Technical Assistance request Form For any technical assistance questions, please complete the underlying form Name of the institution (required) Type of institution (required) IMFCOOPECBANK Headquarters CITY (address + contact number) (required) Active in # provinces Credit Portfolio Size (in USD) (required) PAR 30 (%) (required) Number of clients (#) (required) Total Capital (in USD) (required) Total Balance Sheet (in USD) Your Email address Purpose Message