Exhibit 10.27


 


Loan Application (Market Fund-use)


 


	
         

        Mizuho Bank Ltd.
	
         

        Address     1-5-2, Irifune,
        Urayasu-shi, Chiba Prefecture

        Postal code 279-0012

        Name         STAAR
        Japan LLC

         



 


I am applying for the following transaction under the following
terms and conditions.


Note that this document does not automatically constitute a
financing agreement or pledge to finance.


To Wit


Details
of the transaction (Indicated with ¡     the relevant  ̈.)


	Transaction Type	Loan on bill     ¡     ̈ Special overdraft
	Requested Transaction Amt

(Start amount with ¥) 	
        Billion

        ¥
	
        Million

        5 0 0
	
        Thousand

        0 0 0
	
        Yen

        0 0 0
	 
	Scheduled Transaction Date	 
	Scheduled Repayment Date 	 
	Repayment Method	
         Lump
        sum payment on expiry

         ̈  First
        installment payment:       MMDDYY in the amount of: ________ yen.

        Subsequently:
        Every __ months on ___ day in the amount of _______ yen.

        However,
        the final payment is in the amount of: ________ yen.

	Interest Rate	
         ̈ Annually
        _____ %

         ̈ ______________
        (             months) + annual               %
        (initial interest rate: Annually %)

         

	Interest Payment Method	
        
        Prepaid on scheduled transaction date  ̈ Deferred
        until scheduled repayment date

         ̈ Prepaid
        on scheduled transaction date and __ day every __ months as of ____ MMDDYY

         ̈ Deferred
        payment on __ day every __ months as of ____ MMDDYY

         ̈___________________________________________

         

	Revision of Applicable Interest rate	
         Apply
same interest rate until scheduled repayment date     ̈
Revise each interest payment date

         ̈ Revise
        every __ months as of ____ MMDDYY

	Interest Calculation Method	 365 pro-rated  -  ̈ 360 pro-rated /  ̈ Include start and end dates -  ̈ Include one of start or end date 
	If Repayment Date Is Holiday	 Prior business day                           ̈ Following business day
	Other Terms & Conditions	 


 


End


 


 



 


(Bank-use Only)


	
        If concluded by telephone after receiving submission of agreement
        when final decision on interest rate

        - Time of call: Hour __ minutes __ date __

        - Call to/from: Client - Mr./Ms. _________ Bank – Mr.
        Ms. ________

        - Details of the call:

        ________________________________________________________

        ________________________________________________________

         
	 	CMR	Approval No.	Loan No.
	 	 	 
	 
	Supervisor	Verifier 	Manager
	 	 	
         

         



 


3601Y159 “Loan
Application (Market Fund Use)” (Client) 16.06




     


     


    

 


Special Overdraft
Refund Request (Overdraft-use only)


 


	November
    21, 2017	Please
    start amount with ¥.
	Name

         

        1-5-2, Irifune, Urayasu-shi,
        Chiba Prefecture

        Postal code 279-0012

        STAAR Japan LLC

        Representative: STAAR
        Surgical AG

         
	Amount	 	Billion
        | 100 million | 10 million | million | 100 thousand | 10 thousand | thousand | hundred | ten | yen

        ¥500,000,000

		Repayment
        Date (Note 1)

         

        (Note
        2)
	February
    21, 2018
	Only
    enter requested account opening method 
	Overdraft

        (Exclusive
        Account)

        Account
        No.
	 	 	 
	Limit
        No.

         
	 	 	 



(Request) Only write inside the heavily outlined
sections.


 


 



 


		Bank-use
    Only (note 1) If overdraft (exclusive account), repayment date need not be entered    (Note 2) Indicate
    date in four digits. 




 





	Transaction Client

Code	Approval No.	Item No.	Loan No.

(Copy from Execution Voucher)	Supervisor	Verifier	Manager
	 	 	 	 	 	 	 
	Ringi No.	
        Indicate with ¡ which is relevant

        â         

        â
	 
	 	         	Special	Special

 (MML)




 


	Execution
    Category	New
    – Renewal	Next
    Interest Deadline

    (business day)	MMDDYY	(*)
                                         An objective party other than the operations person is to confirm that there is not discrepancy
                                         between the amount on the executed input voucher with seal affixed and the amount on
                                         the refund request form.

        Mizuho
        Bank 

	Month
    end indication

    code	Other
    than month end –

    Month end	Interest
    Payment Cycle	Lump
    Sum -

    months
	Holiday
    adjustment

    code	Next
    business day -

    Prior business day	Deadline
    Management

    Category	Own
    Branch – Center
	Interest
    withdrawal day 	day	Next
    Interest Revision

    date	MMDDYY
    – None
	Bank
    base rate	Mizuho
    TIBOR (      ) months - JBA TIBOR (     ) months - (     )


 


3603C069(5Y) (1 Set
100 Sheets) 16.03-Printing 103