OUSMANE DIONE Country Director Ethiopia, Eritrea, Sudan and South Sudan, Eastern and Southern Africa Region 20-Dec-2023 Date: _____________ H.E. Ahmed Shide Minister Ministry of Finance Addis Ababa Ethiopia Excellency: Re: IDA Credit 7463-ET & IDA Grant E272-ET (Ethiopia Digital ID for Inclusion and Services Project) Additional Instructions: Disbursement and Financial Information Letter. I refer to the Financing Agreement between Federal Democratic Republic of Ethiopia (the “Recipient”) and the International Development Association (the “Association”) for the above-referenced Project. The General Conditions, as defined in the Financing Agreement, provide that the Recipient may from time-to-time request withdrawals of Credit and Grant amounts from the Credit and Grant Account in accordance with the Disbursement and Financial Information Letter, and such additional instructions as the Association may specify from time to time by notice to the Recipient. The General Conditions also provide that the Disbursement and Financial Information Letter may set out Project specific financial reporting requirements. This letter constitutes such Disbursement and Financial Information Letter (“DFIL”) and may be revised from time to time. I. Disbursement Arrangements, Withdrawal of Credit and Grant Funds and Reporting of Uses of Credit and Grant Funds. The Disbursement Guidelines for Investment Project Financing, dated February 2017, (“Disbursement Guidelines”) are available in the Association’s public website at https://www.worldbank.org and its secure website “Client Connection” at https://clientconnection.worldbank.org. The Disbursement Guidelines are an integral part of the DFIL, and the manner in which the provisions in the guidelines apply to the Credit is specified below. (i) Disbursement Arrangements General Provisions (Schedule 1). The table in Schedule 1 sets out the disbursement methods which may be used by the Recipient, and conditions, information on registration of authorized signatures, processing of withdrawal applications (including minimum value of applications and processing of advances), instructions on supporting documentation, and frequency of reporting on the Designated Account. 2 (ii) Electronic Delivery. Section 11.01 (c) of the General Conditions. The Recipient will deliver Withdrawal Applications (with supporting documents) electronically through the Association’s web-based portal “Client Connection” at https://clientconnection.worldbank.org. This option will be effective after the officials designated in writing by the Recipient who are authorized to sign and deliver Withdrawal Applications have registered as users of “Client Connection”. The designated officials will deliver Applications electronically by completing the Form 2380, which is accessible through “Client Connection”. By signing the Authorized Signatory Letter, the Recipient confirms that it is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to the Association by electronic means. The Recipient may exercise the option of preparing and delivering Withdrawal Applications in paper form on exceptional cases (including those where the Borrower encounters legal limitations), and which were previously agreed with the Association. By designating officials to use SIDC and by choosing to deliver the Applications electronically, the Recipient confirms through the authorized signatory letter its agreement to: (a) abide by the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation, available in the Association's public website at https://worldbank.org and “Client Connection”; and (b) to cause such official to abide by those terms and conditions. II. Financial Reports and Audits. (i) Financial Reports. The Recipient must prepare and furnish to the Association not later than forty-five (45) days after the end of each Ethiopian Fiscal calendar quarter, interim unaudited financial reports (“IFR”) for the Project covering the quarter. (ii) Audits. Annual financial audits will be conducted, commencing with the fiscal year in which the first withdrawal was made. The annual audited Financial Statements must be submitted not later than six (6) months of the end of the period. III. Other Information. For additional information on disbursement arrangements, please refer to the Loan Handbook available on the Association’s website (http://www.worldbank.org/) and “Client Connection”. The Association recommends that you register as a user of “Client Connection”. From this website you will be able to prepare and deliver Applications, monitor the near real-time status of the Credit and Grant, and retrieve related policy, financial, and procurement information. For