Financial Statement Form
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1
2FINANCIAL STATEMENT FORM - 2000
Date:
(To be completed by Section/RT Treasurers and sent to the Division Financial Officer)
Currency of bank account:
(Labels A-I correspond to items on project and administrative report forms, Annex A and B)
(All amounts are to be reported in the currency of the bank account except column H, I and J which are to be in NLG)
Section / Round Table:
A
B
C
D
E
F
G
H
I
J
Total
Bills to be
Amount
Amount
Request for
Opening
Income
Other
income at
Expendi-
Balance at
paid by
remaining
reserved at
funding for
balance ‘00
HQ for ‘00 in
Description
from HQ
income
report date
tures to date
report date
year-end
(F - G)
2001
‘00
(D – E)
(A+B+C)
in NLG
NLG. (Only
(NLG)
for Projects)
Administrative funds
1.
Project No:
2.
Name:
Project No:
3.
Name:
4.
Project No:
Name:
5.
Project No:
Name:
Project No:
6.
Name:
Totals
Comments: _______________________________________________________________
Bank Details
_________________________________________________________________________
Name and address of Bank:_________________________________________
_________________________________________________________________________
__________________________________________________________________
_________________________________________________________________________ Please use the Sheet with Brief Instructions for more comments.
__________________________________________________________________
____________________________________________________________
________________________________________________________________
Signature of Treasurer of Section/RT_______________________________________
Bank Number:____________________________________________________
Account number:__________________________________________________
Signature of Divisional Financial Officer____________________________________
Name the bank account is in:______________________________
_____________________________________________________
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