Form EIB 92-36 EIB 92-36 APPLICATION FOR ISSUING BANK CREDIT LIMIT (IBCL) UNDER L

APPLICATION FOR ISSUING BANK CREDIT LIMIT (IBCL)
UNDER BANK LETTER OF CREDIT OR MULTI-BUYER EXPORTER-HELD
EXPORT CREDIT INSURANCE POLICIES

OMB No. 3048-0016
PENDING 2025

PRINT

App. Number
(EXIM Use Only)

An online version of this application is available on EXIM’s web site. EXIM encourages customers to apply online, to facilitate our review and allow customers a
faster response time. Additional information on how to apply for EXIM insurance can be found at EXIM’s web site www.exim.gov
Send this completed application to EXIM, 811 Vermont Ave NW, Washington, D.C. 20571. EXIM will also accept E-mailed PDF and faxed applications. EXIM
will not require the originals of these applications to be mailed. The application must be PDF scan of the original application and all required documents.(Fax
number: 202.565.3380, E-mail: [email protected])

Policyholder
Name of Policyholder:

State:

Policy Number:
Title:

Contact Person:

Fax:

Email:

Phone:

Issuing Bank
Country:

1. Issuing Bank Legal Name:
Street:

State/Province:

City:

Yes

2. Is this application a resubmission of a previously submitted application?

Postal Code:
No
Yes

3. Is the issuing bank an affiliate of the policyholder as defined in the insurance policy?

No

If "Yes", please describe the relationship:

Head Office

4. Select the issuing bank financial institution type:

Branch

Subsidiary

Agency

5. Country of the head office of the issuing bank:
6. Does the policyholder extend insured or uninsured credit facilities to the issuing bank?

Yes

No

a. If "Yes", provide details about the type, size, and usage of the credit facilities the policyholder extends to the issuing bank

b. If "Yes", does the issuing bank consistently meet its credit obligations in accordance with the agreed terms?

Yes

No

Details of letter of credit the policyholder wishes to insure
1. Coverage option:

Comprehensive

Political Only

2. LC Number (if available):
3. LC Payment Country:
4. LC Payment Currency:
5. L/C Amount $:
6. L/C Transaction Type:

Refinanced Letter of Credit

Letter of Credit

7. LC Tenor: Actual # of days:

or

Sight LC

8. LC Effective Date:
9. LC Expiration Date:

EIB 92-36 (Rev. 07/2024)

Expiry Date Comments:

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PENDING 2025

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 affiliates1, including corporate
owners and subsidiaries.

Exporter (The Exporter is the U.S. entity that contracts with the buyer for the sale of the U.S. goods and services. Enter this information
only if the Policyholder is a bank)
*Exporter Legal Name:
*Tradestyle Name:
*Street Address:
*Zip +4:

*State:

*City:

Country:

Title:

Contact Person:
Phone:

Email:
Yes

*Is there corporate ownership?:

Name of ultimate parent company:

No

*Exporter's Primary NAICS Code2:

*Total Number of Employees:
*Annual Sales Volume:
*Woman-owned business:

Yes

No

Decline to answer

*Veteran-owned business:

Yes

No

Decline to answer

*Minority-owned business:

Yes

No

Decline to answer

*Disability-owned business:

Yes

No

Decline to answer

Race and/or Ethnicity (Select all that apply):
American Indian or Alaska Native

Native Hawaiian or Pacific Islander

Asian

Black or African American

Hispanic or Latino

Middle Eastern or North African

Decline to answer

White

1Affiliations 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.
2A

company’s Primary Industry NAICS codes 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.

*Importer (The Importer is the entity that contracts with the Exporter for the purchase of the U.S. goods and services).
*Importer's Legal Name:
*Tradestyle Name:
*Street Address:
*City

State/Province:

*Contact Person:

Postal Code:

Country:

Title:

*Phone:

Email:

Fax:

LC Beneficiary (The LC Beneficiary is the entity in whose favor the letter of credit is opened)
Is the Exporter the LC Beneficiary?

Yes

No

If "Yes", you do not need to complete this section

Beneficiary's Legal Name:
Tradestyle Name:
Street Address:
City:
Contact Person:
Phone:

EIB 92-36 (Rev. 07/2024)

Postal Code:

State/Province:

Country:

Title:
Email:

Fax:

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OMB No. 3048-0016
PENDING 2025

*Products
1. Product NAICS Code:
2. Product Description:
3. Are the products capital goods sold to foreign manufacturers or producers?

