Islamic Investment & Finance Cooperatives Group

Annex "FAI - 1"

GOODS RECEIVED NOTE

Date: 0 1 / 0 8 / 2 0 0 3 GRN No.: G R N / 0 0 0 1 / 2 0 0 3 Supplier and purchase information Supplier's identity: Invoice reference: Purchase order No.: Date received: Delivery challan No.: Mode of delivery:

Quantity and cost details

S. No. Stores Code Description Quantity Received Accepted Rejected Unit Total Cost Price Remarks

Attachments: Purchase order Delivery challan Receiving and inspection report

Receipt acknowledgement and Approval Prepared by

Approved by

Designation: Inventory Controller

Designation: GM Procurement & Admn.

Excerpt from updated inventory record

Distribution:
Original Duplicate Finance department alongwith supporting documents as checked above in attachments Retained by Admin Officer

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 3"

EQUIPMENT REQUISITION FORM

Date: D D / M M / Y Y Y Y ERF No.: E R F - 0 0 0 1 - Y Y Y Y

Section A: Requesting personnel and location details Requisitionist:

[Name of the requesting staff]

Designation:
[Position of the requisitionist]

Department/Location:
[Department of the requisitionist]

Section B: Details of requested equipment Equipment required for:

[Pupose for which the equipment is requested]

Date required:
[Date equipment is required]

S. # 1 2 3 4 5 6 7 8 9 10

Detailed Description

Quantity

Requisitioning staff (signature) Date:

Head of deparment (signature) Date:

S. # 1 2 3 4 5 6 7 8 9 10

Section C: Equipment availabaility status (for use by Inventory Controller only) Qty. Available Available in Store Available through Transfer Remarks

Signatures Date:

Distribution: This form is prepared in original and kept by Inventory Controller in suport of Equipment Issuance Form or Equipment Transfer Form as the case may be.

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 4"

EQUIPMENT ISSUANCE FORM

Function: Date: D D / M M / Y Y Y Y EIF No.: E I F - 0 0 0 1 - Y Y Y Y

Section A: Issuee personnel and location details Custodian of asset:

[Name of the issuee]

Designation:
[Position title of the issuee]

Department/Location:
[Department of the issuee]

S. #

Section B: Asset identification and description (when issued from stores) Asset Identification Number Description Section C: Asset Transfer updates Asset Identification Number ETF Number Section C: Approval of Issuance

Category

S. #

Initials (IC)

Authorized signatures Name: Title: Admin Officer Date:

Authorized signatures Name: Title: Administration and HR Manager Date:

Section D: Acknowlegement I acknowledge receipt of the items referred in Section B above in working condition and assume full responsibility of returning them in the same condition. Receiving department head (signature) Date: Retained by Admin Officer

Distribution: Original: Admin Officer Duplicate: Finance Department Triplicate: Concerned Department/location

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 5"

EQUIPMENT TRANSFER FORM

Date: D D / M M / Y Y Y Y Current Location Custodian of the asset: Department: Department Head (Name): Designation: Department Head (Signature): ETF No.: E T F - 0 1 - Y Y Y Y

New Location Custodian of the asset: Department: Department Head (Name): Designation: Department Head (Signature):

Asset Identification and Description Asset Identification Number Description Recommendation and Approval Prepared by: Recommended by: Approved by:

Name:

Name:

Name: Title: Administration and HR Manager Date:

Retained by Admin Officer Title: Title: Admin Officer Date: Date:

To be prepared and kept by Admin Officerfor departmental records.

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 6"

EQUIPMENT TEMPORARY RELOCATION FORM

Use this form to record the temporary removal of Group's equipment from the normally assigned department or employees due to: 1) activities of 7 days or more; 2) repair at off-premises location. Date: D D / M M / Y Y Y Y ETR No.: E T R - 0 0 0 1 - Y Y Y Y

Section A: Issue personnel and location details Custodian of asset:

[Name of the issuee]

Designation:
[Position title of the issuee]

Department/Location:
[Department of the issuee]

Section B: Temporary relocation details Purpose of relocation:

[Brief description]

Off-premises location:
[Address]

Estimated No. of days:

[this field must not be left blank]

Check-out date:
[equipment sign-out date]

Expected return date:

[this is a required field]

Check-in date:
[equipment sign-in date]

S. #

Section C: Asset identification and description Asset Identification Number Description Section D: Acknowledgement and Undertaking

Category

I acknowlege receipt of the above mentioned items and undertake to use them for the pupose specified and to return them on the specified date. While signed-out to me, if the equipment is lost or damaged as a result of my neglegence (carelessness) or wrong doing, I agree to repay the equipment's fair market value.

