of the export (Buyer End Use) in one or more of the following Transformational Export Areas
(TEAs) (and/or related services). If selected, at least one TEA is required.
Is your transaction directly supporting critical minerals?
Yes ___ No ___
If yes, please designate the Transformational Export Area(s)
Export Value
Artificial Intelligence
___
Biotechnology
___
Biomedical sciences
___
Wireless communications equipment
___
Quantum computing
___
Renewable energy
___
Energy efficiency
___
Energy storage
___
Semiconductor and semiconductor machinery manufacturing
___
Emerging financial technologies
___
Water treatment and sanitation
___
High-performance computing
___

Buyer End Use
___
___
___
___
___
___
___
___
___
___
___
___

If either Section 402 box is checked, provide an explanation via attachment.
TRANSACTION DESCRIPTION
Describe Goods and Services, which are proposed for the scope of supply. Include make, model, manufacturer/
supplier, NAICS of goods and services, number of units, values, and estimated U.S. and foreign content.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Describe the purpose of the transaction. Address the following in the description: Will the goods be used to create or
expand production capacity for an exportable product?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Are the goods and services destined for an identifiable project? If so, provide information on the total estimated project
cost in US dollars. Also provide information as to other proposed sources of financing for the project, including working
capital.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
4 As of this writing, no other country besides the PRC has been designated a covered country.
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Indicate whether an application for support of this export contract or a related project has been filed with the Agency for
International Development, Maritime Administration, U.S. International Development Finance Corporation, Trade
Development Agency or a multilateral financing agency. If so, include a brief description of the additional support being
sought and identify the name and contact at each.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
REQUESTED FINANCING AMOUNTS AND STRUCTURE
EXIM financing support is based on the value of the eligible goods and services in the exporter’s supply contract(s)
or purchase order(s). The total level of support will be the lesser of: 85% of the value of all eligible goods and
services; or 100% of the U.S. content included in all eligible goods and services in the exporter’s supply contracts
or purchase order(s). In addition, EXIM may also finance certain local costs, ancillary services as approved, and
the exposure fee/premium. Complete the chart below for Uses and Sources of Funds.
Complete the required Content Table below to determine the estimated eligible amounts for all transactions.
A

Supply Contract(s) or
Purchase Order(s)

Bi

Ancillary Services

Bii

Follower ECA-Covered
Goods and Services

C

Excluded Goods and
Services

D

Total Local Costs

E

Net Contract Price

F

Eligible Foreign Content

G
H

U.S. Content
Cash Payment

I

Local Cost Financing
Requested

J

Financing Amount
Requested (Excluding
Exposure Fee)

EIB 03-02 (Rev. 3/2025)

Definition
The aggregate price of all Goods and Services in all the supply
contract(s) or purchase order(s), including Local Costs, Ancillary
Services, Follower ECA-Covered Goods and Services, and
Excluded Goods and Services.
* If lessor is a U.S. entity and takes title to the U.S. Goods and
Services for a lease to a foreign lessee, the finance lease is the
supply contract.
The aggregate cost of ancillary services included in line A
(indirect or support costs for the primary Goods and Services,
such as financial, legal, or lender fees).
The aggregate price of all Goods and Services included in line A
that are eligible for EXIM Bank support as Follower ECA-Covered
Goods and Services.
* An amount should be entered if the Co-financing with a Foreign
Export Credit Agency Special Coverage was selected.
The aggregate price of all Goods and Services included in line A
that are not eligible for (or excluded from) EXIM support (e.g.,
goods not shipped from the U.S. and excluded ancillary services).
Local Costs should not be included in this line.
The aggregate price of all Goods included in line A
originated/manufactured in the Purchaser’s Country and all
Services provided by residents of the Purchaser’s Country. EXIM
may be able to finance these amounts up to 50% of the E-Net
Contract Price below.
A-Supply Contract(s) or Purchase Order(s) MINUS C-Excluded
Goods and Services MINUS D-Total Local Costs
The aggregate cost of any Goods (or components thereof)
produced or manufactured outside the U.S., Services provided by
third country personnel, foreign freight costs and foreign
insurance included in the E-Net Contract Price above (e.g.,
foreign items exported from the U.S.). Local Costs should not be
included in this line.
E-Net Contract Price MINUS F-Eligible Foreign Content
The cash payment is determined by the transaction type.
Domestic Finance (MMIIA) does not have a cash payment. All
other transaction types require a minimum of 15% of E-Net
Contract Price
Local Cost can be supported up to 40% or 50% of the value of the
E-Net Contract Price, depending on the OECD country
categorization for the buyer. Country categorizations for local cost
calculations can be found at the OECD under “Maximum
Repayment Terms:” Financing terms and conditions - OECD
E-Net Contract Price MINUS H-Cash Payment PLUS I-Local Cost
Financing Requested.

$

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Exposure Fee. Check one box.
___EXIM to finance the fee, which will be paid
___EXIM to finance the fee, which will be paid
___EXIM will not finance the fee, and it will be
___EXIM will not finance the fee, and it will be

as the credit is drawn down.
up front.
paid as the credit is drawn down.
paid up front.

