Financial Statement on Income a

[Name of the Fund] - for the perio

[Name of Implementing Partner] - [Projec
1st Instalment
Balance available as of XX.XX.20XX

$ 865.63 $ 178,942.52

For final report only

Interest Income $ -
Miscellaneous Income (if any) $ -

Current balance / final balance: $ 865.63

Approved 1st Instalment

Budget expenditure

A. Staff and Other Personnel Costs $ 228,200.00 $ 79,300.00

B. Supplies, Commodities, Materials (Programme Inputs) $ 25,440.00 $ 5,564.00

C. Equipment $ 17,250.00 $ 4,125.00

D. Contractual Services $ 34,000.00 $ 13,000.00

E. Travel $ 45,600.00 $ 6,340.00

F. Transfers and Grants to Counterparts $ 25,000.00 $ 1,000.00

G. General Operating and Other Direct Costs $ 42,600.00 $ 10,200.00

Subtotal Direct Project Costs $ 418,090.00 $ 119,529.00

Indirect Programme Support Costs (PSC)

(max. 7%) $ 29,266.30 $ 8,367.03

Total CBPF Project Cost $ 447,356.30 $ 127,896.03

Balance available as of [XX.XX.XXXX] $ 51,046.49

Rate of cumulative expenditure versus total paid instalment

Certification by Implementing Partner:

This is to certify that the above statement of income and expenditure (hereinafter referred to as "financial statemen
the income and expenditure for the corresponding project and project budget.

I confirm that I have been approved through the Due Diligence module within GMS to sign this financial report.

Name:
Title:

Signature Date

With the submission of the financial report for the utilization of the advance, I am requesting the release of the subs

Name:
Title:

Signature Date

Approved by the OCHA

Name:
Title:

Signature Date
ancial Statement on Income and Expenditures for Funds Received from the
me of the Fund] - for the period _____________ 20XX to ____________ 20XX
plementing Partner] - [Project Title] Ref.: Project # [OCHA Project Reference Number]
Fixed date report 2nd Instalment 3rd Instalment
N/A - Please move this
column accordingly if
fixed date report falls
after the 2nd or 3rd
instalment

$ 134,206.89 $ 134,206.89

2nd Instalment 3rd Instalment

Fixed date report expenditure expenditure
% % % %

34.8% $ 88,000.00 38.6% #REF! #REF! #REF! #REF!

21.9% $ 8,000.00 31.4% #REF! #REF! #REF! #REF!

23.9% $ 9,000.00 52.2% #REF! #REF! #REF! #REF!

38.2% $ 11,000.00 32.4% #REF! #REF! #REF! #REF!

13.9% $ 4,340.00 9.5% #REF! #REF! #REF! #REF!

4.0% $ 9,000.00 36.0% #REF! #REF! #REF! #REF!

23.9% $ 22,200.00 52.1% #REF! #REF! #REF! #REF!

$ 151,540.00 #REF! #REF!

$ 10,607.80 #REF! #REF!

29% $ 162,147.80 36% #REF! #REF! #REF! #REF!

$ 16,794.72 #REF! #REF!

71% 91% #REF! #REF!

referred to as "financial statement") has been generated through the Grants Management System (hereinafter referred to as

S to sign this financial report.

Stamp

requesting the release of the subsequent instalment of US $XX,XXX.XX.

Stamp
er]
Final report Expenditure

$ 446,490.67

Final Report Balance

% %

$ 227,700.00 99.8% $ 500.00 0.22%

$ 25,399.00 99.8% $ 41.00 0.16%

$ 17,089.00 99.1% $ 161.00 0.93%

$ 33,970.00 99.9% $ 30.00 0.09%

$ 45,523.00 99.8% $ 77.00 0.17%

$ 25,000.00 100.0% $ - 0.00%

$ 42,600.00 100.0% $ - 0.00%

$ 417,281.00 $ 809.00 0.19%

$ 29,209.67 $ 56.63 0.19%

$ 446,490.67 100% $ 865.63 0.19%

$ 865.63 $ 865.63

99.8%
m (hereinafter referred to as "GMS"), and is a true representation of
 Project title:
Project code:
Implementing partner:
Country:
Project period:

