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Submitted by Anonymous (not verified) on
All
On
Address
bassemmina@gmail.com
Email
bassemmina@gmail.com
Email
bassemmina@gmail.com
First name
Bassem
First name
Bassem
I Agree
On
Last name
Mina
Last name
Mina
Phone
6158395789
Phone
6158395789
Phone
6158395789
Region
Same as authorized person
On
Same as company address
Off
Same as company address
Off
Title
Owner/CEO
Title
Owner/CEO
AZ Bottom

AZ Heading

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.

 

Company Heading

 


Company, Organization or Individual

contact head text

CONTACT PERSON

CP Heading

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.