Receiving person (signature) Date:

Admin Officer (signature) Date:

Distribution: Retained by Admin Officer Original: Admin Officer Duplicate: Custodian of the asset (in case of actvities of seven days or more only)

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 7"

EQUIPMENT REPAIR REQUEST

Date: D D / M M / Y Y Y Y Designation:
[Position title of the issuee]

ERR No.:

E R R - 0 0 0 1 - Y Y Y Y

Custodian of asset:
[Name of the issuee]

Department/Location:
[Department of the issuee]

Please provide as much information as possible below. Note that firmware updates, routine maintenance and performance checks are automatically done with all repairs. Asset identification No.: Description of problem/work to be done: -

Asset identification No.: Description of problem/work to be done:

Asset identification No.: Description of problem/work to be done:

This form should be signed and dated by the requesting staff and Inventory Controller and approved by Deparmtent/area head and GM Administration Requesting staff: Department Head: Admin Officer Administration and HR Manager

Date: Name and Title:

Date: Name and Title:

Date: Name and Title:

Date: Name and Title:

Retained by Admin Officer This form will be prepared by the requesting staff and kept by Admin Officer for departmental records.

Islamic Investment & Finance Cooperatives Group

PHYSICAL STOCK TAKE LISTING

Instructions:
Physical count shall be conducted by the Admin Officer and observed by the Finance and Accouting Officer. The completed list shall then be verified by Finance and Accouting Manager.

S.room=spot's room

Date and Location Information Date conducted: Time of count:

Physical Count Details

S. No. Identification Number Description

Afghani

Purchase Date 13-Jul-10 13-Jul-10 13-Jul-10 13-Jul-10 13-Jul-10 2-Aug-10 2-Aug-10 2-Aug-10 22-Sep-10 13-Jul-10 14-Jul-10 1-Jan-11 8-Feb-11 3-May-11 15-May-11 4-Aug-11 4-Aug-11 4-Aug-11 20-Apr-11 12-Dec-10 12-Feb-11

Rate of Depreciation

Depreciation charge per month

Accumulated Depreciation 2010

Book value as at 31 Dec 2010

Depreciation for month of December 2010 393 393 393 393 393 283 283 283 717 1,250 583 1,964 1,403 8,733

Depreciation Depreciation Depreciation for month of for month of for month of February January 2011 March 2011 393 393 393 393 393 283 283 283 717 1,250 583 333 250 92 100 233 233 267 108 1,964 1,403 10,348 393 393 393 393 393 393 393 393 393 393 393 333 250 393 393 393 393 393 393 393 393 393 393 393 333 250

Depreciation for month of April 2011

Depreciation for month of May 2011

Depreciation for month of June 201

Depreciation for month of Jully 2011

Depreciation for month of August 2011

Depreciation for month of September 2011 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308

Depreciation for month of October 2011

Depreciation for month of November 2011 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308

Depreciation for month of December 2011 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308

Depreciation for month of January 2011

Depreciation for month of February 2011 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308

Depreciation for month of March 2011

Accumulated Book value as at Depreciation 31 Dec 2011 2011

Office Equipment 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 samsung AC samsung AC Samsung AC samsung AC Samsung AS Samsung AC samsung AC samsung AC Canon Digtal Camera Electronic treadmill machin Spinner Bike Fuel Tanker Safe Gross Cutter Water Tanker Aircondition CHGO Aircondition CHGO Aircondition CHGO Gas Heater Canon Copier Container store 23,600.00 23,600.00 23,600.00 23,600.00 23,600.00 17,000.00 17,000.00 17,000.00 43,000.00 75,000.00 35,000.00 20,000.00 15,000.00 5,500.00 6,000.00 13,950.00 13,950.00 16,000.00 6,500.00 117,845.00 84,154.00 620,899.00 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 393 393 393 393 393 283 283 283 717 1,250 583 333 250 92 100 233 233 267 108 1,964 1,403 10,348 1,967 1,967 1,967 1,967 1,967 1,133 1,133 1,133 2,150 6,250 2,917 1,964.08 26,514 21,633 21,633 21,633 21,633 21,633 15,867 15,867 15,867 40,850 68,750 32,083 20,000 15,000 5,500 6,000 13,950 13,950 16,000 6,500.00 115,880.92 84,154.00 594,385 393 393 393 393 393 393 393 393 393 393 393 333 250 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308 393 393 393 393 393 393 393 393 393 393 393 333 250 92 100 233 233 267 108 1,964 1,403 9,308 7,473 7,473 7,473 7,473 7,473 6,640 6,640 6,640 7,657 11,757 8,423 4,667 3,500 1,008 1,100 1,860 1,860 2,133 1,300 29,461 19,636 151,649 16,127 16,127 16,127 16,127 16,127 10,360 10,360 10,360 35,343 63,243 26,577 15,333 11,500 4,492 4,900 12,090 12,090 13,867 5,200 88,384 64,518 469,250

