-OI90

Accounts Form IX
(Regulations 141(2) and 142(1)
Stocked by Ministry of Finance and National Planning

REPUBLIC OF ZAMBIA
The Public Finance Management Act , 2018
Act No. 1 of 2018
The Public Finance Management (General), Regulations 2020

SPECIMEN
OPENING OR RENEWAL OF GOVERNMENT BANK ACCOUNT
A.APPLICATION FOR OPENING/RENEWAL OF GRZ BANK ACCOUNT AND
CONFIRMATION OF SIGNING ARRANGEMENTS
(To be forwarded in triplicate to the Office of the Accountant General, Ministry of Finance and National Planning)

1. It is desired, in Public interest to make new banking arrangements on:

Institution:
Bank Account Name:
Bank Account Number: (Only complete for Renewal or
Amendment)
At (Bank Name): Branch Name: Town:
Category Code: (A list of valid codes is at the bottom of this
form)
This banking Arrangement is (mark with a ‘x’ as appropriate):
New Renewal Amendment
2. I appoint and authorise any two of the following Officers, one from
each panel, to authorise transactions debiting this Account in accordance with provisions of the Public Finance
Management Act No. 1 of 2018 and Subsidiary Regulations thereof.
PANEL I (ACCOUNTING OFFICERS)
Surname Other Names Rank

PANEL II (NON ACCOUNTING STAFF)

Surname Other Names Rank

Note: Specimen signatures of authorised officers is at part (C). If more than three officers are proposed for either panel, please also complete Annex A.
 (Insert the reference for the covering minute under which this form IX is
3. The purpose / justification for making new banking submitted in accordance with regulation 141(2) and 142(1) of the Public
arrangements is described in: Finance Management (General) Regulations, 2020)

Signature:
Permanent Secretary / Controlling Officer
MAMBE MIYANDA
Date
Stamp
……………………………………………………………………………………

Name:
Organisation:

Category Codes: 1011 = GRZ Current Account; 1012 = GRZ X Account; 1013 = GRZ Donor Fund Account; 1014 = GRZ Treasury Bills Account; 1015 = GRZ
Bond Proceeds Account; 1016 = GRZ Tax Revenue Account; 1017 = GRZ Non-Tax Revenue Account; 1018 = GRZ Agencies A/c; 1019 = GRZ Donor-Funded
Credit Scheme Account; 1020 = GRZ PRP A/c; 1021 = GRZ IMF Credit Account; 1022 = GRZ Specific Project A/c.
MOFNP Ref No.:

B.MANDATE TO MAKE NEW BANKING ARRANGEMENTS

THE MANAGER
Bank
Branch

Dear Sir/Madam,
The Permanent Secretary/Controlling Officer ………………………… is hereby mandated to open/renew the above stated Account. The
mandate expires on 31st January , …………….. In accordance with the Service Level Agreement made between your bank and the
Government of the Republic of Zambia, fees and charges shall be levied directly on the account. A Statement of Affairs on fees or charges
against the account shall be submitted to the address below on a monthly basis.
Yours faithfully, Address for Submission of Statement of Affairs
Date
Stamp
Attention:
Org. Name:
Signature:
Street:
……………………………………………… Postal:
Name: District:
Accountant General’s Office, Province:
For/Secretary to the Treasury
Ministry of Finance and National Planning
 C. SPECIMEN SIGNATURES
Each Panel Member must provide three (3) Specimen Signatures below. If this form is not printed double sided (with the Controlling
Officers’ signature on the face of the main form) the Controlling Officer must also certify this page.
Specimen Signatures for Panel I (Accounting Officers)

Specimen Signature Specimen Signature Specimen Signature

Print Print Print
Name Name Name

Specimen Signature Specimen Signature Specimen Signature

Print Print Print
Name Name Name

Specimen Signature Specimen Signature Specimen Signature

Print Print Print
Name Name Name

Specimen Signature Specimen Signature Specimen Signature

Print Print Print
Name Name Name

Specimen Signature Specimen Signature Specimen Signature

Print Print Print
Name Name Name

Specimen Signature Specimen Signature Specimen Signature

Print Print Print
Name Name Name
PANEL I (ACCOUNTING OFFICERS)
Surname Other Names Rank

Specimen Signatures for Panel I (Accounting Officers) – Each panel member must provide three (3) Specimen Signatures
below.

Specimen Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name

Speci men Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name

Specimen Signature Specimen Signature Specimen Signature

 Print Name Print Name Print Name

Speci men Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name

Speci men Signature Specimen Signature Speci men Signature

Print Name Print Name Print Name

Speci men Signature Specimen Signature Speci men Signature

Print Name Print Name Print Name

Date Signature:
Stamp
………………………………………
Permanent Secretary / Controlling Officer
PANEL II (NON ACCOUNTING STAFF)
Surname Other Names Rank

Specimen Signatures for Panel II (Non Accounting Officers) – Each panel member must provide three (3) Specimen Signatures
below.

Specimen Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name

Specimen Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name

Specimen Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name
 Specimen Signature Specimen Signature Specimen Signature
Print Name Print Name Print Name

Speci men Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name

Speci men Signature Specimen Signature Specimen Signature

Print Name Print Name Print Name

Date Signature:
Stamp
………………………………………
Permanent Secretary / Controlling Officer