more information about the website and registration arrangements, or if you have any queries in relation to the above, please contact the Association by email at AskLoans@WorldBank.org using the above reference. Yours sincerely, ______________________________ Ousmane Dione Country Director for Ethiopia, Eritrea, Sudan, and South Sudan Eastern and Southern Africa Region 3 Attachments 1. Form of Authorized Signatory Letter 2. Interim unaudited Financial Report (IFR) With copies: National ID Program HQ Block A1 15th floor Information Network Security Administration Compound Bole Wollo Sefer, Ethio-China Street Addis Ababa Ethiopia 4 Schedule 1 : Disbursement Provisions Basic Information Country Federal Democratic Republic of Closing Date Section III.B.2. of Schedule 2 to the Credit Ethiopia Financing Agreement. 7463-ET Number & Recipient Ministry of Finance and Grant Name of the Project Ethiopia Digital ID for Inclusion and Disbursement Four months after the closing date. E272-ET Number Services Project Deadline Date Subsection 3.7 ** Disbursement Methods and Supporting Documentation Disbursement Methods Methods Supporting Documentation Section 2 (**) Subsections 4.3 and 4.4 (**) Direct Payment Yes Copy of records Reimbursement Yes Interim unaudited Financial Report (IFR) in the format provided in Attachment 2 of the DFIL Advance (into a Designated Yes Interim unaudited Financial Report (IFR) in the format provided in Attachment 2 of the DFIL Account) Special Commitments Yes Copy of Letter of Credit Designated Account (Sections 5 and 6 **) Segregated Type Ceiling Variable DA A Financial Institution – National Bank of Ethiopia (NBE) USD Currency Name Frequency of Reporting Quarterly Based on up to 6 months cash forecast as Amount Subsection 6.3 (**) per detail provided in the IFR Minimum Value of Applications (subsection 3.5) The minimum value of applications for Direct Payment and Special Commitment is USD 50,000 equivalent. Authorized Signatures (Subsection 3.1 and 3.2 **) The form for Authorized Signatories Letter is provided in Attachment 1 of this letter. Withdrawal and Documentation Applications (Subsection 3.3 and 3.4 **) i) Authorized Signatures &(ii) Applications An authorized signatory letter in the Form attached (Attachment 2) should be furnished to the Association at the address indicated below providing the name(s) and specimen signature(s) of the official(s) authorized to sign Applications. Please provide completed and signed (a) applications for withdrawal, together with supporting documents, and (b) applications for special commitments, together with a copy of the commercial bank letter of Credit, to the address indicated below: The World Bank, Loan Department, Delta Center, 13th Floor, Upper Hill, Menengai Road, Nairobi, Kenya. Tel: 254 20 2936 000 Attention: Loan Department 5 Additional [Information][Instructions] Other ** Sections and subsections relate to the “Disbursement Guidelines for Investment Project Financing”, dated February 2017 . 6 Attachment 1 – Form of Authorized Signatory Letter [Letterhead] Ministry of Finance [Street address] [City] [Country] [DATE] International Development Association 1818 H Street, N.W. Washington, D.C. 20433 United States of America Re: IDA Credit 7463-ET & IDA Grant E272-ET (Ethiopia Digital ID for Inclusion and Services Project) Attention: _______________________, Country Director I refer to the Financing Agreement (“Agreement”) between the International Development Association (the “Association”), acting as implementing of the]1 and [name of recipient] (the “Recipient”), dated _______, providing the above Credit and Grant. For the purposes of Section 2.03 of the General Conditions as defined in the Agreement, any 2[one] of the persons whose authenticated specimen signatures appear below is authorized on behalf of the Recipient to sign applications for withdrawal [and applications for a special commitment] under this Credit. For the purpose of delivering Applications to the Association, including by electronic means, 3[each] of the persons whose authenticated specimen signatures appears below is authorized on behalf of the Recipient, acting 4[individually] 5[jointly], to deliver Applications, and evidence in support thereof on the terms and conditions specified by the Association. This confirms that the Recipient is authorizing such persons to accept Secure Identification Credentials (SIDC) and to deliver the Applications and supporting documents to the Association 1 Instruction to the Recipient: add text in line with the Financing Agreement if applicable; if not applicable delete it. Please delete this footnote in final letter that is sent to the Associations 2 Instruction to the Recipient: stipulate if more than one person needs to sign Applications, and how many or which positions, and if any thresholds apply. Please delete this footnote in final letter that is sent to the Association. 