Africa Scale Facility
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Climate Resilient Loan Application
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1. Business Information
Company Name
*
Enter company name.
Country
*
Select Country
Tanzania
Zambia
Kenya
Select country name.
Industry
*
Select Industry
Transport and Logistics
Sustainable Agriculture
Energy
Select industry.
Years in Operation
*
Enter years in operation.
Annual Revenue
*
Enter annual revenue.
Email
*
Enter email.
2. Climate Change Impact
How has climate change affected your business operations and revenue in the past 3 years?
Select
Not at all
Slightly
Moderately
Significantly
Extremely
Please select.
What specific climate-related risks does
your company face?
Select
Drought
Flooding
Extreme weather events
Temperature changes
Other
Please select.
3. Climate Adaptation and Resilience
What climate adaptation measures has your company implemented?
Select
Diversification of suppliers
Business continuity planning
Infrastructure upgrades
Water conservation measures
Other
Please select.
How effective are these measures?
Select
Very effective
Somewhat effective
Not very effective
Not at all effective
Please select.
4. Financial Performance and Climate-Related Costs
Estimated costs associated with climate-related disruptions:
Select
Less than $1,000
$1,000 - $10,000
$10,000 - $50,000
$50,000 - $100,000
More than $100,000
Please select.
Impact on financial performance:
Select
Significant impact
Moderate impact
Minimal impact
No impact
Please select.
5. Loan Purpose and Climate-Resilient Investments
How will the loan be used?
Select
Investing in climate-resilient infrastructure
Implementing climate-smart agriculture practices
Developing business continuity plans
Other
Please select.
Specific investments or projects:
Enter specific investments or projects.
6. Risk Management and Climate Risk Assessment
Has your company conducted a climate risk assessment?
Select
Yes
No
In progress
Please select.
If yes, what were the key findings and how are you addressing them?
Enter addressing.
7. Climate-Resilient Business Model
How does your business model incorporate climate resilience?
Select
We have a comprehensive strategy
We are developing a strategy
We have some practices
We do not have a strategy
Please select.
Opportunities or benefits in transitioning:
Enter opportunities or benefits in transitioning.
8. Regulatory Compliance and Climate Policies
Are you aware of any climate-related regulations or policies?
Select
Yes
No
Please select.
If yes, how is your company ensuring compliance?
Enter company ensuring compliance.
9. Financial Projections and Climate-Related Scenarios
Financial projections for the next 3 years:
Select
We have detailed projections
We have some projections (not climate-inclusive)
We do not have projections
Please select.
10. Collateral and Climate-Resilient Assets
What climate-resilient assets or collateral can you offer?
Select
Property
Equipment
Inventory
Other
Please select.
How will you maintain their value?
Enter maintain their value.
11. Repayment Plan and Climate-Related Risks
How will you ensure timely loan repayment under climate disruptions?
Select
We have a contingency plan
We have some measures
We do not have a plan
Please select.
What contingency plans do you have?
Enter contingency plans do you have.
12. Climate Change Expertise and Support
Does your company have access to climate change expertise?
Select
Yes
No
Please select.
If yes, how do you leverage this expertise?
Enter leverage this expertise.
13. Additional Information
Additional Information:
Enter additional information.
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