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New Imprest Form

The applicant is requesting a special/accountable imprest in accordance with financial regulation No. 115 of 1991. The application includes personal details of the applicant such as name, department, position, purpose and amount of imprest required. It must be certified by the applicant and head of department. It also requires approval from internal audit and the director of finance before the town clerk will approve or not approve the application.

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chola
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353 views

New Imprest Form

The applicant is requesting a special/accountable imprest in accordance with financial regulation No. 115 of 1991. The application includes personal details of the applicant such as name, department, position, purpose and amount of imprest required. It must be certified by the applicant and head of department. It also requires approval from internal audit and the director of finance before the town clerk will approve or not approve the application.

Uploaded by

chola
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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TO: THE TOWN CLERK

I wish to apply for a special/accountable imprest in terms of financial regulations No. 115 of 1991
financial regulation and hereby append my details below:
1. PERSONAL DETAILS
i. Full name: .................................................................. Employee No. ........................................
ii. Department................................................................Section ......................................................
iii. Position.........................................................................................................................................
iv. Purpose of Imprest .......................................................................................................................
.....................................................................................................................................................
v. Amount of imprest required (in figures) .....................................................................................
vi. Amount of imprest required (in words) ……………………………………………………….
………………………………………………………………………………………………….
2. CERTIFIED BY APPLICANTS
3. I certify that I have read and fully understood financial regulation No. 96 and that the
imprest should be retired within twenty-four (24) hours of my return.

Signature of applicant ................................................. Date ...........................................


4. ACCOUNT/EXPENDITURE
Outstanding/unretired imprest K........................................................................................... if any
Name: ………………………………………………… Date: …………………………………
Signature: …………………………………………… Designation: …………………………….
5. HEAD OF DEPARTMENT
The special imprest is recommended/not recommended: …………………………………………
Name: ………………………………………………… Designation: …………………………….
Signature ............................................................ Date .....................................................................
6. INTERNAL AUDIT
7. Name: ………………………………………………… Designation: …………………………….
Signature: ................................................................ Date..................................................................
8. DIRECTOR OF FINANCE
Signature ........................................................................
Date .........................................................
9. TOWN CLERK
The application is approved/not approved K ……………………………………………………….

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Signature.................................................................Date: …………………………………………...

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