FORMULIR PELAPORAN KEUANGAN

FORMULIR PELAPORAN KEUANGAN - KATA PENGANTAR

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LAMPIRAN 6 FORMULIR PELAPORAN KEUANGAN

Rangkuman Format

Format Rincian Format 1-A

Pernyataan Kegiatan Rekening Khusus Format ini berisi rekonsiliasi Rekening Khusus

Format 1-B

Sumber dan Penggunaan Dana Proyek Format ini menjelaskan secara khusus penggunaan dana dan realisasi pembayaran

setiap kwartal

Format 1-C

Penggunaan Dana Proyekper Kategori/Kegiatan Format ini menjelaskan realisasi pengeluaran berdasarkan Kategori dan Kegiatan

pada kwartal pelaporan

Format 1-D

Status Pencairan dan Pengeluaran per Kategori Proyek Format ini menjelaskan akumulasi pengeluaran per Kategori pada kwartal

pelaporan

Format 1-E

Pengeluaran untuk Alokasi Kontrak/Anggaran untuk Kwartal yang berakhir pada tanggal/bulan/tahun

Format ini memperinci Penggunaan Dana kontrak/alokasi anggaran pada kwartal pelaporan

Format 1-F

Pengeluaran Kumulatif untuk Alokasi Kontrak/Anggaran untuk Kwartal yang berakhir pada tanggal/bulan/tahun

Format ini berisi rincial kumulatif penggunaan dana kontrak/ alokasi anggaran dari awal proyek sampai ke kwartal pelaporan

FORM 1A

Nationwide Professional Development for Education Personnel Form 1- A

through Australia’s Education Partnership with Indonesia

Grant Agreement No. ………

Special Account Activity Statement

for the Reporting Period dd/mm/yyyy

Bank and Account No.: ………………

AUD

Part I

1. Cumulative advances to end of current reporting period - 2. Cumulative expenditure to end of last reporting period

- 3. Outstanding advances to be accounted for (1-2)

Part II

4. Opening SA balance at beginning of reporting period (as of ……………..) - 5. Add/Subtract: Cumulative adjustments (if any) *

6. Advances from the DFAT during reporting period

7.add 5 and 6 - 8. Outstanding advances to be accounted for (4+7) (must be same as item 3) -

9. Closing SA balance at end of the current reporting period (as of …………….) - 10. Add/subtract: Cumulative adjustment (if any) **

11. Expenditures for the current reporting period

12. Add 10+11 - 13. Add 9+12

14. Difference (if any) 8-13 *** -

=================== * Explanation for item 5 (if not zero):

Amount (+/-)

Remarks

** Explanation for item 10 (if not Zero): Amount (+/-)

Remarks

*** Explanation for item 14 (if not Zero): Amount (+/-)

Remarks

FORM 1B

Grant Financing Nationwide Professional Development for Education Personnel through Australia’s Education Partnership with Indonesia

Project Source and Use of Funds

Form 1-B

For the Quarter ending dd/mm/yyyy Grant Agreement No. …….

Variance in %

Year Cumulative

Quarter

To date

To date

Quarter

To date

To date

Quarter

To date To date

Source of Fund

Government of Australia (AusAID)

Total Source of Funds

Use of Fund (by Category)

I Program Implementation of professional development for education personnel (PPP, CPD, Supervisor PD, Province and District Education Officials PD)

II Management, monitoring and evaluation of the Initiative including accommodation, transportation, per diems and operating cost for the central management team at MoEC (through the Board of Education HRD and Education Quality Assurance / Badan PSDMP&PMP

III Procurement of goods [define in details]

IV Procurement of services [define in details]

Total Use of Fund

___________________________________________________________________________________________________________________________________________ Manual Prosedur Edisi Pertama Versi 2.0 – Juni 2014

FORM 1C

Grant Financing Nationwide Professional Development for Education Personnel

through Australia’s Education Partnership with Indonesia

Form 1-C

Project Use of Funds by Category / Activity

For the Quarter ending dd/mm/yyyy Grant Agreement No. ……………..

Cumulative Expenditures to Date Project Category / Activities

Expenditures in Current Quarter

Expenditures in Year to Date

TOTAL

Outstanding

Charge to Spec. Account

TOTAL

Outstanding

Charge to Spec. Account

TOTAL

Outstanding Charge to Spec. Account

I Program Implementation of professional development for education personnel (PPP, CPD, Supervisor PD, Province and District Education Officials PD) a. Principal Preparation Program

b. Principal CPD c. Supervisor Professional Development d. District Programs

Total Cat I :

II Management, monitoring and evaluation of the Initiative including accommodation, transportation, per diems and operating cost for the central management team at MoEC (through the Board of Education HRD and Education Quality Assurance / Badan PSDMP&PMP a. Principal Preparation Program b. Principal CPD

c. Supervisor Development Program d. District Programs

Total Cat II :

Procurement of goods [define in details] III. Ma a. Principal Preparation Program

b. Principal CPD c. Supervisor Professional Development d. District Programs

Total Cat III :

IV. PrProcurement of services [define in details] a. Principal Preparation Program

b. Principal CPD c. Supervisor Professional Development

d. District Programs

Total Cat IV :

Grand Total (Cat.I + Cat. II + Cat. III + Cat. IV) :

___________________________________________________________________________________________________________________________________________ Manual Prosedur Edisi Pertama Versi 2.0 – Juni 2014

FORM 1D

Grant Financing Grant Financing Nationwide Professional Development for Education Personnel

through Australia’s Education Partnership with Indonesia

Form 1- D

Disbursement and Expenditure Status

For the Quarter ending………

in AUD Grant Agreement No. ….

