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 Name of the Bank: ……………………………………………..

Statement for the Month of: …………..

Report date: ……………….

MONTHLY STATEMENT OF UNRECONCILED INTER BRANCH TRANSACTION

(To be submitted within 10 days of the next month)

(AMOUNT IN THOUSAND BDT)

DEBIT ENTRY CREDIT ENTRY

SL # PERIOD OF UNRECONCILLIATION REMARKS
NO. OF ENTRY AMOUNT NO. OF ENTRY AMOUNT

1 Less than 3 months

*2 3 months to less than 6 months

*3 6 months to less than 9 months

**4 9 months to less than 12 months

**5 12 months and more

GRAND TOTAL:

* Whether the outstanding debit entries for more than 3 months are provided or not .
Put Yes/No in the remarks column and if the answer is No provide the reasons in details.

** Provide details of unreconciled debit entries for more than 9 months amounting Tk. 5,00,000/- and above.

Authorized Signature Authorized Signature

Name : Name :
Designation : Designation :
Contact Phone : Contact Phone :
Date : Date :
 Name of the Bank: ……………………………………………..

Statement for the Month of: …………..

Report date: ……………….

MONTHLY STATEMENT OF UNADJUSTED OR UNRECONCILED SUSPENSE ACCOUNT

(To be submitted within 10 days of the next month)

(AMOUNT IN THOUSAND BDT)

AMOUNT OF UNADJUSTED OR UNRECONCILED TRANSACTION FOR THE PERIOD

DETAILED BREAKUP OF SUSPENSE
SL # 3 months to less than 6 months to less than 9 months to less than
ACCOUNT Less than 3 months 12 months and more
6 months 9 months 12 months
1 Sundry Debtors
2 Advance Against TA/DA
3 Advance against Petty Cash
4 Encashment of of PSP/BSP
6 Cash Remittance
7 DD Cancelled
8 Cash against ATM
9 DD Paid without Advice
10 Legal expenses
11 Others
12

GRAND TOTAL:

NB: Provide details if debit outstanding in Suspense account for more than 6 months and involved Tk.5,00,000/- and above.

Authorized Signature
Authorized Signature
Name :
Designation : Name :
Contact Ph : Designation :
Date : Contact Ph :
Date :