22-Mar-2022 ________________, 2022 Hon. Francis Dennis Vandi Minister of Finance Ministry of Finance Treasury Building George Street Freetown Sierra Leone Your Excellency: Re: IDA Grant D9740-SL (Productive Social Safety Nets and Youth Employment Project) Additional Instructions: Disbursement and Financial Information Letter I refer to the Financing Agreement between Republic of Sierra Leone (“Recipient”) and the International Development Association (“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 Grant amounts from the 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 Grant Funds, and Reporting of Uses of 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 Disbursement Guidelines apply to the Grant 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 signatories, 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(s). (ii) Withdrawal Applications Electronic Delivery The Recipient will deliver Withdrawal Applications (with supporting documents, “Applications”) electronically through the Association’s web-based portal “Client Connection” at https://clientconnection.worldbank.org. This option will be effected after the officials designated in -2- writing by the Recipient who are authorized to sign and deliver 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 Applications in paper form on exceptional cases (including those where the Recipient 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://www.worldbank.org and “Client Connection”; and (b) to cause such officials 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 calendar quarter, interim unaudited financial reports (“IFRs”) for the Project covering the quarter. (ii) Audits. Each audit of the Financial Statements must cover the period of one fiscal year of the Recipient, commencing with the fiscal year in which the first withdrawal was made. The audited Financial Statements for each such period must be furnished to the Association not later than six (6) months after the end of such period. III. Other Important Information. For additional information on disbursement arrangements, please refer to the Loan Handbook available on the Association’s public website 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 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, ______________________________ Abdu Muwonge Country Manager for Sierra Leone -3- Attachments 1. Form of Authorized Signatory Letter 2. Interim Financial Report cc: Sahr Lahai Jusu, Financial Secretary Ministry of Finance Treasury Building George Street Freetown, Sierra Leone Email: fsecretary@mof.gov.sl The Commissioner National Commission for Social Action 14-16 Charlotte Street Freetown, Sierra Leone Email: smaxkyne@nacsa.gov.sl Anti-Corruption Commission Cathedral House 3, Gloucester Street Freetown Sierra Leone fbkaifala@anticorruption.gov.sl; fkaifala@yahoo.fr Ministry of Youth Affairs National Stadium Hostels, 2nd Floor, Syke Street Freetown, Sierra Leone ministerofyouth@statehouse.gov.sl National Youth Commission National Stadium Swimming Pool, Brookfields Freetown, Sierra Leone ngolokatta@naycom.gov.sl; ngolo.katta@gmail.com Statistics Sierra Leone A J Momoh Street, Tower Hill Freetown, Sierra Leone osman.sankoh@statistics.sl -4- Schedule 1 : Disbursement Provisions Basic Information Country Republic of Sierra Leone Closing Date Section III.B.2. of Schedule 2 to the Grant Recipient Republic of Sierra Leone Financing Agreement D9740-SL Number Name of the Project Productive Social Safety Nets and Disbursement Four (4) months after the closing Youth Employment Project Deadline Date date Disbursement Methods and Supporting Documentation Disbursement Methods Methods Supporting Documentation Subsections 4.3 and 4.4 (**) Direct Payment Yes Copy of Records Reimbursement Yes  Interim Financial Report as per attachment 2  Specifically, for Category 2, see “Additional Information” section. Advance (into a Designated Yes  Interim Financial Report as per attachment 2 Account)  Specifically, for Category 2, see “Additional Information” section. Special Commitments Yes Copy of Letter of Credit Designated Account (Sections 5 and 6 **) DA-A: Segregated managed by NACSA Variable Type and Management Unit Ceiling Financial Institution - Sierra Leone Commercial Bank Ltd USD Currency Name Quarterly Based on two quarter forecast as per the Frequency of Reporting Amount IFR approved by the TTL Minimum Value of Applications (subsection 3.5) The minimum value of applications for Direct Payment, Reimbursement, and Special Commitment is 100,000 USD 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 **) A letter in the Form attached (Attachment 1) should be furnished to the World Bank at the address indicated below providing the name(s) and specimen signature(s) of the official(s) authorized to sign Applications: The World Bank Attention World Bank Group Finance & Accounting (Formerly Loans Department) Delta Center, 13th Floor Menengai Road, Upper Hill Nairobi, Kenya Attention: Loan Department -5- Applications (subsections 3.3 - 3.4). All Withdrawal Applications and their supporting documentation will be electronically sent via the Association’s system Client Connection. F. Additional Information 1. Withdrawal applications for eligible cash transfers, start-up grants, grants for LIPWP sub-projects and Business Grants under Category 1of the table under Schedule 2 Section III.A (“Withdrawal Table”) of the Financing Agreement, must be supported by the following documents:  List of eligible beneficiaries, selected and validated per the provisions of the PIM  Duly completed payment summary sheets per the formats included in the IFR (see Attachment 2 of the DFIL) 2. Withdrawal applications for eligible emergency cash transfers under Category 3 of the table under Schedule 2 Section III.A (“Withdrawal Table”) of the Financing Agreement, must be supported by the following documents:  List of eligible beneficiaries, selected and validated per the provisions of the ER Manual  Duly payment completed Emergency Cash transfer sheet per the format included in the IFR (see Attachment 2 of the DFIL) 3. CERC: Disbursements under Category 4 of Section III.A of Schedule 2 of the Financing Agreement (Emergency Expenditures under Part E of the Project) will be subject to the conditions precedent to accessing the CERC funds, namely that the Recipient has provided, and the Bank has accepted, evidence of the occurrence of an eligible crisis or emergency and the Recipient has prepared and adopted/adhered to the CERC Operations Manual. Disbursements under this component will follow procedures described in the CERC Manual including supporting