Transaction Structure
Principal Repayment Term. _____ (years). Unless otherwise requested, equal installments of principal will
be repaid semi-annually beginning six months after the starting point. In the case of a finance lease, unless
otherwise requested, rent will be calculated based on equal installments of principal, paid semi-annually beginning
six months after the starting point.
Starting Point. The starting point is generally the event that marks the fulfillment of the exporter’s contractual
responsibility, except for project finance, when it occurs at the time the project meets all completion tests. (Check
one.)
___Shipment (single shipment)
___Services Completion.
___Final Shipment (multiple shipments)
___Completion of Installation. Specify date:
___Mean Shipment (multiple shipments)
__Project Completion. Specify date:
___Other
Shipment Period. Shipments will be completed and/or services will be performed from: ______________
(month/year) to ____________ (month/year) excluding any acceptance, retention, or warranty period.
Promissory Notes/Lease Supplements. For transactions with multiple shipments. Indicate:
___There will be one promissory note per shipment
___Disbursements will be consolidated into one promissory note
___There will be one lease supplement per shipment (Finance lease only)
___Lease deliveries will be consolidated under one lease supplement (Finance lease only)
Interest rate. The interest rate to be charged on the guaranteed loan is: _____________________________
REASON FOR REQUESTING EXIM SUPPORT
The basic rationale for EXIM support is that the export of U.S. goods and services needs financing but there
are one or more obstacles to obtaining such financing. Please check all the boxes below that apply to this
transaction, to the best of your knowledge. Please also check the appropriate box to indicate which factor is
most important.
Category I: Non-U.S. (Foreign) Competition

Most Important? ___

Are any non---U.S. companies competing for this sale?
Yes ___
No ___ Don’t Know ___
If yes, please identity non-U.S. competitor:
If yes, is the non-U.S. competitor receiving support from any export credit agency for this sale?
Yes ___
No ___
Don’t Know ___
If yes, please list the export credit agency:
Category II: Structural or Risk Constraints

Most Important? ___

Is commercial financing for this sale limited by bank requirements (such as maturity limits or capacity limits on the
borrower, industry, or country)?
Yes ___
No ___
Don’t Know ___
If yes, are the relevant limits related to risk or liquidity or both?
Yes ___
No ___
Other ___ ________________________________________
Is commercial financing for this sale limited because providers of commercial financings are unwilling or
unable to accept the commercial and/or political risks of the borrower or the country?
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Yes ___

No ___

If yes, what risks are creating the limitation?
Yes ___
No ___

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Don’t Know ___
Other ___

________________________________________

China and Transformational Exports Program (CTEP)
Are any Chinese companies competing for this sale?
Yes ___
No ___
Don’t Know ___
If yes, please identity the Chinese competitor:

Most Important? ___

If yes, is the Chinese competitor receiving support from any government financing agency for this sale?
Yes ___
No ___
Don’t Know ___
If yes, please list the agency:
Category III: Other/Not Identified

Most Important? ___

Is commercial financing for this sale limited because of other considerations?
Yes ___
No ___
Don’t Know ___
If yes, please describe:
_________________________________________________________________
CREDIT INFORMATION Complete Attachment A (Form EIB 22-06) Credit Information Requirements
OTHER INFORMATION AND CERTIFICATIONS
General Information. Be prepared to provide the following upon request:
___Credit Agency report(s) on the borrowers and exporter(s).
___Annex A to the Master Guarantee Agreement (Guarantees only) at:
https://www.exim.gov/sites/default/files//forms/mtmgaannexes.pdf
___Lender’s mandate letter (required when applicant is a financial institution).
Supply Contracts Between the Exporter and Buyer.

____Sales contract(s), pro forma invoice(s), or purchase order(s) and finance lease(s) evidencing the transaction
between the exporter and buyer are attached.
____The exporter(s) are not the manufacturers of the goods nor the producers of the services to be exported; the Sales
contract(s), pro forma invoice(s), or purchase order(s) and finance lease(s) evidencing the transaction between the
supplier(s) and exporter(s) are attached; AND the Sales contract(s), pro forma invoice(s), or purchase order(s) and
finance lease(s) evidencing the transaction between the supplier(s) and buyer are attached.
Commitment Fee Agreement.
A commitment fee accrues starting 60 days after the authorization of a final commitment and is payable semiannually in arrears on a schedule determined at the time of authorization. The commitment fee is either:
1/8 of 1% per annum on the undisbursed and uncancelled balance of a guaranteed loan or 1/2 of 1% per
annum for a direct loan.
Choose one of the options below regarding the payment of the commitment or facility fee:
___The applicant is the borrower or project sponsor, and by signing the application, is irrevocably committing to
pay the commitment fee.
__The applicant is the guaranteed lender, and is (check one):
___signing the application which irrevocably commits it to pay the fee, or
___signing the application and enclosing with it an EXIM standard form fee letter signed by the borrower (at
https://www.exim.gov/sites/default/files//forms/mtmgaannexes.pdf). This letter irrevocably commits the borrower to
pay the fee.
__The applicant is the exporter, and is signing the application and enclosing with it an EXIM standard form fee letter
from the __borrower or __guaranteed lender (at https://www.exim.gov/sites/default/files//forms/mtmgaannexes.pdf).
This letter irrevocably commits the borrower or guaranteed lender to pay the fee.
Anti-Lobbying Disclosure Form
Please refer to the Anti-Lobbying Declaration/Disclosure forms (see Attachment D (Form EIB 95-10d): Anti-lobbying
Declaration/Disclosure) and include a signed copy of the appropriate form(s) with your application.
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OMB 3048-0014
PENDING 2025