1,964 1,403 8,277

1,964 1,403 8,277

108 1,964 1,403 8,385

108 1,964 1,403 8,577

108 1,964 1,403 8,577

108 1,964 1,403 8,577

21 22 23 24 25 26 27 28 29 30 34 35

Furniture and fixture Carpet file cupboard magazin cupboard Curtains Office Chairs Office Desk Sofa Seat for 4 persons Table Rolling Chair Sofa Seat for 3 persons File racks Bed

35,500.00 5,450.00 10,500.00 8,500.00 407,486.00 11,575.00 145,650.00 10,000.00 7,000.00 11,000.00 13,300.00 11,500.00

17-Jul-10 26-Jul-10 21-Nov-10 24-Jun-10 25-May-10 25-May-10 15-Mar-11 25-Dec-10 25-Dec-10 25-Dec-10 29-Feb-12 20-Mar-12

20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20% 20%

592 91 175 142 6,791 193 2,428 167 117 183 222 192

2,958 454 175.00 850.00 47,540.03 1,350.42 21,847.50 -

32,541.67 4,995.83 10,325.00 7,650.00 359,945.97 10,224.58 123,802.50 10,000.00 7,000.00 11,000.00 13,300.00 11,500.00

592 91 175 142 6,791 193 167 117 183

592 91 175 142 6,791 193 167 117 183

592 91 175 142 6,791 193 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183

592 91 175 142 6,791 193 2,428 167 117 183 222 192

11,242 1,726 2,625 2,833 142,620 4,051 53,405 2,333 1,633 2,567 222 192

24,258 3,724 7,875 5,667 264,866 7,524 92,245 7,667 5,367 8,433 13,078 11,308

677,461.00 IT Equipment Projector Projector screen Desk Top Brandit 780 color printer Voice Recorder Externa Hard Drive 2 TB Sony digital camera HP prininter 110 HP prininter 3500 Externa Hard Drive Laser Jet Printer M-1212 Intangibles Hard disks Cash counting machine Sony Vaio F121 Big Sony Vaio F121 Big Sony Vaio F121 Big Sony Vaio F121 Big Sony Vaio F121 Big Sony Vaio F121 Big Sony Vaio F121 Small Sony Vaio F121 Small Sony Vaio F121 Small Sony Vaio F121 Small Sony Vaio F121 Small Total Attachments Physical count observations and recommendations

11,291.02

75,175.45

602,285.55 23,699.81 26,062.50 30,778.31 12,362.50 8,000.00 18,400.00 22,395.83 9,854.17 4,927.08 14,333.33 16,500.00

8,450.18

8,450.18

8,450.18

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

10,877.68

11,291.35

225,449.18 13,977 9,846 18,151 5,463 2,000 4,600.00 9,896 4,354 2,177 6,333 3,094 8,627 1,401 1,574

452,011.82 15,192 17,954 19,730 8,338 6,000 13,800 15,104 6,646 3,323 9,667 13,406 405,446 9,809 11,015

### ### ### ### ### ### ### ### ### ### ###

29,169.00 27,800.00 37,881.00 13,800.00 8,000.00 18,400.00 25,000.00 11,000.00 5,500.00 16,000.00 16,500.00 414,072.00 11,210.00 12,588.00

6-May-10 15-Sep-10 28-May-10 17-Jul-10 7-Apr-11 17-Apr-11 25-Dec-10 25-Dec-10 25-Dec-10 25-Dec-10 26-Jul-11 3-Mar-12 18-Oct-11 18-Oct-11