Country-based Pooled Fund (CBPF) Project B

This Excel template must be used when preparing proposal budgets to ensure

Please use the template below without modifying the section headings. Wherever possible and relevant please provide a detailed
line of the project. The % charged to the CBPF will be 100% with the exception of shared costs, for which please indicate the tota
and unit cost is unavailable or unnecessary, please enter total amount of the item along with sufficient description of cost conten
All unit costs and total costs should be rounded to a maximum of 2 decimal places (e.g. 0.00).
For further guidance on the budget preparation process, please refer to the "Basic Definitions and Guidance on the Project Budge

Budget Lines (specify unit type if applicable) Unit quantity Unit Cost

A. Staff and Other Personnel Costs (please itemize costs of staff, consultants and other personnel to be recruited directly by the im

Example: Project manager 1 $2,000.00

Example: Security guards 12 $1,000.00
Example: xxxxxxxxxx 5 $3,000.00
Example: xxxxxxxxxx 1 $2,450.00
Sub-Total A: —— ——
B. Supplies, Commodities, Materials (Programme Inputs) (please itemize direct and indirect costs of consumables to be purcha
distribution costs)
Ex:xxxxxx 1 $250.00
Ex:xxxxxx 5 $374.00

Sub-Total B: —— ——
C. Equipment (please itemize costs of non-consumables to be purchased under the project)
C1:xxxxx 12 $1,250.00
C2:xxxx 1 $4,500.00

Sub-Total C: —— ——
D. Contractual Services (please list works and services to be contracted under the project)
D1:xxxx 2 $12,500.00
D2:xxxx 5 $150.00

Sub-Total D: —— ——
E. Travel (please itemize travel costs of staff, consultants and other personnel for project implementation)
E1: xxxxx 12 $450.00
E2: xxxxx 2 $6,700.00

Sub-Total E: —— ——
F. Transfers and Grants to Counterparts (please list transfers and sub-grants to project implementing partners)
F1:xxxx 1 $25,000.00

Sub-Total F: —— ——
G. General Operating and Other Direct Costs (please include general operating expenses and other direct costs for project imp
G1: xxxxxxxx 2 $275.00
G2:xxxxxxxx 5 $600.00

Sub-Total G: —— ——
Subtotal Direct Project Costs
Indirect Programme Support Costs (PSC) rate (insert percentage, not to exceed 7 per cent)
PSC Amount
Total CBPF Project Cost
d Fund (CBPF) Project Budget Tool
osal budgets to ensure correct calculations of various budget items.

elevant please provide a detailed breakdown of items (unit type, quantity, unity cost) and costs for each budget
r which please indicate the total cost and the % being charged to the Fund. Where breakdown of unit, quantity
cient description of cost content. Please add additional rows, as needed.
d Guidance on the Project Budget Preparation Process" in Section 5 of the Operational Handbook for CBPFs.

Duration Time unit (Months, % Charged to CBPF Total (US$)

Days or Lump sum)

to be recruited directly by the implementing partner for project implementation)

12 Months 100%$ 24,000

12 Months 10%$ 14,400
12 Months 100%$ 180,000
8 50%$ 9,800
—— $ 228,200
ts of consumables to be purchased under the project, including associated transportation, freight, storage and

12 100% $ 3,000
12 100% $ 22,440
$ -
$ -
—— $ 25,440

1 100% $ 15,000
1 50% $ 2,250
$ -
$ -
—— $ 17,250

1 100% $ 25,000
12 100% $ 9,000
$ -
$ -
—— $ 34,000
mentation)
1 100% $ 5,400
3 100% $ 40,200
$ -
$ -
—— $ 45,600
nting partners)
1 100% $ 25,000
$ -
$ -
$ -
—— $ 25,000
her direct costs for project implementation)
12 100% $ 6,600
12 100% $ 36,000
$ -
$ -
—— $ 42,600
$418,090.0
7%
$29,266.3
$447,356.3
 Project title:
Project code:
Implementing partner:
Country:
Project period:

Project Budget Tool - Budget Na

Please provide a narrative description of the Project Budget Tool focusing on two aspects: a) how the planned costs contribute to
been estimated. For guidance on the latter refer to Section 3. Guidance and basic definition of the CBPF budget guidance docum
categories, in order to facilitate the evaluation of your proposal:
- Shared costs - please explain how the cost contributes to the implementation of the project, how the allocation to the project w
- Eligible costs - if any costs listed in Section 1.3 Note on other types of expenditures of the budget guidance document are includ
- Duties, charges and taxes (including VAT) - please indicate whenever costs are inclusive of duties, charges and taxes, and explain
For further guidance on the budget preparation process, please refer to the "Basic Definitions and Guidance on the Project Budge

Budget Lines
A. Staff and Other Personnel Costs (please list all budget lines)

Example: Project manager

Example: Security guards
Example: xxxxxxxxxx
Example: xxxxxxxxxx

B. Supplies, Commodities, Materials (Programme Inputs)

(please list all budget lines)

Ex:xxxxxx
Ex:xxxxxx
0
0

C. Equipment (please list all budget lines)

C1:xxxxx
C2:xxxx
0
0

D. Contractual Services (please list all budget lines)

D1:xxxx
D2:xxxx
0
0

E. Travel (please list all budget lines)

E1: xxxxx
E2: xxxxx
0
0

F. Transfers and Grants to Counterparts (please list all budget lines)

F1:xxxx
0
0
0

G. General Operating and Other Direct Costs (please list all budget
lines)

G1: xxxxxxxx
G2:xxxxxxxx
0
0
 Project Budget Tool - Budget Narrative

Tool focusing on two aspects: a) how the planned costs contribute to the implementation of the project; and b) how unit numbers, unit costs and total
. Guidance and basic definition of the CBPF budget guidance document. In particular please ensure that the required information is provided for the fo
sal:
he implementation of the project, how the allocation to the project was derived (e.g. pro-rata, averages), and how it will be verified throughout implem
er types of expenditures of the budget guidance document are included in the Budget, please justify how they are necessary for the implementation of
whenever costs are inclusive of duties, charges and taxes, and explain why these could not be recovered.
ase refer to the "Basic Definitions and Guidance on the Project Budget Preparation Process" in Section 5 of the Operational Handbook for CBPFs.

Cost description
Please indicate for each position what role it plays in the implementation of the project and its grade/level. Also explain how the unit numb
estimated, and what costs are included in the monthly or daily rate unit cost (e.g. salary, social security, medical and life insurance, hazard p

For all Supplies, Commodities and Materials please explain how the unit number and unit cost have been estimated. For standard and low
describe the composition of the kits, how the composition was agreed and how the cost of the individual items has been estimated. For non
construction materials please describe how construction costs have been estimated on the basis of a standard prototype of building (latrine
post, shelter), type of materials (wood, prefabricated, brick/cement/concrete) and formula or rationale used to estimate construction costs
square foot or meter, previous experiences, etc.).

Please explain how the unit number and unit cost have been estimated. For large and/or expensive equipment items, including vehicles, ple
describe how the item(s) is (are) necessary to the implementation of the CBPF project.

Please explain how the unit number and unit cost for each contract have been estimated, and describe the location and type of services pro
For domestic and international travel please explain how the number of trips and the cost of each trip have been estimated. For internation
costs non directly linked to the delivery of project objectives, please justify how the costs are necessary for, and support the implementation
project.

For each transfer and/or sub-grant please explain the purpose and objectives. Whilst breakdown of sub-partners costs is not required by OC
extent possible counterpart budgets and financial reports should be structured around the categories in this budget template.
Include only direct costs: indirect costs of implementing partners should be covered by the overall maximum 7 per cent PSC for the project.

Please explain how the unit number and unit cost have been estimated. For shared costs refer to guidance above and in Section 5.1 "Basic D
and Guidance on the Project Budget Preparation Process" Operational Handbook for CBPFs.
 Project Title:
Project Code:
Implementing partner:
Country:
Project period:
Reporting period: From (project start date)
To dd/mmm/yyyy
dd/mm/yyyy
Reporting date

Financial Report on the 1st

Instalment
Original budget
Budget Lines (specify unit type if applicable)

Duration
Unit quantity Unit Cost (Months, Days
or Lump sum)
A. Staff and Other Personnel Costs (please itemize costs of staff, consultants and other personnel to be recruited directly by the implem
for project implementation)
Example: Project manager 1 $2,000.00 12
Example: Security guards 12 $1,000.00 12
Example: xxxxxxxxxx 5 $3,000.00 12
Example: xxxxxxxxxx 1 $2,450.00 8
Sub-Total A: —— ——
B. Supplies, Commodities, Materials (Programme Inputs)(please itemize direct and indirect costs of consumables to be purchased unde
including associated transportation, freight, storage and distribution costs)
Ex:xxxxxx 1 $250.00 12
Ex:xxxxxx 5 $374.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total B: —— ——
C. Equipment (please itemize costs of non-consumables to be purchased under the project)
C1:xxxxx 12 $1,250.00 1
C2:xxxx 1 $4,500.00 1
0 0 $0.00 0
0 0 $0.00 0
Sub-Total C: —— ——
D. Contractual Services (please list works and services to be contracted under the project)
D1:xxxx 2 $12,500.00 1
D2:xxxx 5 $150.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total D: —— ——
E. Travel (please itemize travel costs of staff, consultants and other personnel for project implementation)
E1: xxxxx 12 $450.00 1
E2: xxxxx 2 $6,700.00 3
0 0 $0.00 0
0 0 $0.00 0
Sub-Total E: —— ——
F. Transfers and Grants to Counterparts (please list transfers and sub-grants to project implementing partners)
F1:xxxx 1 $25,000.00 1
0 0 $0.00 0
0 0 $0.00 0
0 0 $0.00 0
Sub-Total F: —— ——
G. General Operating and Other Direct Costs (please include general operating expenses and other direct costs for project implementati
G1: xxxxxxxx 2 $275.00 12
G2:xxxxxxxx 5 $600.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total G: —— ——
Subtotal Direct Project Costs
Indirect Programme Support Costs (PSC) rate
(insert percentage, not to exceed 7 per cent)
PSC Amount
Total CBPF Project Cost

This is to certify that the above statement of income and expenditure is correct and that expenditures correspond t

Name:

Title:

Signature
 Expenditure report

Cumulative expenditure Remaining balance

% Charged to CBPF Total (US$) since project start date (US$)
(US$)
onnel to be recruited directly by the implementing partner

100% $ 24,000 $ 8,000 $ 16,000

10% $ 14,400
100% $ 180,000
50% $ 9,800
—— $ 228,200 $
costs of consumables to be purchased under the project,
$ 5,000 $ 9,400
$ 60,000 $ 120,000
$ 6,300 $ 3,500
79,300 $ 148,900

1 $ 3,000 $ 1,564 $ 1,436

1 $ 22,440 $ 4,000 $ 18,440
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 25,440 $ 5,564 $ 19,876

1 $ 15,000 $ 4,000 $ 11,000

0.5 $ 2,250 $ 125 $ 2,125
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 17,250 $ 4,125 $ 13,125

1 $ 25,000 $ 1,000 $ 24,000

1 $ 9,000 $ 12,000 $ (3,000)
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 34,000 $ 13,000 $ 21,000
mplementation)
1 $ 5,400 $ 1,340 $ 4,060
1 $ 40,200 $ 5,000 $ 35,200
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 45,600 $ 6,340 $ 39,260
ementing partners)
1 $ 25,000 $ 1,000 $ 24,000
0 $ - $ - $ -
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 25,000 $ 1,000 $ 24,000
d other direct costs for project implementation)
1 $ 6,600 $ 2,200 $ 4,400
1 $ 36,000 $ 8,000 $ 28,000
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 42,600 $ 10,200 $ 32,400
$ 418,090 $ 119,529 $ 298,561
7% 7% 7%
$29,266 $8,367 $20,899
$447,356 $127,896 $319,460

ct and that expenditures correspond to the approved project and project budget for which funds have been received.

Date Stamp
 Comments and budget
% variation explanation

33%
35%
33%
64%
34.8%

52%
18%
#DIV/0!
#DIV/0!
21.9%

27%
6%
#DIV/0!
#DIV/0!
23.9%

4%
133%
#DIV/0!
#DIV/0!
38.2%

25%
12%
#DIV/0!
#DIV/0!
13.9%
 4%
#DIV/0!
#DIV/0!
#DIV/0!
4.0%

33%
22%
#DIV/0!
#DIV/0!
23.9%
28.6%

which funds have been received.

 Project title:
Project code:
Implementing partner:
Country:
Project period:
Reporting period: From (project start date)
To dd/mmm/yyyy
dd/mm/yyyy
Reporting date

Financial Report on the 1st

Instalment
Original budget
Budget Lines (specify unit type if applicable)

Duration
Unit quantity Unit Cost (Months, Days
or Lump sum)
A. Staff and Other Personnel Costs (please itemize costs of staff, consultants and other personnel to be recruited directly by the implem
for project implementation)
Example: Project manager 1 $2,000.00 12
Example: Security guards 12 $1,000.00 12
Example: xxxxxxxxxx 5 $3,000.00 12
Example: xxxxxxxxxx 1 $2,450.00 8
Sub-Total A: —— ——
B. Supplies, Commodities, Materials (Programme Inputs) (please itemize direct and indirect costs of consumables to be purchased unde
including associated transportation, freight, storage and distribution costs)
Ex:xxxxxx 1 $250.00 12
Ex:xxxxxx 5 $374.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total B: —— ——
C. Equipment (please itemize costs of non-consumables to be purchased under the project)
C1:xxxxx 12 $1,250.00 1
C2:xxxx 1 $4,500.00 1
0 0 $0.00 0
0 0 $0.00 0
Sub-Total C: —— ——
D. Contractual Services (please list works and services to be contracted under the project)
D1:xxxx 2 $12,500.00 1
D2:xxxx 5 $150.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total D: —— ——
E. Travel (please itemize travel costs of staff, consultants and other personnel for project implementation)
E1: xxxxx 12 $450.00 1
E2: xxxxx 2 $6,700.00 3
0 0 $0.00 0
0 0 $0.00 0
Sub-Total E: —— ——
F. Transfers and Grants to Counterparts (please list transfers and sub-grants to project implementing partners)
F1:xxxx 1 $25,000.00 1
0 0 $0.00 0
0 0 $0.00 0
0 0 $0.00 0
Sub-Total F: —— ——
G. General Operating and Other Direct Costs (please include general operating expenses and other direct costs for project implementati
G1: xxxxxxxx 2 $275.00 12
G2:xxxxxxxx 5 $600.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total G: —— ——
Subtotal Direct Project Costs
Indirect Programme Support Costs (PSC) rate
(insert percentage, not to exceed 7 per cent)
PSC Amount
Total CBPF Project Cost

This is to certify that the above statement of income and expenditure is correct and that expenditures correspond t

Name:
Title:

Signature
 Expenditure report

Cumulative expenditure Remaining balance

% Charged to CBPF Total (US$) since project start date (US$)
(US$)
rsonnel to be recruited directly by the implementing partner

100% $ 24,000 $ 9,000 $ 15,000

10% $ 14,400
100% $ 180,000
50% $ 9,800
—— $ 228,200 $
ect costs of consumables to be purchased under the project,
$ 6,000 $ 8,400
$ 65,000 $ 115,000
$ 8,000 $ 1,800
88,000 $ 140,200

1 $ 3,000 $ 2,000 $ 1,000

1 $ 22,440 $ 6,000 $ 16,440
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 25,440 $ 8,000 $ 17,440
t)
1 $ 15,000 $ 8,000 $ 7,000
0.5 $ 2,250 $ 1,000 $ 1,250
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 17,250 $ 9,000 $ 8,250
)
1 $ 25,000 $ 2,000 $ 23,000
1 $ 9,000 $ 9,000 $ -
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 34,000 $ 11,000 $ 23,000
implementation)
1 $ 5,400 $ 1,340 $ 4,060
1 $ 40,200 $ 3,000 $ 37,200
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 45,600 $ 4,340 $ 41,260
plementing partners)
1 $ 25,000 $ 9,000 $ 16,000
0 $ - $ - $ -
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 25,000 $ 9,000 $ 16,000
and other direct costs for project implementation)
1 $ 6,600 $ 2,200 $ 4,400
1 $ 36,000 $ 20,000 $ 16,000
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 42,600 $ 22,200 $ 20,400
$ 418,090 $ 151,540 $ 266,550
7% 7% 7%
$29,266 $10,608 $18,659
$447,356 $162,148 $285,209

ect and that expenditures correspond to the approved project and project budget for which funds have been received.

Date Stamp
 Comments and budget
% variation explanation

38%
42%
36%
82%
38.6%

67%
27%
#DIV/0!
#DIV/0!
31.4%

53%
44%
#DIV/0!
#DIV/0!
52.2%

8%
100%
#DIV/0!
#DIV/0!
32.4%

25%
7%
#DIV/0!
#DIV/0!
9.5%
 36%
#DIV/0!
#DIV/0!
#DIV/0!
36.0%

33%
56%
#DIV/0!
#DIV/0!
52.1%
36.2%

r which funds have been received.

 Project Title:
Project Code:
Implementing partner:
Country:
Project period:
Reporting period: From (project start date)
To dd/mmm/yyyy
dd/mm/yyyy
Reporting date

Final Financial Report

Original budget
Budget Lines (specify unit type if applicable)

Unit quantity Unit Cost Duration

A. Staff and Other Personnel Costs (please itemize costs of staff, consultants and other personnel to be recruited directly by the
implementing partner for project implementation)
Example: Project manager 1 $2,000.00 12
Example: Security guards 12 $1,000.00 12
Example: xxxxxxxxxx 5 $3,000.00 12
Example: xxxxxxxxxx 1 $2,450.00 8
Sub-Total A: —— ——
B. Supplies, Commodities, Materials (Programme Inputs) (please itemize direct and indirect costs of consumables to be
purchased under the project, including associated transportation, freight, storage and distribution costs)
Ex:xxxxxx 1 $250.00 12
Ex:xxxxxx 5 $374.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total B: —— ——
C. Equipment (please itemize costs of non-consumables to be purchased under the project)
C1:xxxxx 12 $1,250.00 1
C2:xxxx 1 $4,500.00 1
0 0 $0.00 0
0 0 $0.00 0
Sub-Total C: —— ——
D. Contractual Services (please list works and services to be contracted under the project)
D1:xxxx 2 $12,500.00 1
D2:xxxx 5 $150.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total D: —— ——
E. Travel (please itemize travel costs of staff, consultants and other personnel for project implementation)
E1: xxxxx 12 $450.00 1
E2: xxxxx 2 $6,700.00 3
0 0 $0.00 0
0 0 $0.00 0
Sub-Total E: —— ——
F. Transfers and Grants to Counterparts (please list transfers and sub-grants to project implementing partners)
F1:xxxx 1 $25,000.00 1
0 0 $0.00 0
0 0 $0.00 0
0 0 $0.00 0
Sub-Total F: —— ——
G. General Operating and Other Direct Costs (please include general operating expenses and other direct costs for project
implementation)
G1: xxxxxxxx 2 $275.00 12
G2:xxxxxxxx 5 $600.00 12
0 0 $0.00 0
0 0 $0.00 0
Sub-Total G: —— ——
Subtotal Direct Project Costs
Indirect Programme Support Costs (PSC) rate
(insert percentage, not to exceed 7 per cent)
PSC Amount
Total CBPF Project Cost

This is to certify that the above statement of income and expenditure is correct and that expenditures correspond t

Name:
Title:

Signature
 Expenditure report

Cumulative expenditure Remaining balance

Total (US$) Total original budget since project start date
(US$)
(US$)
onnel to be recruited directly by the

100% $ 24,000 $ 21,000 $ 3,000

10% $ 14,400 $ 14,000 $ 400
100% $ 180,000 $ 186,000 $ (6,000)
50% $ 9,800 $ 6,700 $ 3,100
—— $ 228,200 $ 227,700 $ 500
costs of consumables to be
ution costs)
1 $ 3,000 $ 2,999 $ 1
1 $ 22,440 $ 22,400 $ 40
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 25,440 $ 25,399 $ 41

1 $ 15,000 $ 14,789 $ 211

0.5 $ 2,250 $ 2,300 $ (50)
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 17,250 $ 17,089 $ 161

1 $ 25,000 $ 25,000 $ -
1 $ 9,000 $ 8,970 $ 30
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 34,000 $ 33,970 $ 30
lementation)
1 $ 5,400 $ 5,400 $ -
1 $ 40,200 $ 40,123 $ 77
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 45,600 $ 45,523 $ 77
menting partners)
1 $ 25,000 $ 25,000 $ -
0 $ - $ - $ -
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 25,000 $ 25,000 $ -
other direct costs for project
1 $ 6,600 $ 6,600 $ -
1 $ 36,000 $ 36,000 $ -
0 $ - $ - $ -
0 $ - $ - $ -
—— $ 42,600 $ 42,600 $ -
$ 418,090 $ 417,281 $ 809
7% 7%
$29,266 $29,210
$447,356 $446,491 $809

ct and that expenditures correspond to the approved project and project budget for which funds have been received.

