Technical Assistance request Form

For any technical assistance questions, please complete the underlying form

    Name of the institution (required)

    Type of institution (required)

    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




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