documentation; provided that this disbursement letter will first need to be amended and reinstated at a later date to reflect those specific arrangements. In order to provide necessary liquidity for fast response, the ceiling of the Advance under the CERC could be up to 100% of the amount allocated to the CERC category and a new DA will be opened for CERC related expenditures. ** 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 Attention: [Country Director]1 Dear [Country Director]: Re: IDA Grant No. _______-___ (Productive Social Safety Nets and Youth Employment Project) I refer to the [Credit] [Grant] Agreement (“Agreement”) between the International Development Association (“Association”)[, acting as implementing of the]2 and [name of recipient] (“Recipient”), providing the above [Credit] [Grant]. For the purposes of Section 2.03 of the General Conditions as defined in the Agreement, any 3[one] of the persons whose authenticated specimen signatures appear below is authorized on behalf of the Recipient to sign Withdrawal Applications (“Application”) [and applications for a special commitment] under this [Credit] [Grant]. For the purpose of delivering Applications to the Association, including by electronic means, 4 [each] of the persons whose authenticated specimen signatures appears below is authorized on behalf of the Recipient, acting 5[individually] 6[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 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 1 Instruction to Bank staff: please forward this letter to Country Lawyer for further processing (Recipient: please do not delete this note). 2 Instruction to the Recipient: add text in line with the Grant Agreement if applicable; if not applicable delete it. Please delete this footnote in final letter that is sent to the Associations 3 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. 4 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. 5 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. 6 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- 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 Financial Reports -9- Country Sierra Leone Project Number: 0 IFR for the Quarter ending: 0-Jan-00 Reporting Currency USD GRANT REFERENCE 0 0 0 0 0 Total Description Actual (USD) Actual (USD) Actual (USD) Actual (USD) Actual (USD) Actual (USD) Actual (USD) Cumulative to Cumulative to Cumulative to Cumulative to Cumulative to Cumulative to Cumulative to Current Quarter Year -To Date Date Current Quarter Year -To Date Date Current Quarter Year -To Date Date Current Quarter Year -To Date Date Current Quarter Year -To Date Date Current Quarter Year -To Date Date Current Quarter Year -To Date Date OPENING BALANCES (BOOK BALANCE) Designated Account 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Operating Account 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Advances from DA/OA & Petty Cash 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Other (please explain) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Opening Balance (A) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 SOURCES OF FUNDS Addl advances received from the World Bank 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 DA Receipts/Replenishment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Direct Payments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Special Commitments Payments 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Reimbursements 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Refunds 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Adjustments (if any) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Others (Please specify) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Sources of Funds (B) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total (A+B) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 USES OF FUNDS BY CATEGORY Category 1 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 2 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 3 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 4 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 6 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 7 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 8 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 9 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Category 10 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Sub-Total Uses of Funds ( C ) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Refund of Preparation Advance 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Adjustments (if any) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Others (Please specify) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Uses of Funds (D) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 CLOSING BALANCES (BOOK BALANCE) Designated Account 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Operating Account 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Advances from DA/OA & Petty Cash 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Others (Please specify) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Total Closing Balance ( E ) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 -10- Country Sierra Leone Project Number: 0 IFR for the Quarter ending: 0-Jan-00 Reporting Currency USD Project Components and Activities ACTUAL AMOUNT PLANNED AMOUNT VARIANCE PAD Explain variance if greater Cumulative to Cumulative to Current Quarter Cumulative to Life of project Revised Life of than 15% for this sub- Current Quarter Year to Date date Current Quarter Year to Date date Year to Date date (Amt) Project * (Amt) component Component 1 Description Sub-component 1.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 1.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 1.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 1.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 1: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 Component 2 Description Sub-component 2.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 2.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 2.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 2.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 2: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 Component 3 Description Sub-component 3.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 3.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 3.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 3.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 3: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 Component 4 Description Sub-component 4.