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Start Date of Microfinance Program (mm/dd/yyyy): Total assets (in US$) at the end of most recent quarter:US$ Loan portfolio outstanding at the end of most recent quarter:US$ Number of borrowers at the end of most recent quarter: Describe your current IS difficulties. What specific problems would you like your IS consultant to help you solve? What kind of skills do you expect your consultant to have?
A senior management official of the Microfinance institution must endorse the following statements regarding participation in the IS Fund.
I, , , of hereby confirm that: