SUPPORT APPLICATION FORM

FOR FOREIGNERS

UNITED STATES OF AMERICA REGION

ONE FORM MUST BE FILLED OUT FOR EACH SUPPORT REQUESTED

  1. GENERAL INFORMATION

Name of applicant:
(Company or individual) / Must match the name that appears on the bank account, and which will be used in all forms and documents subsequently required.
Address: / OBLIGATORY
Street Outside number Inside number, Area, State or Province, Country,
OPTIONAL (those that apply to your country)
District, Department, Delegation, Municipality
WEB page:
Person applying for the support (with management position): / NAME
Telephone E-mail Position
Two people who will follow up the Support procedure: / NAME OF FIRST CONTACT
Telephone E-mail Position
NAME OF SECOND CONTACT (OPTIONAL)
Telephone E-mail Position
  1. COMPANY’S BUSINESS AND OPERATING INFORMATION

Mention the main production sector(s) in which the company operates (e.g. marketing, information technology, automotive, etc.): / Main products and services:
Imports in thousand dollars: / Annual sales in thousand dollars:
International Presence: NO
YES, mention the places where you have business and production presence: / Investments in thousand dollars:
Do you currently import products from Mexico?
Mention the 5 most important: / Do you have a sales representative in Mexico?YES NO
  1. TARGET PRODUCT/SERVICE INFORMATION (APPLIES ONLY TO FOREIGN BUYERS)

Name of requested product(s) or services(s): / Product(s) specifications:
Tariff heading of product(s): / Estimated purchase amount per period in thousand dollars:
Frequency of purchase (one-off, monthly, bimonthly, annual, etc.): / Is the product custom made?: YES NO
Mention the minimal production processes that companies must have to be your supplier(s): / Does the required product need any certification to enter the target country? NO
If YES, please specify:
  1. SUPPORT REQUESTED
Mark with “X” the Support requested and complete the required information.
Travel allowance / Investor Buyer
Name of Event:
Date of Event: from to
Country: City:
Distribution Centers, Showrooms and Business Centers in Mexico and Abroad / Buyer
Specify support requested:
Date of Contract: from to
Country: City:
Market Studies to Identify Missing or Weak Links in Production Supply Chains / Investor
Date of Study: from to
Organization and Completion of Business Meetings / Buyer
Date of meeting: from to
Country(ies) where the meeting will be held:
Amount requested expressed in Mexican pesos:
(Ask for advice from the ProMéxico Promoter)
V. BANKING DETAILS OF THE ACCOUNT FOR REIMBURSEMENT
Name of the Bank at which the Support will be deposited:
Account number:
Bank account details if the transfer is to UNITED STATES OF AMERICA
ABA /Routing Number: American Bankers Association, comprising 9 digits.
TERMS AND CONDITIONS
  • The granting of Support is conditioned by ProMéxico’s budgetary availability and the eligibility criteria established for such purpose.
  • The filing of the application and automated validation by the system does not imply the authorization or granting of the requested Support.
  • Where necessary, ProMéxico reserves the right to request additional information to carry out the verification of the data presented in this Application form or in the relevant evidence.
  • The information provided to ProMéxico will be classified under the terms of the Federal Law of Transparency and Access to Public Government Information.
  • Personal data may only be used by ProMéxico or provided to third parties in accordance with the provisions of Article 22 of the Federal Law of Transparency and Access to Public Government Information.
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  • ProMéxico is obligated to adopt the necessary measures for the due protection and treatment of information of a confidential nature provided by the user. The above in accordance with the applicable legal provisions. Furthermore, ProMéxico is under no obligation to maintain the confidentiality of any other information provided by the user and which does not relate to the assumptions set forth in Articles 3, section II, 18 and 19 of the FLTAPGI and other regulatory legislation, whether such information is given upon registration on the Website or at any later time, including such information as is contained in electronic mails, forms and/or attachments.
  • ProMéxico is a public trust fund that is not sponsored or promoted by any political party and is funded from taxpayer contributions. It is strictly forbidden to grant support with political, electoral, and profit purposes or purposes other than those established. Any individual misusing the resources shall be reported and penalized in accordance with the applicable laws and before the competent authorities.

BENEFICIARY'S LETTER OF COMMITMENT
The undersigned, Beneficiary or legal representative of the Beneficiary, promises to comply with all applicable legal provisions and specifically the contents of the ProMéxico Guidelines for the Operation of Support and Services, and in particular, to undertake the following commitments:
  • To meet the Eligibility Criteria indicated in the Fact Sheet of the chosen Support.
  • To submit, in a period of no more than 20 calendar days from the date on which the relevant activity ends, the reimbursement documents mentioned in the Fact Sheet of the chosen Support.
  • To deliver in due time and form the forms and documents mentioned in the Fact Sheet in each stage of the process.
  • In the event of misrepresentation or default in the documentation or forms submitted with the Support application or reimbursement application, the support will be cancelled.
  • In the event the reimbursement has been made, the Beneficiary shall be obligated to reimburse ProMéxico for the total amount of Support received within 10 working days from the date of notification by ProMéxico that any of the aforementioned situations was incurred, without the need for a court order.
  • The Beneficiary who submits false and/or altered documentation in any of the stages of the Support granting process, is prevented from making new applications for a period of one to five years, as determined by UARI (ProMéxico’s Institutional Support and Relations Unit), considering the severity of the offense and the circumstances under which it was committed.
  • To answer the Evaluation and Satisfaction Questionnaire.
  • To not receive federal and/or state support in the same area for which the ProMéxico support is intended.
  • To provide the information and/or documentation to evaluate the results achieved by applying the granted Support.
  • To accept inspection and/or evaluation visits relevant to the Support requested from ProMéxico.
  • To remedy the omissions or inconsistencies pointed out during any visit or inspection in a lapse of no more than 15 working days from the notification by ProMéxico or the person assigned for such purpose.
I declare under oath that the information given in this application is true and authorize ProMéxico to verify such information.
Name of Legal Representative:
Signature of Legal Representative: ______
It is essential that the person signing this document also signs the forms and/or documents subsequently requested.
Place filled out: Date filled out:
NAME OF PROMÉXICO PROMOTER:
Support Application Form
Foreign Beneficiaries: NORTH AMERICAv1.
Estados Unidos de Norteamérica / Valid from April 1st, 2015. / 1 of4