Investment Center - Investment Form

Investment Form

In The Name of God
Oil Ministry
National Petrochemical Company
Planning and Development Management
Investment Center
Investment committee
Pre-qualification Submission Form
For Petrochemical Investors
Applicant’s General Data and Records Form

Proposed Project (s):

1. Company Name
2. Headquarters Address
3. Phone
4. Fax
5. E-mail (Company &Directors)
6. Web page Address
7. Name of Representative in Iran
8. Address in Iran
9. Phone in Iran
10. Fax in Iran
11. Consortium Information	Participating Companies Share:
12. Participants or shareholders with more than 10% share in company
13. Investment method and project financing (Buyback, Finance, EPCF, BOT, BOO, BO,…) :
14. Estimated investment value / project financing:
15. Suggested dates for negotiation :

_{Information and documents that the company should deliver:}
16. Company’s Statute:
17. Financial statements (balance sheets and income statement) for two recent years:
18. Company experience in respected projects during two recent years:
19. Approval of bank/reliable financial institution indicating the financial potency (for respected project (s))


Address: No. 144, North Sheikh Bahaei Ave., Molasadra Ave. Tehran, Iran Tel: 0098-21-88520134 Fax: 0098-21-88520135 Investment Center Planning and Development Management National Petrochemical Company Email:investment@nipc.net Website:http://nipc.ir/index.aspx?siteid=34