Spreadsheet: e33db9ca-6d79-4007-a21e-e403a0e26225
Sheet: PR_Disbursement Request_5B

On-going Progress Update and Disbursement Request
DISBURSEMENT REQUEST PERIOD
Grant number:
Progress Update - Reporting Period: |  |  |  |  | Cycle: |  | Number:
Progress Update - Period Covered: |  |  |  |  | Beginning Date: |  | End Date:
Progress Update - Number:
Currency:
Section 5: Cash Reconciliation and Disbursement Request
B: DISBURSEMENT REQUEST
Total forecasted net cash expenditures by the Principal Recipient for the period immediately following the period covered
by the Progress Update:
1.  Period beginning date: |  |  |  |  |  | end date: |  |  | approved budget amount: | 500000 | forecasted amount:
2a. Cash buffer period (by default)
(cash "buffer") beginning date: |  |  |  |  |  | end date: |  |  | approved budget amount: | 600000 | forecasted amount:
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PR Total Forecast
2b.  Additional "buffer" (discretionary, select only if there is a prior agreement with the FPM) (1)
cash "buffer" agreed with FPM (2) |  | Select
(cash "buffer") beginning date |  |  |  |  |  | end date: |  |  | approved budget amount: |  | forecasted amount: |  | 0
(1) Additional Cash buffer can be requested if the next PU/DR report will contain a completed EFR report or a completed Annex on SR financials, requested by the Secretariat, or if there are any additional GF-specific requirements that cannot be delivered within 45 days. An agreement in principal from the FPM should be obtained prior to requesting an additional cash buffer.
(2) When the additional (cash "buffer" ) period is 1 or 2 months, the approved budget and forecasted amounts should be calculated as prorated values for the period following the regular buffer period.
Please explain any significant variance (based on your judgment) between the forecasted amounts and the amounts as per approved budgets.  Please specify the main factors and related amounts that are the major drivers of the variance.  NB. Consider the following items when providing the analysis.    - Expected timing of payments for any significant budgetary items,   - Impact of existing cash balance at SR levels   - Current confirmed commitments to be paid during disbursement request period    - Current/expected unit prices compared to those in the budget    - Change in quantities compared to budget   - Exchange rates and inflation   - Linkage between budget absorption and programmatic performance to-date.  ! The forecast should include any existing commitments (eligible under this grant) as of the end of the reporting period and which are likely to be paid during the disbursement period |  |  |  |  |  |  |  | Please see the attached spreadsheet named "Cash Forecast [NAME]" .   The forecast for the next reporting period is based on the Q6 budget adjusted down for the following:  Less $100,000 for savings from late staff recruitment (see Section 3A)  Less $50,000 – TA for labs to be funded by another donor (see Section 3A) Less $80,000 – Unused SR cash balance not offset by commitments  The budget for the buffer quarter is adjusted down for the following:  Less $100,00 – advance payment for test systems
Less: | 3. Cash Balance: End of period covered by Progress Update (number 10 from PR Cash Reconciliation sheet):
 | 4.  Cash "in transit" disbursed to the PR: |  |  |  |  |  |  |  |  |  |  |  | 0
 | 5. Cash "in transit" disbursed to third parties by the Global Fund on behalf of the PR |  |  |  |  |  |  |  |  |  |  |  | 0
6.  PR's Disbursement Request to the Global Fund for the period immediately following the period covered by the Progress Update, plus additional period (cash buffer):
7.  Does the PR's Disbursement Request include funds for health product procurement? |  |  |  |  |  |  |  | Yes
8. Exchange Rate (used to translate local currency into grant currency) |  |  |  |  |  |  |  | Name of local currency, date and source of the exchange rate, and other comments (if appropriate)
 | - used to convert Opening Cash Balance |  |  |  |  | 46 |  | [NAME]
 | - used to convert [NAME] |  |  |  |  | 46 |  | [NAME]
 | - used to convert Total Cash Outflow for the Progress Update Period