10. PROJECT INFORMATION SHEET PART’A' PROJECT PROFILE, Reporting Period Sector (According to ADP Book) ‘Name of Implementing Agency ‘Name of the Administrative Ministry/Div. Name of the Aided Project SI, Number in the ADP (according to 2015- : 2016 ADP book) Type of Project (a) Total Cost of the Project (Taka in lakh) : (b) Name of the Bank (s) where project AIC is operated Approval Status Project Implementation period Whether the project is financed by more than one donor (If more than one, please provide breakup of funding) we July, 2015 — Feb, 2016. Investment T.A. Total | GOB Taka Project Aid (RPA) Approved Revised Approved Unapproved Revised Unapproved Yes11. Details of Lined up Aid (a) Title of the Agreement () Name of the Donor/Agency (©) LoawGrant (@) Loan/Grant number and date (©) Amount in donor's currency (Fig. in Million) PART 'B' DONOR WISE ALLOCATION AND UTILIZATION STATUS (Taka in Lakh) 12. Disbursement and utilization status: Name of | Total (PA) Total project Total project Un-disbursed Donor aid(PA) disbursed | aid(PA) utilize up | project aid(PA) as up to 29/02/2016 t0 29/02/2016 on 01/03/2016 Taka [USS (in [Taka [USS(in [Taka [USS (in |Taka | USS(in (in lakh) | million) | (in lakh) | million) | (in lakh) | million) | (in lakh) | million) 13. Status of allocation and utilization out of CONTASA/SAFE/RPA Accounts for FY 2015-16 (Taka in Lakh), (@) Amount released/allotted by Finance Div.: (b) (i) Expenditure incurred (RPA) (i) Balance in the Bank A/C (©) Amount claimed for reimbursement (@) Amount reimbursed by the donor Signature Name Designation : Phone * Please give donor wise disbursed and un-disbursed figures in case of multiple donors’ project.ae 14, Allocation and disbursement status (Please use exchange rate @ TK 80.00 per US$) ‘Taka in Lakh ‘Name of the project and RADP Allocation Utilization July 2015- Feb. 2016 Estimation for ADP Implementation date 2015-16 | 2016-2017 Total PA [RPA Total PA RPA Taka Taka | Donor’s | Taka | Donor’s [ Taka | GoB | Donor's | Project Aid | Total Currency | Currene) Currency | (RPA) Taka 1 2 3 4 7 5 6 7 8 9 10 Ti=8+10 Hints for filling up the Format. . Please provide first Taka amount of PA, then convert into Donor’s Currency/US $ according to expenditure plan or action plan.