Remaining Grant

Expenditure

Remaining

Grant Cat

Detail of Category

Grant Allocation

Amount of

Expenditure not

Contract /

Quarter

to date

yet replenish

7 8 9=3-6-7

I Program Implementation of

professional development for education personnel (PPP, CPD, Supervisor PD, Province and District Education Officials PD)

II Management, monitoring and

evaluation of the Initiative including accommodation, transportation, per diems and operating cost for the central management team at MoEC (through the Board of Education HRD and Education Quality Assurance / Badan PSDMP&PMP

III Procurement of goods [define in

details] IV Procurement of services [define in d

SA Advances

TOTAL

___________________________________________________________________________________________________________________________________________ Manual Prosedur Edisi Pertama Versi 2.0 – Juni 2014

FORM 1E

Grant Financing Nationwide Professional Development for Education Personnel

through Australia’s Education Partnership with Indonesia Form 1- E

Summary Statement by Province Expenditures for Contracts / Budget Allocation (DIPA) For the Quarter ending dd/mm/yyyy

Grant Agreement No. ……….

No. Reference Contract / Budget Allocation (DIPA)

Reference SA (RKBI)

Office Issuing SP2D

Cross-Ref

Date of

Payment

Amount (Rp)

Date FY-Page Item Date

Amount

Name

SP2D No.

Charged to SA

(SP2D)

Rate Applied

(AUD eqv)

Rp.

I. Program Implementation of professional development for education personnel (PPP, CPD, Supervisor PD, Province and District Education Officials PD) by Province a. Principals' Preparation Program (PPP) by Province

1 Aceh 2 North Sumatera 3 …………………..

Sub-Total :

b. Principals’ Continuous Professional Development (PCPD) by Province

1 Aceh 2 North Sumatera 3 ………………..

Sub-Total :

c. Supervisor PD by Province

1 Aceh 2 North Sumatera 3 ………………..

Sub-Total :

d. Province and District Education Officials PD by Province

1 Aceh 2 North Sumatera 3 ………………..

Sub-Total : TOTAL Cat. I :

___________________________________________________________________________________________________________________________________________ Manual Prosedur Edisi Pertama Versi 2.0 – Juni 2014

FORM 1E Continued

II. Management, monitoring and evaluation of the Initiative including accommodation, transportation, per diems and operating cost for the central management team at MoEC (through the Board of Education HRD and Education Quality Assurance / Badan PSDMP&PMP

1 Aceh 2 North Sumatera

TOTAL Cat. II :

III.Procurement of goods by Province

1 Aceh 2 North Sumatera

TOTAL Cat. III :

III.Procurement of services By Province

1 Aceh 2 North Sumatera

TOTAL Cat. IV :

GRAND TOTAL Cat. I + Cat. II + Cat III + Cat IV :

___________________________________________________________________________________________________________________________________________ Manual Prosedur Edisi Pertama Versi 2.0 – Juni 2014

FORM 1F

Grant Financing Nationwide Professional Development for Education Personnel

through Australia’s Education Partnership with Indonesia

Form 1- F

Summary Statement by Province Cumulative Expenditures for Contracts /Budget Allocation (DIPA) For the Quarter ending dd/mm/yyyy Grant Agreement No. ……….

No. Reference Contract / Budget Allocation (DIPA)

Date of

Amount

Reference SA (RKBI)

Date FY-Page Item Date

Amount

Office Issuing SP2D

Payment

Amount (Rp)

Charged to SA

Name

SP2D No.

(SP2D)

Rate Applied

(AUD eqv)

Rp.

I. Program Implementation of professional development for education personnel (PPP, CPD, Supervisor PD, Province and District Education Officials PD) a. Principals' Preparation Program (PPP) by Province

1 Aceh 2 North Sumatera 3 ………………..

Sub-Total :

b. Principals’ Continuous Professional Development (PCPD) by Province

1 Aceh 2 North Sumatera 3 ………………..

Sub-Total :

c. Supervisor PD by Province

1 Aceh 2 North Sumatera ………………..

Sub-Total :

d. Province and District Education Officials PD by Province

1 Aceh 2 North Sumatera 3 ………………..

Sub-Total : TOTAL Cat. I :

___________________________________________________________________________________________________________________________________________ Manual Prosedur Edisi Pertama Versi 2.0 – Juni 2014

FORM 1F Continued