Financial Terms of IDA Non-Concessional Financing
Variable Spread Worksheet for Financing 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 fromthe drop-down menu items.

FINANCING INFORMATIONCountry Name:
Project or Program Name:
Recipient:
Currency of Credit (please select ONE):

Credit Amount:currency choice

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

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

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):
Year(s)Please select only ONE of the following options:
Repayment schedule linked to 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)

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 only ONE of the following options:
Finance Front-End Fee out of the Credit proceeds (capitalized)

Recipient 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 4.02 of the GeneralConditions. Please refer to section 4.02 (b) of the General Conditions for further information about conversion options.
Indicate if the Recipient wishes to opt out of any conversion options.
Opt out of:Currency Conversion
Interest Rate Conversion
Interest Rate Caps or CollarsB)

If the Recipient chooses, to have Caps/Collars, please select only ONE of the following options
Cap/Collar premium to be financed out of the Credit proceeds as long as there are available funds to be disbursed
Cap/Collar premium paid by the Recipient from own resourcesC)

NOTE: Only select this option if you want IDA to automatically fix the interest rate of each Credit disbursement. The ARF option
by amount is not available for financing with repayment schedule linked to disbursement.
Automatic Rate Fixing Conversion (ARF)
Please specify either:
Period: (equal t o one or more interest periods):

select period

ORAmount (minimum of USD 3m or 10% of the Credit, whichever is higher) :D)

Automatic Conversion to Local Currency
NOTE: This option will automatically convert each Credit disbursement and its currency of repayment into a localcurrency.
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.

RECIPIENT'S RATIONALE STATEMENT FOR CHOICE OF CREDIT TERMS

REPRESENTATIONThe Recipient represents that it has made its own independent decisions to obtain the Credit on the terms contained in thisWorksheet and as to whether the Credit is appropriate for it based upon its own judgment. The Recipient is not relying on anycommunication (written or oral) of the World Bank as a recommendation to take the Credit upon the terms selected herein, it being
understood that information and explanations related to the terms and conditions of the Credit will not be considered arecommendation to take the Credit. The Recipient further represents that it understands and accepts the terms, conditions andrisks of the Credit. With respect to conversion options the Recipient represents and warrants that any such conversions will beundertaken for purposes of prudent debt management and not for speculative purposes and will be requested through a submissionof separate conversion request if applicable. For information regarding conversion options please refer toWorld Bank Treasury - Financial Products and Client Solutions website.

RECIPIENT’S SIGNATURE AND DATE
Signature:Date:

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