Funding Authorization and Certificate of Expenditures Annexeure 3 UN Agency: UNICEF Date: 26/11/2018

Country: INDIA Type of Request:

Programme Code & Title: 904, Child Protection X □ Direct Cash Transfer (DCT)
Project Code & Title: IR 2.10 □ Reimbursement
Responsible Officer(s): Hilal Bhat □ Direct Payment
Implementing Partner: IMHANS - Govt Psy Hospital

Currency: INR REPORTING REQUESTS / AUTHORIZATIONS

Actual Project Expenditures New Request Period Outstanding
Authorised Amount Balance Authorised Amount
Coding for UNDP, UNFPA and Expenditure accepted by Agency & Amount Authorised Amount
Activity Description from AWP with Duration
WFP 01.06.2019 to 31.08.2019
A B C D=A-C E F G=D+F
Reduced suffering and improved mental health and psychosocial 1,652,500 1,555,064 3,882,500
wellbeing of Children and families in Kashmir.

Total 1,652,500 1,555,064 0 0 3,882,500 0 0

Shaded areas (C, D, F & G) to be completed by the UN Agency and non-shaded areas (A, B, and E) to be completed by the counterpart.
Notes:
* Liability on account of transport charges Q1.

CERTIFICATION

The undersigned authorized officer of the above-mentioned implementing institution hereby certifies that:

X□ The funding request shown above represents estimated expenditures as per AWP and itemized cost estimates attached.
□ The actual expenditures for the period stated herein has been disbursed in accordance with the AWP and request with itemized cost estimates. The detailed accounting documents for these expenditures can be made available for examination, when required, for
the period of five years from the date of the provision of funds.

Date Submitted: 26/11/2018 Name: Dr Aijaz baba Title: HOD IMHANS ( Govt Psyhciatric Hospital) Signature

FOR UN AGENCY USE ONLY:

FOR ALL AGENCIES FOR UNICEF USE ONLY FOR UNFPA USE ONLY
Approved by: Account Charges Liquidation Information New Funding Release
Cash Transfer Reference: DCT Reference:
Name: Aguilar Javier CRQ ref. no., Voucher ref. no. CRQ ref. no., Liquidation ref. no. Activity 1

Title: Chief Child Protetcion GL codes: DCT Amount Activity 2

Training Less:
Travel Liquidation
Signature Meetings & Conferences Amount
Other Cash Transfers
Date: _____________________________________________________ Total Balance Total