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Submitted by Anonymous (not verified) on
Address
HIGHWAY 11-71, 5958 A
Address
5958A HWY 11/71
All
On
Address
HIGHWAY 11-71, 5958 A
Country
Email
cmckenzie@axiomegc.com
Email
mkante@axiomegc.com
First name
Claude
First name
Mouminatou
I Agree
On
Last name
McKENZIE
Last name
KANTE
Phone
8072712161
Phone
8077083203
Phone
8077083203
Region
Same as authorized person
Off
Same as company address
On
Same as company address
On
Title
Project director
Title
CEO
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Authorized Person

Please provide your name and contact details.

By providing your name and contact details, you are confirming that you are authorized to submit this Signatory Application, if applying on behalf of the company or organization listed above, and that you are authorized to execute any and all writings and agreements and to take any other action on behalf of the company or organization listed above, in accordance with the Signatory Letter below.

 

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Company, Organization or Individual

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CONTACT PERSON

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If the contact person is different than the authorized person, please provide details below.

Final Review

Final Review and Submission

To finalize your application, please carefully review the GLC General Terms and Signatory Letter. The Authorized Person should sign the Signatory Letter and email it, duly executed, at glc_admin@ifc.org.