3 Instruction to the Recipient: stipulate if more than one person needs to jointly sign Applications, if so, please indicate the actual number. Please delete this footnote in final letter that is sent to the Association. 4 Instruction to the Recipient: use this bracket if any one of the authorized persons may sign; if this is not applicable, please delete. Please delete this footnote in final letter that is sent to the Association. 5 Instruction to the Recipient: use this bracket only if several individuals must jointly sign each Application; if this is not applicable, please delete. Please delete this footnote in final letter that is sent to the Association. 7 by electronic means. In full recognition that the Association shall rely upon such representations and warranties, including without limitation, the representations and warranties contained in the Terms and Conditions of Use of Secure Identification Credentials in connection with Use of Electronic Means to Process Applications and Supporting Documentation (“Terms and Conditions of Use of SIDC”), the Recipient represents and warrants to the Association that it will cause such persons to abide by those terms and conditions. This Authorization replaces and supersedes any Authorization currently in the Association records with respect to this Agreement. [Name], [position] Specimen Signature: ____________________ [Name], [position] Specimen Signature: ____________________ [Name], [position] Specimen Signature: ____________________ Yours truly, / signed / ______________ 8 Attachment 2 – Interim unaudited Financial Statements Attachment 2– Interim unaudited Financial Statements Prime Minister Office / National ID Project (NIDP) Interim Unaudited Financial Report P179040 - Ethiopia Digital ID for Inclusion and Services For the quarter ended…… Content 1 Notes to the IFR-Discussion of Financial performance, Notes & Explanations 2 Statement of Sources and Uses of Fund 3 Statements of Uses of Funds by components and subcomponents and category 4 Statement of Accounts - Designated Account and Local Account 5 Designated Account (DA) Activity statement 6 DA Documentation Schedule 7 Expenditure Forecast and Cash requirement summary for the next six months 8 Payments Against Contracts subject to the World Bank's Prior Review 9 Supporting documents and schedules such as account Receivable and Account Payable schedules with age analysis, bank statement, bank reconciliations, Trial balance etc. 9 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Notes to the IFR For the quarter ended ……. Section 1: Background information about the project 1.1 General information about the project (PDO, Components/sub- components/activities, implementing entity, etc.) 1.2 Financial Management (Accounting center, basis of accounting, major accounting policies, currencies, etc.) Section 2: Project implementation 2.1 Overview of sources of funds 2.2 Overview of expenditures 2.3 Status of budget utilization by project components/subcomponents 2.4 Variance analysis with summary of actions taken and/or planned to be taken 2.5 Overview of closing balances including analysis of major outstanding advances and payables 2.6 Exchange rates used and Exchange gain or loss computation 2.7 Adjustments to the previous reports 2.8 FM challenges and actions taken and/or planned to be taken Section 3: Status of action plans 3.1 FM assessment/ supervision action plans implementation status 3.2 Status of action plan to address issues raised in the project audit reports 3.3 Status of action plan to address issues raised in the internal auditors reports Section 4: Other issues 10 Implementing Entity: Prime Minister Office / National ID Project (NIDP) Project: P179040 - Ethiopia Digital ID for Inclusion and Services Description: Statement of Sources and Uses of Funds IFR for the Quarter ending: Reporting Currency: In USD and In Ethiopian Birr Actual Description Current Quarter Year -To Date Cumulative to Date OPENING BALANCES Cash on hand - - Cash at bank- Designated Account - - Cash at bank - Local Account - - Account receivable - - Less: Account payable - - Total Opening Balance (A) - - - SOURCES OF FUNDS DA Receipts/Replenishment - - - Direct Payments - - - Special Commitments Payments - - - Reimbursements - - - Refunds - - - Adjustments (if any) - - - Contribution by the government - - - Others (Please specify) - - - Total Sources of Funds (B) - - - Total available funds