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I am*

If Other Please Specify

Full Name*

Job title*

Work Email*

Company Name as per Trade License*

Registered Business Address

Bank / Financial Institution Name

Emirate*

Role in the Project*

Which best describes your business activity?*

Project Type*

Project Location*

Project Status*

What type of support are you seeking from ECI?*

Is the counterparty / offtaker*

Counterparty / Offtaker Country*

Branch Address

I confirm that the institution is a UAE-licensed lender regulated by the relevant UAE financial authority, is not a representative office, and is authorised to conduct lending activities in the UAE.*

What best describes your request?*

Is the obligor an exporter or re-exporter?*

Sector*

Other Sector*

How long has your company been operating?*

Annual Turnover (approx.)*

Do you currently export or plan to export in the next 12 months?*

Main export markets*

How do you sell to your buyers*

Are you currently covered by trade credit insurance?*

What best describes your current requirement?*

Additional Details

By submitting this form, I confirm that all information provided is true, accurate, and complete to the best of my knowledge.*

I accept the Terms of Use and consent to the processing of my personal data in accordance with Etihad Credit Insurance’s (ECI) Data Privacy Policy. I understand that ECI may contact me and agree to receive marketing communications and materials in the future.*

Please note that Etihad Credit Insurance (ECI) does not support or insure:

Oil & gas transactions
Non-precious metals
Third-port trading structures
Transactions involving sanctioned or restricted countries

Submissions falling outside ECI’s mandate will not be processed.

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