1.1. Project's Name:

1.2. Please give a brief outline of the proposed project in the space below.


1.3. Required area of land:

	For purchase	:		Sq. Mt.
	For reservation	:		Sq. Mt.

1.4. Would you require any of the following facilities provided by the Sokhna Port?

Container handling	Open product storage
Product transport to port	Cool product storage
Liquid product storage	Other,

1.5. What are the expected dates for the following?

Contract Signature	Start of Costruction	Start of Production
January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011	January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011	January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

1.6. Expected Production Capacity:

Product	Product Name	Product Capacity
1
2
3
4

2- Information about the Company Owning the Project

2.1. Company Name:

2.2. Legal Status:

Join Stock Company	Joint Liability	Limited Partnership
Limited Liability Partnership	Partinership by Shares

2.3. Address in full:

P.O.Box		City		Country
Telephone				Fax
Website				E-Mail

2.4. Does your company have any branch, agent or distributor in Egypt?
Yes    if yes, please provide full contact details below.
No

Type of Representative	Address
Branch	Address in full : P.O.Box City Country Telephone Fax Website E-Mail
Agent	Address in full : P.O.Box City Country Telephone Fax Website E-Mail
Distributor	Address in full : P.O.Box City Country Telephone Fax Website E-Mail

2.5. Name of shareholders or members of the board.

	Name	Position
1
2
3
4
5
6
7
8
9

2.6. What is the company's

Approved Capital
Issued Capital

3- Utility Requirement:

Utility	Unit	Requirements During Construction	Requirements During Production
Power	MVA
Fresh Water	Cu.Mt/Day
Natural Gas	Cu.Mt/Day
Waste Water (Human)	Cu.Mt/Day
Waste Water (Industrial)	Cu.Mt/Day
Telephone lines	Number
Spcial Project Requirements:
Sea Water for Cooling	Cu.Mt/Day
Underground Water for Washing	Cu.Mt/Day
Others

4- Accommodation:

4.1. What would be the estimate work force during production?

	Number
Managerial
Skilled
Un-skilled

4.2. Would you required SIDC to provide accommodation facilities for your staff?
Yes    if yes, please specify your requirements in the table below.
No

Type of Accommodation	Number	Date Required
Managerial		January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Skilled		January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
Un-skilled		January February March April May June July August September October November December 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

5- General Information:

5.1. Would you require Orascom Construction Industries, the developing contractor of the zone, to carry out your projects' construction?

Yes

No

Unknown at present

5.2. Would you require SIDC to assit you in forming your company's legal position?

Yes

No

Unknown at present

5.3. How did you hear about our zone?

Website.
Brochure, Information Pack.
Sponsored Programs
Trade Mission / Exhibitions
Magazine / Newspaper Advertising
Other

6- Note:

Please be advised that that all provided information above represent an integral part of pricing your land.
Accordingly, it is essential to provide correct and accurate information.

Name
Position
Date
Contact Phone
E-Mail