Ministry of European Integration

Implementing Agency
PROGRAMME: .
Financial information to be completed by financial intermediaries at (the end of current year)
Bank balance at (the end of previous year)

Payments received from

the Commission not
transferred to the final
beneficiary and not
returned to the
Commission at (the end
of previous year)

ANNEX 9

Movements in (current year)

D

Payments received from

the Commission in
(current year)

Amounts transferred to
final beneficiaries in
(current year)

Amounts returned by the

final beneficiaries in
(current year)

G=DE+F

Amounts received in
(current year) and not
transferred in (current
year)

Bank balance at (the end of current year)

M=A+G

Payments received from the

Commission not transferred to
the final beneficiary at (the end of
current year)

Amounts returned to the

Commission in (current
year)

Amounts returned to the

Commission in (current year)

B1
B2

Bank interests
Other receipts

I1
I2

Bank interests
Other receipts

N1=B1+I1
N2=B2+I2

Total bank interests

Total other receipts*

P1

Bank fees

R1

Bank fees

S1=P1+R1

Total bank fees

P2

Other charges

R2

Other charges

S2=P2+R2

Total other charges**

J=GH+I-R

Movements balance in
(current year)

X=M-H+NS X=C+J

Bank balance at (the end of

current year)

C=A+ Bank balance at (the end

B-P
of previous year)

Prepared by

Reviewed by Supervisor Accountant (SAc)

Endorsed by Director (D.SAO)

Approved by SAO

Name:.

Name:.

Name:.

Name:.

Signature:..

Signature:..

Signature:..

Signature:..

Date: .

Date: .

Date: .

Date: ..

* interests retained from the final payment and interests transferred from the beneficiaries with notified contracts

** exchange loss