Do not write in this area
Form No. C2-12 /CKC
(According to Circular No. 77/2017/TT-BTC dated July 28, 2017 of the Ministry of Finance)
Number: …………... Year of production: ………
APPLICATION FOR COMMITMENT TO STATE BUDGET EXPENDITURE
VND? Foreign currency ?
KPTTX or KPDT ?
Unit requesting state budget spending commitment:
Unit code related to the budget/Investment project code: Investment project name:
Open an account at State Treasury .............................................................. ................................................................ .................................
SECTION OF THE STATE Treasury RECORDED
Debt to account: ................................................
Yes Account: ..............................................
DBHC code: ................................
CKC, HDK number:...................................
Number of CKC, HDTH: .........................
NCC code: ..........................
I. General information about expenditure commitments
Supplier Name: ............................................. ................................................
Supplier account: ............................................................. ...................................
At the bank: .............................................. ..........................................
Paper contract number: ............................................. ................................................
Contract signing date (or contract effective date): ..........................
CKC frame contract number: ............................................. ...............
Value of paper contract: ............................................. .............................
Amount deposited in previous years:................................................... ................................................................ ..........................
II. Detailed information about spending commitments
No
NDKT code |
Code grant NS |
Code chapter |
Industry code KT |
CTMT code, SKIN |
Code source State budget |
Foreign currency symbol |
Amount in original currency |
Amount converted into VND |
|
first |
|||||||||
2 |
|||||||||
Total: |
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Total amount in original currency in words: ............................................. ................................................................ ...............................
Total amount in VND in words:................................................... ................................................................ ....................................
UNIT USING THE STATE TREASURE BUDGET
Date... month... year...... Date... month... year....
Chief accountant
(Sign, write full name)
Unit heads
(Sign, write full name, seal)
Control in charge of Director
Appendix 2.5: Cash receipt for regular expenditure fund
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Appendix 2.6: Cash payment slip Regular courier payments
Appendix 2.7: Cash payment slip Payment of travel expenses, road and bridge expenses for the delegation to work in Thanh Hoa