Financial Terms of IBRD Flexible Loan (IFL) with
Variable Spread - Worksheet for Loan Choices

Please complete the form electronically. Print the completed form and sign afterwards.
(Click on shaded areas and enter information. Click where instructed to select from the drop-down menu items, see the accompanying"Instructions for completing the Loan Choice Worksheet".)FINANCING INFORMATIONCountry Name:
Project or Program Name:
Borrower:
Currency of loan amount (please select ONE): currency choice

Loan amount:

If the loan is to be in more than one currency, please indicate currency and amount for each currency on a separate sheet.
Interest Rate of the loan is Reference Rate plus Variable Spread.

REPAYMENT TERMS
Please select payment dates: The select dateof each year.

of select months

Grace period. Please specify number of years (from 0-19.5):

Year(s)Total repayment term including grace period. Please specify number of years (from 0-35).
For some projects addressing Global Challenges with Cross Border Externalities, themaximum loan maturity is extended to up to 50 years and the ARM up to 25 years.

Year(s):Please select only ONE of the following options:
Repayment schedule linkedto commitment
Repayment schedule linked to disbursement. (NOTE: if repayment schedule linked to disbursement is selected, the onlyamortization profiles available are: i. Level Repayment or ii. Annuity Repayment. If this option is selected, the borrower
must provide a disbursement forecast.)
Please select only ONE of the following amortization profiles:
i. Level Repayment

ii. Annuity Repaymentiii. Bullet Repayment
Repayment Date:

iv. Other Tailored Repayment (Please specify scheduled payment dates and payment amounts to be paid on principal payment
dates. If additional space is required, please attach a separate sheet.)

FRONT-END FEE
Please select onlyONE of the following options:
Finance Front-End Fee out of the loan proceeds (capitalized)

Borrower will pay Front-End Fee upfront from own resources

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CONVERSION OPTIONSA)

Currency conversions and interest rate conversions are available as default options pursuant to section 4.01 of the General
Conditions. Please refer to section 4.01 (b) of the General Conditions for further information about conversion options.
Indicate if Borrower wishes to opt out of any conversion options.
Opt out of:Currency Conversion
Interest Rate Conversion
Interest Rate Caps or Collars

B) If the Borrower does not opt out of Interest Rate Caps/Collars, please select only ONE of the following options
Cap/Collar premium to be financed out of the Loan proceeds as long as there are available funds to be disbursed
Cap/Collar premium paid by the Borrower from own resources
C) NOTE: Only select this option if you want IBRD to automatically fix the interest rate of each loan disbursement.
The ARF option by amount is not available for IFLs with repayment schedule linked to disbursement.
Automatic Rate Fixing Conversion (ARF)
Please specify either:Period (equal to one or more Interest Periods): select period
ORAmount (minimum of USD 3m or 10% of the loan, whichever is higher) :D)

Automatic Conversion to Local Currency
NOTE: This option will automatically convert each loan disbursement and its currency of repayment into a local currency.
Please contact Financial Products and Client Solutions email to: FP@worldbank.org for available currencies, amounts,tenors and rates as well as for specific instructions and forms related to this option.

CLIMATE RESILIENT DEBT CLAUSE (CRDC)
For borrowers eligible for Climate Resilient Debt Clause (CRDC) only, check the box to request inclusion of CRDC. For borrowers thatare unsure of their CRDC-eligibility, please reach out to World Bank Treasury Financial Products and Client Solutions team.
Climate Resilient Debt Clause (CRDC)

BORROWER'S RATIONALE STATEMENT FOR CHOICE OF LOAN TERMS

REPRESENTATIONThe Borrower represents that it has made its own independent decisions to obtain the loan on the terms contained in this Worksheet and as towhether the loan is appropriate for it based upon its own judgment. The Borrower is not relying on any communication (written or oral) of theWorld Bank as a recommendation to take the loan upon the terms selected herein, it being understood that information and explanations related
to the terms and conditions of the loan will not be considered a recommendation to take the loan. The Borrower further represents that it
understands and accepts the terms, conditions and risks of the loan. With respect to conversion options, the Borrower represents and warrantsthat any such conversions will be undertaken for purposes of prudent debt management and not for speculative purposes and will be requested
through a submission of separate conversion request, if applicable. For information regarding conversion options please refer toWorld Bank Treasury - Financial Products and Client Solutions website.

BORROWER’S SIGNATURE AND DATE
Signature:Date:

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