25% 25% 25% 25% 25% 25% 25% 25% 25% 25% 25% 25% 25% 25%

608 579 789 288 167 383 521 229 115 333 344 8,627 234 262

5,469.2 1,737.50 7,102.69 1,437.50 2,604.17 1,145.83 572.92 1,666.67 -

608 579 789 288 521 229 115 333 -

608 579 789 288

608 579 789 288

608 579 789 288

521 229 115 333

521 229 115 333

521 229 115 333

608 579 789 288 167 383 521 229 115 333

608 579 789 288 167 383 521 229 115 333

608 579 789 288 167 383 521 229 115 333

608 579 789 288 167 383 521 229 115 333 344

608 579 789 288 167 383 521 229 115 333 344

608 579 789 288 167 383 521 229 115 333 344

608 579 789 288 167 383 521 229 115 333 344 234 262

608 579 789 288 167 383 521 229 115 333 344 234 262

608 579 789 288 167 383 521 229 115 333 344 234 262

608 579 789 288 167 383 521 229 115 333 344 234 262

608 579 789 288 167 383 521 229 115 333 344 234 262

608 579 789 288 167 383 521 229 115 333 344 8,627 234 262

### ### ### ### ### ### ### ### ### ### ###

646,920 1,945,280.00 -

13,478 35,116.83

21,736 123,425.99

187,314 1,383,984.01

3,461 20,644.96

3,461 22,259.96

3,461 20,188.29

3,461 22,615.79

4,011 23,274.13

4,011 23,465.79

4,011 23,465.79

4,355 23,809.54

4,355 24,541.21

4,355 24,541.21

4,851 25,037.00

4,851 25,037.00

4,851 25,037.00

4,851 25,037.00

4,851 25,037.00

13,478 34,077.17

91,492 468,589.91

555,428 1,476,690.09

Checking and Verification Conducted by

Distribution:
Original Duplicate Retained by Admin Officer Forwarded to Finance Department

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 9"

MISSING OR STOLEN ASSET REPORT

Date: D D / M M / Y Y Y Y MSA No.: M S A - 0 0 0 1 - Y Y Y Y Place of occurence:

Name of department / district:

Custodian of equipment:

Property Manager:

Person reporting theft:

Date of incident: Remarks:

Estimated value of loss:

Police agency notified:

Police Report No.:

S. #

Asset Identification Number -

Description

Category

Please check one box

Our investigation of the circumstances surrounding the disappearance of the item of property listed herein indicates reasonable cause to believe that the loss, destruction, or damage to this property was through the negligence of the person(s) charged with the care and custody of this property. Our investigation of the circumstances surrounding the disappearance of the item of property listed herein indicates reasonable cause to believe that the loss, destruction, or damage to this property was not through the negligence of the person(s) charged with the care and custody of this property.

This form should be signed and dated by the department/area head or designated representative. sign here Printed name and title: Date:

Fill out this form in triplicate and 1) forward a copy to Administration and HR Manager with a copy of police report if the item is stolen; 2) retain original copy for departmental files; 3) forward a copy to the CEO.

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 10"

ASSET DISPOSAL AND WRITE-OFF FORM

Date: D D / M M / Y Y Y Y ADF No.: A D F / 0 1 / Y Y Y Y

Instructions: 1) Section A is required to be completed by the requesting staff and approved by departmental head; 2) Department head MUST sign this form; 3) The disposal will be recommended by Administration and HR Manager and approved by Chief Executive Officer before presentation to the Board of Directors; 4) Information in Section D is filled in and signed by Finance and Accouting Manager. s Custodian: Designation: Department:

Asset Identification Number: -

Description of equipment:

Reasons for disposal:

Departmental Approval (signatures):

Name:

Date:

B: Recommendation and Approval Recommended by: CEO's Approval: BOD's Approval:

Name:

Name:

Name:

Date:

Date:

Date: D: To be completed by Finance Department Cost of asset: Accumulated depreciation: Book value: Sale proceeds: Gain/(Loss) on disposal: Posting reference:

C: To be completed by Inventory Controller EI Card Number: E I C - 0 1 - Y Y Y Y

Minutes of BOD's meeting Police/security report (in case of theft only) Assets record updated Processed and forwarded to finance department

Retained by Admin Officer

Authorized Signatures: Name:

Authorized Signatures: Name:

Islamic Investment & Finance Cooperatives Group

Annex "FAI - 11"

MEMORANDUM RECORD FOR NON EXPENDABLES

S/NO

Descriptio Date of acquisition / n transfer

Voucher No

Quantity Unit Cost

Total Cost

Project Donor Location

nnex "FAI - 11"

ES

Condition

Islamic Investment & Finance Cooperatives Group

STOCK CARD FOR CONSUMABLES Store Location:

Description

Date

Purchase Purchase Requisition Order no no

Receipts

Issued

Prepared by: ________________ Designation: ________________

Annex "FAI - 12"

UMABLES Commodity:

Balance

Issued to Department

Recipient signature

Checked by: ________________ Designation: ________________

Islamic Investment & Finance Cooperatives Group

MEMORANDUM RECORD FOR EXPENDABLES

Inventory number

Description

Date of acquisition

Voucher No

Quantity Unit Cost

Total Cost

Project

Prepared by: _______________ Designation: _______________

Approved by:___________

Designation: ___________

Annex "FAI - 13"

ABLES

Donor

Location Condition

Approved by:______________ Designation: _______________