Date Stamp
Remaining balance (%) Comments and budget
variation explanation

13%
3%
-3%
32%
0%

0%
0%

0%

1%
-2%

1%

0%
0%

0%

0%
0%

0%
 0%

0%

0%
0%

0%
0%

0%
0%

which funds have been received.

 Project Title:
Project Code:
Implementing partner:
Country:
Project period:

Please use the template below without modifying the section headings. Wherever possible and relevant p
the Fund. Where breakdown of unit, quantity and unit cost is unavailable or u

Original budget
Budget Lines (specify unit type if applicable) Unit quantity Unit Cost
A. Staff and Other Personnel Costs (please itemize costs of staff, consultants and other personnel to be recruited directly by the im
Example: Project manager 1 $2,000.00
Example: Security guards 12 $1,000.00
Nurse 8 $500.00

Sub-Total A: —— ——
B. Supplies, Commodities, Materials (Programme Inputs) (please itemize direct and indirect costs of consumables to be purchase
transportation, freight, storage and distribution costs)

Sub-Total B: —— ——
C. Equipment (please itemize costs of non-consumables to be purchased under the project)

Sub-Total C: —— ——
D. Contractual Services (please list works and services to be contracted under the project)

Sub-Total D: —— ——
E. Travel (please itemize travel costs of staff, consultants and other personnel for project implementation)

Sub-Total E: —— ——
F. Transfers and Grants to Counterparts (please list transfers and sub-grants to project implementing partners)
 Sub-Total F: —— ——
G. General Operating and Other Direct Costs (please include general operating expenses and other direct costs for project imp

Sub-Total G: —— ——
Subtotal Direct Project Costs
Indirect Programme Support Costs (PSC) rate (insert percentage, not to exceed 7 per cent)
PSC Amount
Total CBPF Project Cost
 Country-based Pooled Fund (CBPF) Project Budg
This excel template must be used when preparing CBPF budget revisions to en

herever possible and relevant please provide a detailed breakdown of items (unit type, quantity, unity cost) and costs for each
and unit cost is unavailable or unnecessary, please enter total amount of the item along with sufficient description of cost con
For further guidance on the budget preparation process, please refer to the Country-
Cumulative expenditure
Duration % Charged to CBPF Total (US$) from project start to
DD/MM/YYYY (US$)
sonnel to be recruited directly by the implementing partner for project implementation)
12 100% $ 24,000 $10,000.00
12 10% $ 14,400 $5,000.00
6 100% $ 24,000 $15,000.00
$ -
—— $ 62,400 $ 30,000
ct costs of consumables to be purchased under the project, including associated
$ -
$ -
$ -
$ -
—— $ - $ -
)
$ -
$ -
$ -
$ -
—— $ - $ -
t)
$ -
$ -
$ -
$ -
—— $ - $ -
implementation)
$ -
$ -
$ -
$ -
—— $ - $ -
mplementing partners)
 $ -
$ -
$ -
$ -
—— $ - $ -
and other direct costs for project implementation)
$ -
$ -
$ -
$ -
—— $ - $ -
$62,400 $30,000
7% 7%
$4,368 $2,100
$66,768 $32,100
 Fund (CBPF) Project Budget Amendment Tool
BPF budget revisions to ensure correct calculations of various budget items.

y, unity cost) and costs for each budget line of the project. The % charged to CBPF will be 100% with the exception of shared co
ufficient description of cost content. Please add additional rows, as needed. All unit costs and total costs should be rounded to
ess, please refer to the Country-based Pooled Fund Budget Guidance in Chapter 6.
Revised budget
Unit quantity Unit Cost Duration % Charged to CBPF

1 $1,900.00 10 100%
12 $1,200.00 13 10%
9 $500.00 7 100%

—— —— ——

—— —— ——

—— —— ——

—— —— ——

—— —— ——
—— —— ——

—— —— ——
ems.

l be 100% with the exception of shared costs, for which please indicate the total cost and the % being charged to
osts and total costs should be rounded to a maximum of 2 decimal places (e.g. 0.00).

Budget variance
Total (US$) % budget variation Explanation for budget variation

$ 19,000 -21%
$ 18,720 30%
$ 31,500 31%
$ - #DIV/0!
$ 69,220 11%

$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!

$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!

$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!

$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!

$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$ - #DIV/0!
$69,220 11%
7% 7%
$4,845 11%
$74,065 11%