Medium-Term Insurance or Guarantee Application Prepare and file this application ONLINE! at EXIM Online

• Legal Form Number: EIB03-02
• Issuer: Export-Import Bank of the United States
• Subject Matter: Guarantee, Insurance
• Section: Export-Import Bank of the United States

OMB 3048-0014

01/31/2029

EIB 03-02 (Rev. 3/25) Page 1 of 11

This application is to be used for insura nce and guarantee transactions, including Domestic Financing, with fi nanced amounts

of $25 million or less (excluding financ ed exposure fee/premium) and repaymen t terms between twelve months and s even

years. An online version of this application is available on EXIM’s website. EXIM encourages customers to apply on-line, as it

will facilitate our review and allow cust omers a faster response time. If you are requesting a medium-term direct loan,

please apply through ELMS at https://elms.exim.gov / as it will facilitate E XIM’s review. There is a ste p-by-step ELMS Direct

Loan/Guarantee Application External User Guide to assist you in complet ing the application.

Please note that if your financing reques t is between $20 and $25 million or a dir ect loan for any amount, excluding exp osure

fee, the transaction will be subjec t to U.S. flag shipping requirements. For more information, visit E XIM’s website:

https://www.exim.gov/policies/us-flag-shipping-requirements.

FINANCING

TYPE REQUESTED

Product

___

Loan Guarantee

___ Sovereign __ Public Non-sovereign ___ Private Se ctor

MGA No. (if known): ____________________

___

Finance Lease Guarantee ___ Sover eign __ Public Non-sovereign ___ Private Sector

___

Insurance ___ Sovereign __ Public Non-sovereign ___ Private Se ctor

Conversion of a P reliminary Commitment or a Letter of Interest

___ No ___ Yes The EXI M reference number is:

Resubmission ___ Check if this is a resubmission of an application that was previously deemed incomplete or

was withdrawn for other reasons. T he EXIM reference number is:

Renewal ___MTR (Medium-Term Repetitive Insurance Policy )

PARTICIPANTS:

Items marked with an asterisk (*) are required fields. Under corpor ate ownership, provide the name of the ultimate parent

company, if there is a corporate owner. For num ber of employees and sales volume, a ggregate for the company and all its

affiliates, including corporate owner s and subsidiaries.

Applicant: The applicant may be any exporter, financial institution, supplier, the primary borrower, buyer or controlling

sponsor associated with the transacti on. ___Check if the applicant has been as sisted by a city or state export age ncy and

provide the name of the agency:

*Applicant Name:

Tradestyle:

*Business Address:

*City: *State: *Zip/Postal Code: *Country:

Contact Person: Position Title:

Phone: Email:

Duns No. UEI No.1 ________________ Tax payer ID No.

1A Unique Entity Identifier (UEI) No. is a 12-character unique number assigned to all entities (public and private companies, individuals, institutions or

organizations) who must register in SAM.gov to do business w ith the federal government. For a Direct Loan, the Borrower(s) is required to have a UEI. For

a Guarantee, whichever entity will be receiving EXIM’s guarantee, either the Agent or Lender(s), is required to have a UEI. If your entity is registered in

SAM.gov, your UEI has already been assigned and is viewable in SAM.gov. If you do not have a UEI No. and your entity is either a Borrower for a Direct

Loan or the recipient of EXIM’s guarantee, then you must register your entity. Visit https://sam.gov/content/home to see if your entity has a UEI No., to

register your entity or for more information.

APPLICATION FOR

MEDIUM-TERM

INSURANCE OR

GUARANTEE