V UNFPA Letterhead Payment Request Template Name of Project: _______________________________________ IBRD Loan/IDA Credit/Grant No:____________ Loan/Credit/Grant Closing Date:________________ Check one: [ ] Advance Payment [as per Annex IV]; or [ ] Claim for Deliverable No: [as per Annex I]………… DESCRIPTION AMOUNT in US$ INVOICE No: xxxxx Date: USD xxxx Please transfer the [insert: in amount of USD advance upon signing/Deliverable No.xxx.] xxxxxx as per Annex V Schedule” to UNFPA’s account which follows below: “Payment Bank name: Bank address: Account No.: Account title: SWIFT or ABA No.: Bank contact name: Bank name at USD xxxxxx TOTAL ___________________ xx xxxx
V UNFPA Letterhead Payment Request Template Name of Project: _______________________________________ IBRD Loan/IDA Credit/Grant No:____________ Loan/Credit/Grant Closing Date:________________ Check one: [ ] Advance Payment [as per Annex IV]; or [ ] Claim for Deliverable No: [as per Annex I]………… DESCRIPTION AMOUNT in US$ INVOICE No: xxxxx Date: Please transfer the [insert: advance upon signing/Deliverable No.xxx.] in amount of USD xxxxxx as per Annex V “Payment Schedule” to UNFPA’s account which follows below: Bank name: Bank address: Account No.: Account title: SWIFT or ABA No.: Bank contact name: Bank name at USD xxxx TOTAL USD xxxxxx ___________________ xx xxxx
UNFPAStandardAgreementTechnicalAssistanceOctober2014.docx