Yes

No

4. Do these products or their use meet EXIM's requirements for an environmentally beneficial determination?

Yes

No

5. Do these products or their use meet EXIM's requirements for a renewable energy determination?

Yes

No

6. Are the products on the Munitions Control List (refer to part 121 of title 22 of the Code of Federal Regulations)

Yes

No

7. If you answered "Yes" in 6 above:
a. Provide details of product use:

b. Will the products be used to produce exportable goods?

Yes

No

IMPORTANT: The Issuing Bank, Importer, LC Beneficiary, and End User must be foreign entities in countries for which EXIM is able to
provide support, see EXIM's Country Limitation Schedule (CLS) at www.exim.gov. There must not be trade sanctions or measures in force
involving products from these countries under the Anti-Dumping or Countervailing Duty sanctions as EXIM cannot support exports to entities
in these markets if the exports are used by these entities to produce such products. Please contact EXIM for further advice if trade sanctions
or measures are in force involving your proposed transaction. In addition, certain products are subject to trade actions, precluding them from
being supported under EXIM programs. Please see www.usitc.gov to view (i) a list of products and countries with Anti-Dumping or
Countervailing Duty sanctions and (ii) products subject to a determination under Section 201 of the Trade Act of 1974.
The following credit information on the LC issuing bank may be required. EXIM will notify you if any of these items are required to process the
application. At your option, you may attach copies of any of these items or others that you wish to submit with the application:
1. Audited fiscal year-end financials statements for the past two (2) years, including notes. Interim financial statements may also be required
if the most recent fiscal year-end statements are more than 9 months old.
2. A bank reference dated within 6 months of the application from a correspondent bank. The reference should indicate if credit lines are
secured and the type of credit facilities offered.
3. Background information on the LC issuing bank, including a description of the bank's operation and structure and a list of the shareholders
who directly or indirectly own 10% or more of the bank, with their corresponding ownership percentages.
4. Rating Agencies' reports on the LC issuing bank.

China and Transformational Exports Program (CTEP)
To determine if your transaction is eligible for Sec. 402 consideration, the answer to at least one of the following two questions
must be "Yes":
Is your transaction facing competition from an entity backed by the People's Republic of China (PRC) - Section 402(A)?

Yes

No

Is your transaction one of the ten Transformational Export Areas or a related service - Section 402(B)?

Yes

No

At least one Transformational Export Area value must be selected in the table below if you have responded "Yes" to the 402(B)
question immediately above.

EIB 92-36 (Rev. 07/2024)

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OMB No. 3048-0016
PENDING 2025

Transformational
Export Areas

Artificial Intelligence

Biotechnology
Biomedical Sciences

Wireless communications
equipment

Quantum computing

Export Value
The value of the export
largely consists of
technology used to...

Buyer End Use
The foreign buyer
will use the exports
to...

Justification

...make the best decision given changing
circumstances using computerized system,
without direct human input or intervention
...use biological processes for industrial and
other purposes
..diagnose and/or treat medical conditions in
humans with advanced medical equipment and
processes
...distribute information by means of digital
electromagnetic transmission without the
need for wires, optical fibers, or
othersynthesized materials
...facilitate the implementation and use of
quantum computers (application of qubit
superposition processing)

Renewable energy, energy
efficiency, energy storage
1. Renewable energy
2. Energy efficiency
3. Energy storage

...generate or use of energy produced from a
naturally renewable source
...reduce energy loss or consumption in a
system or application
...store energy with a capacity of 1kWh

Semiconductor and
semiconductor
manufacturing

...make use of semiconductors or the U.S.
semiconductor industry

Emerging financial
technologies

...improve or automate the delivery and use
of financial services

Water treatment and
sanitation

...produce or distribute potable water for
human consumption, or collect and/or treat
wastewater, regardless of origin

High-performance
computing

...process more than 500 terabytes/day or
exceed a speed of 500 teraflops/second

No
Yes
Does this transaction require flexibilities to move forward?
If yes, please provide a brief description below and your request will be reviewed by EXIM's CTEP division. If necessary, you
can directly contact the CTEP team by sending an email to [email protected]

Comments:

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EIB 92-36 (Rev. 07/2024)

OMB No. 3048-0016
PENDING 2025

CERTIFICATIONS AND SIGNATURE
Please refer to the “Standard Certifications and Covenants for EXIM Bank 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 of
the certifications, acknowledgements 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. 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,

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

of
(Name of Policyholder)

and that as such I am authorized to execute this application on behalf of

(Name of Policyholder)

In witness whereof, I have hereunto signed my name this

day of

, 20

.

(Signature)

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 of an application.

Paperwork Reduction Act Statement: We estimate that it will take you about 30 minutes 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# 3048-0016 Washington, D.C. 20503.

EIB 92-36 (Rev. 07/2024)

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