ANNEX E.

3
(Pursuant to Circular Nos. 794 dated 18 Apr 2013 and 818 dated 06 Nov 2013,
and as amended by Circular Nos. 984 dated 22 Dec 2017 and 1030 dated 5 Feb 2019)

International Operations Department

LOAN/BORROWING PROFILEa
Application for Approval Application for Registration Notice to BSPb: ____________

PART I. GENERAL INFORMATION

A. BORROWER/ISSUER

Name :

PSICc and/or Nature of Business (as applicable) :

Postal Address :
Zip Code:
Government Registration (for private sector)
Issuing agency/ies (e.g., SEC, DTI, BOI, PEZA) :
Registration Number/s and Date/s :
Website :
Name of Authorized Representative/s :
Designation/s :
Telephone Number/s :
Fax Number/s :
Email Address/es :

Current Principal Officers/Board of Directors and Ownership Structure (attach as separate sheet)
Outstanding Foreign/Foreign Currency Loans/Borrowings (In US$) as of date of this application (if any) other than the
loan/borrowing covered by this application/notice:
TOTAL :
(a) Short-term : (b) Medium- and Long-term :
Offshore sources : Offshore sources :
Onshore sources : Onshore sources :
Exchange rate assumption :

B. CREDITOR/S
Name (Lead creditor in case of syndicated loans) :
Creditor Typed :
Nature of Business :
Postal Address :
Website :
Head Office Address, if creditor is
branch/subsidiary
:
Name of Authorized Representative/s :
Designation/s :
Telephone Number/s :
Fax Number/s :
Email Address/es :
Relationship to Borrower/Issuer (if any)e :
C. GUARANTOR/S
Residentf Non-residentf
Name :
Nature of Business :
Postal Address :
Website :
Percentage of Loan Guaranteed :
D. OTHER INFORMATION
Date of submission of Foreign Borrowings Plan :
Legal basis for borrowings of the public sector [Cite specific law/s and section(s)/provision(s) of law]
a. Foreign Borrowing :
b. Borrower's foreign borrowing ceilingg, if any, and status as of date of application :

(If more space is needed, use a separate sheet of paper following the same format)

a
All fields should be properly filled out; indicate N/A for fields that are not applicable. Use the following format for dates: DD-MMM-YYYY (e.g., 01-Jan-2018)
b
Notice for: (i) initial reporting of loans that are not registered with the BSP; (ii) change/s in the loan's financial terms and conditions; or (iii) for the cancellation
(whether partial or in full) of the loan/commitment/agreement.
c
Philippine Standard Industry Classification Code
d
E.g., Banks and Financial Institutions, Foreign Supplier, Multilateral Institution, Bilateral Institution
e
Parent Company, Affiliate, Subsidiary, Shareholder
f
As defined in the Manual of Regulations on Foreign Exchange Transactions (FX Manual), as amended
g
Refer to ceilings as may be provided under relevant laws, regulations, etc.

IOD Form 03-001-03* Version 1 * Updated 8 Mar 2019 Page 1 of 4

 ANNEX E.3
(Pursuant to Circular Nos. 794 dated 18 Apr 2013 and 818 dated 06 Nov 2013,
and as amended by Circular Nos. 984 dated 22 Dec 2017 and 1030 dated 5 Feb 2019)

PART II. PROJECT PROFILE/PURPOSE

1. Project/Program Name or Purpose :

2. Project Site :

3. Brief Description :

4. Implementing Agency/ies and/or End-User/s (as applicable)

Postal Address :
Name of Authorized Representative/s :
Designation/s :
Telephone Number/s :
Fax Number/s :
Email Address/es :
5. Project Implementation Period From: To:
(Specify/describe phases, if any)

6. Economic and financial benefits of the project/purpose and justification for financing scheme chosen:

7. Project Cost (US$ 000)

Description Local Costsa Foreign Costsb Total

TOTAL
Exchange Rate Assumptions
8. Sources of Funds in US$ 000 (per investor/creditor)
Investor/Creditor Amount Percent to Total
Equity
Local
Foreign
Sub-total
Borrowings
Peso Borrowings
Foreign Borrowings
Onshore borrowings in foreign currency
Sub-total
Internally Generated Funds
Sub-total
TOTAL

Exchange Rate Assumptions

(If more space is needed, use a separate sheet of paper following the same format)

a
Payable to residents
b
Payable to non-residents

IOD Form 03-001-03* Version 1 * Updated 8 Mar 2019 Page 2 of 4

 ANNEX E.3
(Pursuant to Circular Nos. 794 dated 18 Apr 2013 and 818 dated 06 Nov 2013,
and as amended by Circular Nos. 984 dated 22 Dec 2017 and 1030 dated 5 Feb 2019)
PART III. LOAN/BORROWING TERM SHEET
Note: Please indicate relevant Sections/pages of the Loan Document/s where the financial terms are found
Relevant Section(s)/
Debt Account Number (DAN)a : Page(s) in Loan
Document(s),
A. BASIC INFORMATION as applicable
Currency of Commitment (Original Currency) :
Original Amount Committed (In Original Currency) :
Signing Date of the Loan Document :
Currency of Disbursement/Availment :
Currency of Repayment :
Closing Date (Last Date for Disbursement) or Actual/Target Issue Date (for bonds/notes) :
ISIN No. (for Bonds) except for private placement :
Participants in Syndicated Loans/Borrowings, if any
Share
Name of Creditor Country of Residence In Percent Amount (in Orig. Currency)

