/ WORLD HEALTH ORGANIZATION
FOR THE WESTERN PACIFIC REGION

AGREEMENT FOR DIRECT FINANCIAL COOPERATION (DFC) BETWEEN WHO AND LOCAL OR NATIONAL GOVERNMENT OFFICIALS FOR HEALTH CARE ACTIVITIES

/ WHO USE ONLY
Obligation No.
Allotment No.
Budget ID
Agreement No.
Amount
Cleared By
OFFICE OF THE WHO REPRESENTATIVE IN CHINA / Agreement between
and / Agency/
Department:
Address: / 401, Dongwai Diplomatic Office Building
23, Dongzhimenwai Dajie
Chaoyang District, Beijing 100600, China / Address:
Telephone:
Fax: / (8610) 6532-7189, (8610) 6532-7190
(8610) 6532-7191, (8610) 6532-7192
(8610) 6532-2359 / Telephone:
Name of the activity
Total amount (local currency) / <amount in currency and words> / Activity dates
Work Plan No. / Venue
Activity code / Funds required by / <date>
Mode of payment
Note: Payee should be the Agency/Department indicated
in the agreement. / Cheque
Bank Transfer
Account Name:
Account No:
Bank Name:
Bank Address:
Swift Code:
Due date for technical report and financial certification
Any overdue technical and financial report/refunds from the same party?
(In case of Yes, details and reasons to be attached) / Yes / No
The undersigned parties hereby conclude the present agreement consisting of the above terms and the General Conditions overleaf.
For the WORLD HEALTH ORGANIZATION / For
Signature: / Signature:
Name: / Name:
Title: / Title:
Date: / Date:
APPROVAL OR ENDORSEMENT BY WR/CLO
Approve for release of direct financial cooperation (for Country funded requests up to USD10 000)
OR
Endorse for release of direct financial cooperation (for Country funded requests more than USD10 000 and all ICP funded requests)
This section is to be filled in by Regional Office.
APPROVAL OR ENDORSEMENT BY THE RESPONSIBLE OFFICER
Approve for release of direct financial cooperation (for ICP funded requests up to USD5 000)
OR
Endorse for release of direct financial cooperation (for Country funded requests more than USD10 000
and ICP funded requests more than USD5 000
Signature ______Date ______
Printed Name ______
This section is to be filled in by Regional Office.
APPROVAL OR ENDORSEMENT BY THE DIRECTOR
  1. For ICP funded requests (USD5 001 to USD10 000)
Approve for release of funds ______Date ______
Director
  1. For Country and ICP funded requests (USD10 001 to USD30 000)
Endorse for release of funds ______Date ______
Director
AND
Approve for release of funds ______Date ______
DPM
  1. For requests amounting to more than USD30 000 up to USD50 000
Approve for release of funds ______Date ______
Regional Director
This section is to be filled in by WR/CLO Office.
Payment Schedule
Full payment of advance – Only if applicable (Please refer to the DFC guidelines)
Paid on: ______/ Voucher No: ______/ Amount: ______
Payment in instalments
First instalment:
Paid on: ______/ Voucher No: ______/ Amount: ______/ Liquidation
Submitted on: / ______
Subsequent instalment(s) and conditions:
(technical report and financial report should have been submitted for the previous instalment)
Paid on: ______/ Voucher No: ______/ Amount: ______/ Liquidation
Submitted on: / ______
Paid on: ______/ Voucher No: ______/ Amount: ______/ Liquidation
Submitted on: / ______
Paid on: ______/ Voucher No: ______/ Amount: ______/ Liquidation
Submitted on: / ______
GENERAL CONDITIONS
The following are the general conditions which should be strictly adhered to while implementing the programme under this agreement for Direct Financial Cooperation to governments for health programs:
  1. The activity described in the agreement must commence within three months from the date of the agreement and must be completed within a maximum of one year from commencement.
  2. Expenditure should be incurred according to the approved budget for the activity(ies) under this agreement as per schedule attached. Justification for variations of more than 10% must be included with the SOE.
  3. Initial advance payment (full or part as the case may be) will be made only upon signature of both the government and WHO to the agreement.
  4. Full advances are allowed only for one time activities of a short duration (up to 3 months only) or USD50 000 whichever is less; otherwise payments are to be made in instalments as specified in the agreement.
  5. Payment will be made in local currency.
  6. Cheques and bank transfers will be made to institutions, not to individuals. Bank particulars are to be indicated in the agreement.
  7. A technical report relating the activity and its outcome to the relevant activities, products and expected results in the approved Work Plan is due within three months of completion of the activity.
  8. The technical report must include certification of expenditures and unspent balances in relation to the approved budget.
  9. The technical report and expenditure certification must be signed by the appropriate government official, and verified by the responsible officer of WHO.
  10. Un-utilized funds remaining at the end of the period of the activity must be returned to WHO within three months of completion of the activity.
  11. Advances will be withheld from contractual partners (e.g. agencies or departments) with overdue technical reports and financial statements.
  12. Supporting financial documents must be retained by the concerned government authority for five years after the end of the activity and
be available for inspection by WHO.
  1. The relevant portion of government’s audited financial statements must also be made available to WHO upon request.