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 4.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 4.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 4.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 4: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 Component 5 Description Sub-component 5.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 5.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 5.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 5.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 5: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 Component 6 Description Sub-component 6.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 6.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 6.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 6.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 6: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 Component 7 Description Sub-component 7.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 7.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 7.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 7.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 7: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 Component 8 Description Sub-component 8.1 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 8.2 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 8.3 0.00 0.00 0.00 0.00 0.00 0.00 Sub-component 8.4 0.00 0.00 0.00 0.00 0.00 0.00 Component 8: Total of Uses of Funds 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL PROJECT EXPENDITURES 0.00 0.00 0.00 0.00 0.00 0.00 -11- DA ACTIVITIES STATEMENT/FUNDS REQUIREMENT FROM WORLD BANK Particulars GRANT REFERENCE GRANT REFERENCE 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PART I (Advances - As per Client records) 1 Cumulative Advances up to end of last reporting quarter/period (less refunds) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2 Less: Cumulative expenditures paid up to end of last reporting period 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 3 Outstanding Advances (book) to be accounted for at the end of last reporting quarter (1 minus 2) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5 Less: Cumulative expenditures documented with WB up to end of current reporting period 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 6 Outstanding Advances (ClientConnection) to be accounted for at the end of current reporting quarter (4 minus 5) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PART III (DA reconciliation) 7 Opening Advance (book) balance at beginning of current reporting quarter/period (same as item 3) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 8 Add: Advances received during reporting period 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9 Outstanding Advances to be accounted for at the end of the current reporting quarter (7 plus 8 ) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 10 Less: Expenditures for current reporting quarter/period (paid from DA) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 11 Add: Adjustments, if any 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 12 Less: Adjustments, if any 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 15 Add/subtract: cumulative adjustments, if any 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 16 Minus: Expenditures for the current reporting period that have not been debited to the DA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 17 Closing DA balance (as per project books of record) balance (14 plus/minus 15 minus 16) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PART V (Funds requested) 18 Total forecasted expenditures from the DA in next 6 months 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 19 Less: Closing Bank balance at the end of current reporting period (item 14 above) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 20 Less: Withdrawal applications in process with the Bank 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 21 Fund request from WB for next 6 months (18 minus 19 minus 20) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 -12- Report for cash Transfers (1) 1 2 3 4 6 7 8 9 10 11 Currency and Total Cash Amount Date of Payment Amount of Cash Payment transfers Paid transfer Total amount Paid request Remarks Item No. Elig. % Name and Agreem Cash transfered from Eligible Address of ent No. covered by Designat for Beneficiary & Date application (net ed Financin (or other of retention) Account g ref.) (if any) TOTALS [1] Supporting documents for this report retained at:(insert location) -13- Report for the Payment of Start-up Grants (1) Category No.: 1 2 3 4 5 6 7 8 9 10 11 Currency and Total Amount of Total amount Amount Date of Payment Grant Payment Brief Grant Paid Agreem request Item No. Elig. % Name and Descriptio payment From Grant ent No. Eligible Address of n of Start- request Designat Remarks & Date for Beneficiary up Grant covered by ed (or other Financin Activities application Account ref.) g (net of (if any) retention) TOTALS [1] Supporting documents for this report retained at:(insert location) -14- Report for LIPWP Grants (1) 1 2 3 4 5 6 7 8 9 10 11 Currency and Total Amount of LIPWP Amount Date of Payment Grant Total amount Payment Brief Paid Grant Paid Agreem LIPWP Grant request Remarks Item No. Elig. % Name and Descriptio from ent No. request covered Eligible Address of n of Designat & Date by application for Beneficiary LIPWP ed (or other (net of Financin Activities Account ref.) retention) g (if any) TOTALS [1] Supporting documents for this report retained at:(insert location) -15- Report for the Payment of Business Grants (1) Category No.: 1 2 3 4 5 6 7 8 9 10 11 Currency and Total Amount of Total amount Amount Date of Payment Grant Brief Payment Grant Paid Agreem Descriptio request Item No. Elig. % Name and payment From Grant ent No. n of Eligible Address of request Designat Remarks & Date Business for Beneficiary covered by ed (or other Grant Financin application Account ref.) Activities g (net of (if any) retention) TOTALS [1] Supporting documents for this report retained at:(insert location) -16- Report for Emergency Cash Transfers (1) 1 2 3 4 6 7 8 9 10 11 Currency and Total Emergenc Amount Emergency Cash Date of Payment Total amount Payment transfers Paid y Cash Paid Amount of Emergency request Remarks Item No. Elig. % Name and transfer from Cash transfered Eligible Address of Agreemen Designat covered by for Beneficiary t No. & ed application (net Financin Date (or Account of retention) g other ref.) (if any) TOTALS [1] Supporting documents for this report retained at:(insert location)