for the period (A+B) - - - Less: Program Expenditures Component 1: Building institutions and trust - - - Component 2: Establishing scalable and secure - - - Fayda ICT infrastructure Component 3: Inclusive and sustainable ID - - - issuance - - - Component 4: Improving service delivery Component 5: Project management and - - coordination Total Expenditures ( C ) - - - Total Available Fund Less Total Expenditures ( A+B - - - - C) Foreign exchange difference (Annex…) - - - NET FUND AVAILABLE - - - CLOSING BALANCES Cash on hand - total - - - Cash at bank- Designated Account - - - Cash at bank - Local Account - - - Account receivable - - - Less: Account payable - - - Total Closing Balance ( E ) - - - Prepared By__________________________ Approved By________________________ Signature_____________________________ Signature __________________________ Date_________________________________ Date ______________________________ 11 Implementing Entity: Prime Minister Office / National ID Project (NIDP) Project: P179040 - Ethiopia Digital ID for Inclusion and Services Description: Statement of Uses of Funds by Component IFR for the Quarter ending: Reporting Currency: In USD and In Ethiopian Birr Project Components and subcomponents Current Quarter Year To Date (YTD) Project Life Cumulative to date Annual budget Budget Actual Variance Util. Budget Actual Variance Util. Budget Actual Variance Util. Component 1: Building institutions and trust Stakeholder engagement and Sub-component 1.1 communications - Sub-component 1.2 Operationalizing the ID Institution - Operationalizing the Data Protection Sub-component 1.3 Authority Component 1: Total of Uses of Funds - - - - % - - - % - - - % Component 2: Establishing scalable and secure Fayda ICT infrastructure Sub-component 2.1 Systems development - Sub-component 2.2 Data infrastructure development - Sub-component 2.3 Strengthening digital security - Component 2: Total of Uses of Funds - - - - % - - - % - - - % Component 3: Inclusive and sustainable ID issuance Sub-component 3.1 Registration and ID issuance - Prioritization of host communities and Sub-component 3.2 refugees - Sub-component 3.3 Integration with civil registration - Component 3: Total of Uses of Funds - - - - % - - - % - - - % Component 4: Improving service delivery Sub-component 4.1 Developing use cases - Sub-component 4.2 Creating an Ethiopia Digital Stack - Component 4: Total of Uses of Funds - - - - % - - - % - - - % Component 5: Project management and coordination Project management and coordination - % % % TOTAL PROJECT EXPENDITURES - - - - % - - - % - - - % Prepared By__________________________ Approved By________________________ Signature_____________________________ Signature __________________________ Date_________________________________ Date ______________________________ 12 Implementing Entity: Prime Minister Office / National ID Project (NIDP) Project: P179040 - Ethiopia Digital ID for Inclusion and Services Description: Statement of Uses of Funds by Category IFR for the Quarter ending: Reporting Currency: In USD and In Ethiopian Birr Project Components and subcomponents Current Quarter Year To Date (YTD) Project Life Cumulative to date Annual budget Budget Actual Variance Util. Budget Actual Variance Util. Budget Actual Variance Util. Component 1: Building institutions and trust Stakeholder engagement and Sub-component 1.1 communications - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Sub-component 1.2 Operationalizing the ID Institution - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Operationalizing the Data Protection Sub-component 1.3 Authority Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Component 1: Total of Uses of Funds - - - - % - - - % - - - % 13 Component 2: Establishing scalable and secure Fayda ICT Sub-component 2.1 Systems development - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Sub-component 2.2 Data infrastructure development - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Sub-component 2.3 Strengthening digital security - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Component 2: Total of Uses of Funds - - - - % - - - % - - - % 14 Component 3: Inclusive and sustainable ID issuance Sub-component 3.1 Registration and ID issuance - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Prioritization of host communities and Sub-component 3.2 refugees - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Sub-component 3.3 Integration with civil registration - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Component 3: Total of Uses of Funds - - - - % - - - % - - - % 15 Component 4: Improving service delivery Sub-component 4.1 Developing use cases - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Sub-component 4.2 Creating an Ethiopia Digital Stack - Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Component 4: Total of Uses of Funds - - - - % - - - % - - - % Component 5: Project management and coordination Project management and coordination - % % % Goods Works Consulting Services Non Consulting Services Trainings, Travel and workshops others Sub total Component 5: Total of Uses of Funds TOTAL PROJECT EXPENDITURES - - - - % - - - % - - - % Prepared By__________________________ Approved By________________________ Signature_____________________________ Signature __________________________ Date_________________________________ Date ______________________________ 16 Implementing Entity: Prime Minister Office / National ID Project (NIDP) Project: P179040 - Ethiopia Digital ID for Inclusion and Services Description: Schedule of Registation and Distribution Payments IFR for the Quarter ending: Reporting Currency: In USD and In Ethiopian Birr Registration Payments Performance payment amount per # of ID Registration Partner/Entity Total MOU/Contract Amount Date # of ID registered registered Total Payment Remaining Amount Remark A B C D E F= (D*E) F= (D*E) xxxxx - xx/xx/xxx - - - - xxxxx - xx/xx/xxx - - - - xxxxx - xx/xx/xxx - - - - - - - - - Total - - - Distribution Payments Performance payment amount per # of ID Distribution Partner/Entity Total MOU/Contract Amount Date # of ID distributed distributed Total Payment Remaining Amount Remark A B C D E F= (D*E) F= (D*E) xxxxx - xx/xx/xxx - - - - xxxxx - xx/xx/xxx - - - - xxxxx - xx/xx/xxx - - - - - - - - - Total - - - Registration or distribution Payments Performance payment # of ID registered/ or amount per # of ID Super Agent Total MOU/Contract Amount Date distributed registered Total Payment Remaining Amount Remark A B C D E F= (D*E) F= (D*E) F= (D*E) xxxxx - xx/xx/xxx - - - - xxxxx - xx/xx/xxx - - - - xxxxx - xx/xx/xxx - - - - - - - - - Total - - - 17 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Statement of Designated Account, Bank a/c ______________ For the quarter ended …………………… USD Birr Opening Bank Balance - - Add: Receipts Fund received from IDA on… - - Fund received from IDA on… - - Fund received from IDA on… Others (specify) - - Sub total - - Fund available for use - - Less: Transfers and Expenditure/payment Transfer to Birr accounts - - Expenditure/payments - - Others (specify) - - Sub total - - Closing Bank Balance - - Exchange rate at quarter end - Closing Bank Balance at the rate of quarter end - Add: Gain or (Loss) on foreign exchange - Closing Bank Balance after gain/ (loss) of foreign exchange - Prepared By___________________________ Approved By __________________________ Signature ___________________________ Signature ___________________________ Date ________________________________ Date ______________________________ 18 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Statement of Local Account, Bank a/c ______________ For the quarter ended …………………… Birr USD Opening Bank Balance - - Add: Receipts Cash transfer from USD account - - Others (specify) - - Sub total - - Less: Less: Advances and Expenditure/payment Advances - - Expenditure/payments - - Others (specify) - - Sub total - - Closing Bank Balance - - Exchange rate/s/ - Clsoing Bank Balance in USD - Prepared By___________________________ Approved By __________________________ Signature ___________________________ Signature ___________________________ Date ________________________________ Date ______________________________ 19 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Designated Account Activity Statement For the quarter ended…. In USD Particulars DA-B PART I (Advances - As per Client records) 1 Cumulative Advances up to end of last reporting quarter/period (less refunds) 0.00 2 Less: Cumulative expenditures paid up to end of last reporting period 0.00 3 Outstanding Advances (book) to be accounted for at the end of last reporting quarter (1 minus 2) 0.00 PART II (Advances - As per Bank Client Connection) 4 Cumulative Advances up to end of current reporting quarter/period (less refunds) 0.00 5 Less: Cumulative expenditures documented with WB up to end of current reporting period 0.00 6 Outstanding Advances (ClientConnection) to be accounted for at the end of current reporting quarter (4 minus 5) 0.00 PART III (DA reconciliation) 7 Opening Advance (book) balance at beginning of current reporting quarter/period (same as item 3) 0.00 8 Add: Advances received during reporting period 0.00 9 Outstanding Advances to be accounted for at the end of the current reporting quarter (7 plus 8 ) 0.00 10 Less: Expenditures for current