All
Off
Address
berte.moussa@hotmail.fr
Country
Email
berte.moussa@hotmail.fr
Email
berte.moussa@hotmail.fr
First name
Moussa
First name
Moussa
I Agree
On
Last name
Berté
Last name
Berté
Phone
+22507783315
Phone
+22507783315
Phone
+22507783315
Region
Same as company address
Off
Same as company address
Off
Title
Mr
Title
Mr
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.