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