MEDIUM-TERM APPLICATION ATTACHMENTS
Attachment A (Form EIB 22-06) Credit Information Requirements
Attachment B (Form EIB 95-10b): Environmental Screening Document
Attachment C (Form EIB 22-03) Supplemental Information Requirements for Foreign Dealer Support
Attachment D (Form EIB 95-10d): Anti-lobbying Declaration/Disclosure
Attachment E (Form EIB 22-08): Used Equipment Questionnaire
Attachment F (Form EIB 95-10f): Foreign and Domestic Project Finance
Attachment H (Form EIB 22-09): Co-financing with Foreign Export Credit Agency
Attachment I (Form EIB 22-05): Domestic Financing
Attachment J (Form EIB 22-02): Pre-Export Payments Questionnaire
Attachment K (Form EIB 22-04): Form of Fee Letter
Attachment K is to be submitted in the following circumstances:
• the application is for a guarantee or a credit guarantee facility
• the applicant is the guaranteed lender or the exporter, and
• the applicant is signing the application, but the borrower is committing to pay the commitment or facility fee

EIB 03-02 (Rev. 3/2025)

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OMB 3048-0014
PENDING 2025

CERTIFICATIONS AND SIGNATURE
Please refer to the “Standard Certifications and Covenants for EXIM Applications” set forth in Form EIB 18-CN, posted on
the EXIM website at https://www.exim.gov/tools-for-exporters/applications-forms/complete-list (the “Standard
Certifications”). THE STANDARD CERTIFICATIONS ARE INCORPORATED INTO THIS APPLICATION AS IF FULLY
AND DIRECTLY SET FORTH HEREIN. When signing this application in the space provided below, the undersigned
authorized officer signing on the applicant's behalf certifies and represents that he or she is fully authorized to sign on the
applicant's behalf, and that HE OR SHE HAS READ the Standard Certifications referenced above AND IS CERTIFYING
AND COVENANTING, as appropriate, to all the certifications, acknowledgments and covenants set forth in the Standard
Certifications.
Applicant further certifies that the representations made, and the facts stated in this application and its attachments are,
true and Applicant has not misrepresented or omitted any material facts, including the reason for requesting
EXIM support. Applicant further covenants that if any statement set forth in this application or in the Standard
Certifications, becomes untrue, or is discovered to have been untrue when made, Applicant will promptly inform EXIM of
all such changes or discoveries. Applicant further understands that in accepting or approving this application, EXIM is
relying upon Applicant's statements set forth in the application and in the Standard Certifications, and all statements and
certifications to EXIM are subject to the penalties for false or misleading statements to the U.S. Government (18 USC §
1001, et. seq.).
I,
of

, do hereby certify that I am the duly appointed and qualified

(Name of Applicant)

on behalf of

(Title)

and that as such I am authorized to execute this application

(Name of Applicant)

.

In witness whereof, I have hereunto signed my name this

day of

. 20

.

Name of Applicant:
Signature: ______________________________________ (Authorized Officer)
Name: ____________________________________
Title: _____________________________________
Telephone: ________________________________
Email: ____________________________________

NOTICES
The applicant is hereby notified that information requested by this application is done so under authority of the Export-Import Bank Act of 1945, as
amended (12 USC 635 et. seq.); provision of this information is mandatory and failure to provide the requested information may result in EXIM being
unable to determine eligibility for support. If any of the information provided in this application changes in any material way or if any of the certifications
made herein become untrue, the applicant must promptly inform EXIM of such changes. The information provided will be reviewed to determine the
participants’ ability to perform and pay under the transaction referenced in this application. EXIM may not require the information and applicants are not
required to provide information requested in this application unless a currently valid OMB control number is displayed on this form (see upper right of
each page). EXIM reserves the right to decline to process or to discontinue processing any application.
Paperwork Reduction Act Statement: We estimate that it will take you about 2 hours to complete this form. This includes the time it will take to read the
instructions, gather the necessary facts, and fill out the form. However, you are not required to provide information requested unless a valid OMB control
number is displayed on the form. If you have comments or suggestions regarding the above estimate or ways to simplify this form, forward
correspondence to EXIM and the Office of Management and Budget, Paperwork Reduction Project, OMB# 3048-0014 Washington, D.C. 20503
EIB 03-02 (Rev. 3/2025)

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