Additional information (as applicable) for:

A. Public Sector: Final Approval (in Original Currency)
Cancelled Comitment Amount, if any :
B. Private Sector: Applications for registration (in Original Currency)
Cancelled Commitment Amount, if any :
Outstanding Balance (as of <DD-MMM-YYYY>) :

(If more space is needed, use a separate sheet of paper following the same format)
B. PRINCIPAL REPAYMENT (Details in page 4)
Maturity/Tenor (No. of years and months) :
Grace Period (No. of years and months) :
First Principal Payment Date :
Final Principal Payment Date :
Frequencyb of Payment :
C. INTEREST AND FEES
Interest/Coupon Rate (per annum)
Fixed (In %) :
Floating
Base Ratec : Applicable Base Rate :
Spread (In %) : (In % as of date of application)

Frequencyb of Payment :

Interest Resetting/Repricing Termsd :

Penalty/Default Rate (In % per annum):

Fees/Costs
Type of Fee/Coste Rate (In %)/Amount (In original currency) Frequencyb of Payment

D. RELATED TRANSACTIONS
Derivativesf /Hedging Transactions
Typeg :
Notional Amount :
Tenor :
Frequencyb/settlement dates :
Name/s of Counterparty/ies :
Address :
Others :
E. OTHER INFORMATION
Security/Collateral Terms :

Others :

a
For loans already approved by/reported to the BSP prior to application
b
Frequency may be: annual, semi-annual, quarterly, monthly, or others (please specify).
c
Indicate type of rate (e.g., 6-mos. LIBOR)
d
Indicate resetting/repricing terms, if any (e.g., frequency or dates of scheduled change/s in interest rate, step-up rate)
e
Indicate type of fee/cost: (a) COM: commitment fee; (b) AGN: agency fee; (c) GRT: guarantee fee; (d) FRE: front-end fee; (e) MGT: management fee;
(f) UND: underwriting fee; or (g) OTH: others (please specify)
f
Indicate availments/amendments/cancellations
g
Use the following codes: FW - deliverable FX forwards, SW - FX swaps, NDF - non-deliverable FX forwards, NDS - non-deliverable FX swaps
CCS - cross-currency swaps, IRS - interest rate swaps, OTH - others (please specify)
(If more space is needed, use a separate sheet of paper following the same format)
IOD Form 03-001-03* Version 1 * Updated 8 Mar 2019 Page 3 of 4
 ANNEX E.3
(Pursuant to Circular Nos. 794 dated 18 Apr 2013 and 818 dated 06 Nov 2013,
and as amended by Circular Nos. 984 dated 22 Dec 2017 and 1030 dated 5 Feb 2019)

PART IV. LOAN DISBURSEMENTS/BOND OR NOTE ISSUANCE AND AMORTIZATIONa SCHEDULES

Disbursements/Issuance Paymentsb
Amount in Currency of Repayment Fees/Costs
Currency of Amount Outstanding Loan Balance
Disbursement/ (In Currency of Currency of Amount (In Original Currency)
Date c
Source of Fundsd Date c
Repayment Source of Fundse
Issuance Disbursement/ Issuance) Principal Interest/Coupon Type (In Currency of
Repayment)
Actual Transactions As of Date of Loan Application

Projected Transactions (for the remaining life of the loan/borrowing)

a
All fields should be properly filled out; indicate N/A for fields that are not applicable. Use the following format for dates: DD-MMM-YYYY (e.g., 01-Jan-2018)
b
Including loan prepayments or bonds/notes redemptions
c
Use the following codes: (a) IR-FX: inward remittance of FX; (b) IR-SP: inward remittance of FX sold for PHP spot; (c) IR-SW: inward remittance of FX swapped for PHP; (d) OFS: used offshore; (e) INKIND: in kind (e.g., supplier's credit); (f) OTH: others, please specify
d
For disbursements and payments already effected as of application with BSP, indicate transaction date
e
Indicate source of payments to creditor: (a) AAB: authorized agent banks; (b) AAB-FC: AAB forex corps; (c) NBK: non-banks; (d) FCDU: Foreign Currency Deposit Unit account; (e) OFS: offshore account; (f) PHP: Onshore pesos for PHP-denominated loans;
(g) CI: Capitalized Interest; (h) OTH: Others (please specify, e.g., debt to equity conversion; debt swap, etc.)

(If more space is needed, use a separate sheet of paper following the same format)

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IOD Form 03-001-03* Version 1 * Updated 8 Mar 2019