Bank of Zambia Stability and Resilience Facility Application Form and Customer Pipeline Template

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Bank of Zambia

OFFICE OF THE DEPUTY GOVERNOR - OPERATIONS

BOZ/EXEC/DG/prs/bp

January 6, 2025

CB Circular No. : 01/2025

To : All Heads of Financial Service Providers

BANK OF ZAMBIA STABILITY AND RESILIENCE FACILITY: APPLICATION FORM AND TEMPLATE FOR COMPILATION OF CUSTOMER PIPELINE

Further to CB Circular No. 21/2024 issued on December 27, 2024, wherein the Bank of Zambia announced the launch of the Stability and Resilience Facility (SRF), please find attached herewith the templates of the application form as well as those that shall be used to compile the customer pipeline.

Applications for funds from the SRF shall be on duly completed application forms supported with a list of eligible clients and other relevant documentation as stipulated in the terms and conditions document. The application form can either be submitted physically at the Bank of Zambia or through the Bank Supervision Application system.

For further information relating to this matter, please contact the Bank of Zambia through the office of Director – Prudential Supervision Department on lmambo@boz.zm or Director – Financial Conduct Supervision Department on ftamba@boz.zm, as appropriate.

Kindly be advised accordingly.

[Signature]

Francis Chipimo (PhD) DEPUTY GOVERNOR

cc Governor Director – Prudential Supervision Director – Financial Conduct Supervision

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Bank Square, Cairo Road, P.O. Box 30080, Lusaka, Zambia Tel:+260-211-399303, 399300, E-mail: dgo@boz.zm. Web: http://www.boz.zm

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STABILITY AND RESILIENCE FACILITY APPLICATION FORM

(Please Refer to The Terms and Conditions for Application Procedure, Eligibility Criteria, Non-Qualifying Purposes etc and Attach all Supporting Documentation)

Part I. Financial Service Provider (FSP) and Facility Details

Name of Financial Service Provider (FSP):
Amount Applied for (Figure):	K
Amount Applied for (In Words):
Date of Application:
Purpose of Advance*: <br> a) Green Loan** [ ] <br> Or <br> b) Non-Green Loan [ ]
Weighted Average Cost of Funds Before Accessing Facility (Percent):	Weighted Average Cost of Funds After Accessing Facility (Percent):

*Attach Pipeline Template and include detail of the purpose in the template. **Note: Refer to Schedule 1 & 2 of Green Loans Guidelines of 2023 (Fill in separate form for each category. Refer to 6.1(f) and (g) of the Terms and Conditions)

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Bank Square, Cairo Road, P.O. Box 30080, Lusaka, Zambia Tel:+260-211-399303, 399300, E-mail: dgo@boz.zm. Web: http://www.boz.zm

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Part II. Tenor and Repayment

Tenor of Advance (Up to 7 years inclusive of 2-year moratorium on both Principal and Interest*)
Frequency of Repayment (Principal)*
Frequency of Repayment (Interest)**	Semi-annually

*Terms and conditions provide for bullet repayments on the principal or amortised according to FSP’s preference. **Terms and conditions provide for semi-annual repayment of interest.

Part III. Type of Collateral

Collateral Offered (Please tick and attach full details)
Treasury bills [ ]	Government bonds [ ]	Other types of Collateral [ ]
Amount (K)	Amount (K)	Specify: <br><br> Amount (K)

Total Value of Collateral (Figures): K
Total Value of Collateral (in Words):

If successful, kindly credit our current account (or our authorised Bank indicated below) held at Bank of Zambia:

Settlement Account Name (at Bank of Zambia):	__________________________________________________
Settlement Account Number (at Bank of Zambia):	__________________________________________________

Or

Authorised Bank:	__________________________________________________
Settlement Account Number with Authorised Bank:	__________________________________________________
Branch Name	__________________________________________________

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Bank Square, Cairo Road, P.O. Box 30080, Lusaka, Zambia Tel:+260-211-399303, 399300, E-mail: dgo@boz.zm. Web: http://www.boz.zm

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Part IV. Authorised Signatories

Name:	Designation:
__________________________________________________	__________________________________________________
Signature:	Date:
__________________________________________________	__________________________________________________

Name:	Designation:
__________________________________________________	__________________________________________________
Signature:	Date:
__________________________________________________	__________________________________________________

Name:	Designation:
__________________________________________________	__________________________________________________
Signature:	Date:
__________________________________________________	__________________________________________________

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Bank Square, Cairo Road, P.O. Box 30080, Lusaka, Zambia Tel:+260-211-399303, 399300, E-mail: dgo@boz.zm. Web: http://www.boz.zm

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Name:	Designation:
__________________________________________________	__________________________________________________
Signature:	Date:
__________________________________________________	__________________________________________________

Part V. Official Stamp

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Bank Square, Cairo Road, P.O. Box 30080, Lusaka, Zambia Tel:+260-211-399303, 399300, E-mail: dgo@boz.zm. Web: http://www.boz.zm

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BANK OF ZAMBIA STABILITY AND RESILIENCE FACILITY – Pipeline Schedule (to be submitted with Application Form)

Name of FSP
Amount Applied For (ZMW)
Date
Pipeline Amount (ZMW)
Pipeline Type

Customer Name	Economic Sector	Economic Sub Sector	Amount Applied For (ZMW)	Provide Detail of Purpose	Eligibility Criteria for Green Loans	Interest Rate offered to Customer (%)	Tenor (months)	Moratorium Given