reporting quarter/period (paid from DA) 0.00 11 Add: Adjustments, if any 0.00 12 Less: Adjustments, if any 0.00 13 Closing Advance (as per project books of records) balance at end of current reporting quarter/period (9 minus 10 plus 11 minus 12 ) 0.00 PART IV (Bank reconciliation) 14 Closing DA balance (as per bank statement) at end of current reporting period, as of xxxx 0.00 15 Add/subtract: cumulative adjustments, if any 0.00 16 Minus: Expenditures for the current reporting period that have not been debited to the DA 0.00 17 Closing DA balance (as per project books of record) balance (14 plus/minus 15 minus 16) 0.00 PART V (Funds requested) 18 Total forecasted expenditures from the DA in next 6 months 0.00 19 Less: Closing Bank balance at the end of current reporting period (item 14 above) 0.00 20 Less: Withdrawal applications in process with the Bank 0.00 21 Fund request from WB for next 6 months (18 minus 19 minus 20) 0.00 Prepared By__________________________ Approved By________________________ Signature_____________________________ Siganture __________________________ Date_________________________________ Date ______________________________ 20 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Schedule of Designated Account (DA) Documentation For the Quarter ended …………….. Total Current quarter documented expenditure to be Amount remaining to Advanced amount to date to date documented be documented Total in USD - - - Prepared By___________________________ Approved By ______________________ Signature ___________________________ Signature _________________________ Date ________________________________ Date ____________________________ 21 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Expenditure Forecast For the next Six months ending……….. Annual Forecast for the 6 months Approved In Birr In USD Project components and subcomponents Budget Quarter 1 Quarter 2 Total (Q1 + Q2) Total (Q1 + Q2) Component 1: Building institutions and trust Sub comp 1.1 Stakeholder engagement and communications Sub comp 1.2 Operationalizing the ID Institution Sub comp 1.3 Operationalizing the Data Protection Authority Sub total - - - - - Component 2: Establishing scalable and secure Fayda ICT infrastructure Sub-comp 2.1 Systems development Sub-comp 2.2 Data infrastructure development Sub-comp 2.3 Strengthening digital security Sub total - - - - - Component 3: Inclusive and sustainable ID issuance Sub-comp 3.1 Registration and ID issuance Sub-comp 3.2 Prioritization of host communities and refugees Sub-comp 3.3 Integration with civil registration Sub total - - - - - Component 4: Improving service delivery Sub-comp 4.1 Developing use cases Sub-comp 4.2 Creating an Ethiopia Digital Stack Sub total - - - - - Component 5: Project management and coordination GRAND TOTAL - - - - - Prepared By___________________________ Approved By ______________________ Signature ___________________________ Signature _________________________ Date ________________________________ Date ____________________________ 22 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Cash Flow Forecast For the next Six months ending……….. In Birr In USD For the next six For the next six Component months months Component 1: Building institutions and trust - - Component 2: Establishing scalable and secure Fayda ICT infrastructure - - Component 3: Inclusive and sustainable ID issuance - - Component 4: Improving service delivery - - Component 5: Project management and coordination - - GRAND TOTAL - - Less: Amount to be paid through direct payment/ special commitment - - Less: DA balance end of the quarter - - Less: Account receivable balance end of the quarter - - Add: Account payable balance end of the quarter - - Net Cash Requirement for the next six months - - Prepared By___________________________ Approved By ______________________ Signature ___________________________ Signature _________________________ Date ________________________________ Date ____________________________ 23 Prime Minister Office / National ID Project (NIDP) P179040 - Ethiopia Digital ID for Inclusion and Services Payment Made during Reporting Period Against Contracts subject to the World Bank's Prior Review For the Quarter ended …………….. Date of WB's No WB's Share of Special Objection to Amount Paid to Amount Paid to Amount Paid in the Commitment/ Contract Number Supplier Contract Date Contract Amount Contract Supplier to date Supplier to date current quarter Direct Payment No. Prepared By___________________________ Approved By ______________________ Signature ___________________________ Signature _________________________ Date ________________________________ Date ____________________________