🌐 FinCoupling Global Liquidity Request Form
Asset Securitization · Special Purpose Company (SPC) · Global Project Finance
🏛️ SECTION 1 – Applicant Information
Organization / Institution Name
Full Name of Representative
Position / TitleExample: Deputy Minister, CEO, Project Manager
Official Email Address
Phone / WhatsApp Contact
Country / City
Organization Type
◉ Central Government
◉ Local Government
◉ SOE / Public Entity
◉ Private Corporation
◉ NGO / Foundation
💰 SECTION 2 – Purpose of Securitization & Asset Overview
Primary Purpose of Securitization
☑ Infrastructure Financing
☑ Fiscal Stabilization
☑ Public–Private Partnership (PPP)
☑ Debt Restructuring
☑ ESG / Green Project
List of Assets Proposed for SecuritizationPlease specify type, location, ownership, and valuation if available.
Asset Ownership Structure
Estimated Total Value (USD)
🏗️ SECTION 3 – Understanding of SPC & Securitization Structure
Understanding Level of SPC (Special Purpose Company)
◉ High
◉ Moderate
◉ Low
Previous Experience in Securitization or Structured Finance
◉ Yes
◉ No
Preferred Structuring Model
◉ Government-led
◉ PPP-based
◉ Private SPC
◉ Offshore SPC
⚖️ SECTION 4 – Legal & Regulatory Readiness
Existence of Asset Securitization Law in Country
Legal Basis for SPC Establishment
Willingness to Amend or Enact Special Economic Laws
Cooperation Channel with Central Bank / Ministry of Finance
🏦 SECTION 5 – Financial & Institutional Cooperation
Is Central Bank Participation or Approval Required?
Status of Cooperation with Ministry of Finance / Economy
Existing Collaboration with IFIs (World Bank, ADB, IFC, etc.)
Potential Institutions Interested in Project Finance (PF)
🌐 SECTION 6 – Economic & Social Impact Expectations
Expected Economic Impact
☑ Job Creation
☑ Export Growth
☑ Foreign Investment Inflow
☑ Technology Transfer
Expected Social Impact
☑ Education & Capacity Building
☑ Healthcare Improvement
☑ Regional Development Balance
☑ Infrastructure Access
Environmental or Social Risks Identified (ESG)
📎 SECTION 7 – Supporting Documents & Remarks
Upload Related Documents (PDF, DOCX, XLSX, etc.)
Additional Notes or Comments
✅ FINAL AUTHORIZATION
Do you agree to provide this information for FinCoupling’s preliminary assessment?
◉ Yes, I agree
◉ No, I do not agree
By submitting this form, you acknowledge that the data provided may be used for assessment, communication, and initial due diligence under FinCoupling’s confidentiality framework.