CGAP Microfinance Dealbook

Please report investments in microfinance institutions to the CGAP Microfinance Dealbook by answering the questions below. The data you submit will be compiled with responses from other organizations and disseminated industry-wide on a monthly basis, beginning in May 2009. This survey has been designed to minimize the amount of time it takes to complete.

To allow the CGAP Microfinance Dealbook to offer a comprehensive picture of microfinance capital markets transactions, please also report any calendar months during which your organization did not close any microfinance deals. The deadline for reporting for a calendar month is the eighth day of the following month (or the next business day if the eighth falls on a weekend or US holiday).

Please contact us if you have questions, suggestions or would like to receive a monthly email reminder to report your deals, which will include a range of alternative reporting options, including submitting a spreadsheet by email.

1. Your name: Required Question

2. Your email address: Required Question

3. Your organization: Required Question

4. Reporting month (for transactions, please use closing date): Required Question

5. Are you reporting a transaction, or are you reporting that your organization closed no transactions during a calendar month? Required Question

	I am reporting a transaction.
	I am reporting that my organization closed no transactions during a calendar month.

IF REPORTING NO TRANSACTIONS FOR A MONTH, PLEASE SKIP TO THE BOTTOM OF THIS PAGE.

6. Investor name:

7. Investor type:

	Development finance institution
	Institutional investor
	Microfinance investment vehicle
	Other

8. Investee name:

9. Investee location:

10. Denominated in local currency:

	Yes
	No

11. Amount (USD):

12. Debt or equity:

	Debt
	Equity

13. Description of transaction (e.g., structured transaction, innovative features, terms and conditions, etc.):