COPY OF THE REGULATION OF MINISTER OF FINANCE OF THE REPUBLIC OF INDONESIA NUMBER 229/PMK.02/2012 CONCERNING

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1 COPY OF THE REGULATION OF MINISTER OF FINANCE NUMBER 229/PMK.02/2012 CONCERNING PREPARATION AND IMPLEMENTATION OF BUDGET IMPLEMENTATION LIST OF CONTINUATION OF NATIONAL PROGRAM/ ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2013 USING SOURCE OF FUNDS FROM THE REMAINING BUDGET OF NATIONAL PROGRAM/ ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2012 BY THE GRACE OF GOD ALMIGHTY MINISTER OF FINANCE, Considering : whereas to implement the provisions of Article 28 paragraph ( 3 ) of Law No. 19 of 2012 on State Budget Revenues and Expenditures of the Fiscal Year 2013, it is necessary to stipulate Regulation of the Minister of Finance on Preparation and Implementation of Budget Implementation List of Continuation of National Program/ Activity for Community Empowerment Fiscal Year 2013 Using Source of Funds from the Remaining Budget of National Progra/ Activity for Community Empowerment of the Fiscal Year 2012; In the view of : Law No. 19 of 2012 State Budget Revenues and Expenditures of the Fiscal Year 2013 (State Gazette of the Republic of Indonesia of 2012 Number 228, Supplement of The State Gazette of the Republic of Indonesia Number 5361); BE IT HEREBY RESOLVED: To enact : REGULATION OF THE MINISTER OF FINANCE ON PREPARATION AND IMPLEMENTATION OF BUDGET IMPLEMENTATION LIST OF CONTINUATION OF NATIONAL PROGRAM/ ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2013 USING SOURCE OF FUNDS FROM THE REMAINING BUDGET OF NATIONAL PROGRAM/ ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR CHAPTER I GENERAL PROVISIONS

2 - 2 - Article 1 In this Regulation of Minister, the following terms shall mean: 1. National Program/ Activity of Community Empowerment, hereinafter referred to as PNPM Mandiri is a National Program in the form of a policy framework used as a basis and reference to implement poverty alleviation programs based on community empowerment. 2. Rural PNPM Mandiri is a National Program in the form of a policy framework used as a basis and reference to implement poverty alleviation programs in the rural areas based on community empowerment. 3. Urban PNPM Mandiri is a National Program in the form of a policy framework used as a basis and reference to implement poverty alleviation programs based on community empowerment which is implemented through harmonization and development system and programs mechanism and procedures, providing mentoring and stimulant funding to encourage the initiative and innovation of community in the sustainable poverty alleviation in urban areas. 4. Rural Infrastructure Development Program or Program Pembangunan Infrastruktur Pedesaan, hereinafter referred to as PPIP is PNPM Mandiri aiming at creating and improving the quality of people's lives, individually as well as in a group thus it will be able to solve various problems related to poverty and underdevelopment in the villages. 5. Regional Socio-Economic Infrastructure Development or Pengembangan Infrastruktur Sosial Ekonomi Wilayah hereinafter referred to as PISE is PNPM Mandiri aiming at accelerating social and economic development which is based on local resources, reducing disparities between regions, eradicating poverty in rural areas, improving regional governance and strengthening institutions in rural areas in Indonesia. 6. Development Acceleration of Disadvantaged and Specific Areas or Percepatan Pembangunan Daerah Tertinggal dan Khusus, hereinafter referred to as P2DTK, is a National Program to assist regional governments to accelerate socio-economic

3 - 3 - recovery and growth in poor and disadvantaged areas by increasing the capacity of regional governments in facilitating participatory development, empowering community and community institutions in a plan of participatory development especially ion the sectors of health, education, and economics, institutionalizing the implementation of participatory development to ensure the fulfilment of basic social needs such as education, health, infrastructure, law reinforcement, capacity building and creating investment and business climate, improving the access to justice, improving people s ease of life, especially poor families through the provision and maintenance of socio- economic infrastructure. 7. Budget Implementation List or Daftar Isian Pelaksanaan Anggaran, hereinafter referred to as DIPA, is a document of budget implementation prepared by Budget User/ Proxy of Budget User. 8. Continuance Budget Implementation List or Daftar Isian Pelaksanaan Anggaran Lanjutan, hereinafter referred to as DIPA Lanjutan, is a document that contains the remaining of PNPM Mandiri budget Fiscal Year 2012 which is continued in Fiscal Year Budget Users or Pengguna Anggaran, hereinafter referred to as PA, is an official authorized to use of budget by State Ministry / Agency. 10. Proxy of Budget User or Kuasa Pengguna Anggaran, hereinafter referred to as KPA, is an official who is authorized by PA to implement a part of authority and responsibility for budget utilization in related State Ministry/ Agency. 11. State Treasury Service Office or Kantor Pelayanan Perbendaharaan Negara hereinafter referred to as KPPN is a vertical agency of Directorate General of Treasury that is under and responsible directly to the Head of the Regional Office of Directorate General of Treasury, which is authorized as the proxy of BUN. 12. Payment Warrant or Surat Perintah Membayar, hereinafter referred to as SPM is a document issued by PA / KPA / official signing SPM to disburse allocation of fund which its source is from DIPA or other similar documents.

4 Warrant Disbursement or Surat Perintah Pencairan Dana hereinafter referred to as SP2D, is a warrant issued by the KPPN as the proxy of BUN for the implementation of expenditures at the expense of the State Revenues and Expenditures budget based on SPM. CHAPTER II PROGRAM/ ACTIVITY THAT ARE CONTINUED AND SOURCE OF FUND Article 2 (1) DIPA PNPM Mandiri Fiscal Year 2012 that has not completed until the end of Fiscal Year 2012 can be continued in Fiscal Year (2) In case of DIPA PNPM Mandiri Fiscal Year 2012 has completed at the end of Fiscal Year 2012, but still there is remaining fund, such remaining funds cannot be used in Fiscal Year (3) PNPM Mandiri as referred to in paragraph (1) and paragraph (2) in the form of Society Direct Aid or Bantuan Langsung Masyarakat (BLM), consists of: a. Rural PNPM Mandiri including Generation PNPM or PNPM Generasi and Rural Environment PNPM or PNPM Lingkungan Mandiri Perdesaan; b. Urban PNPM Mandiri; c. PPIP; d. PISEW; and e. P2DTK. Article 3 (1) The sources of funding for PNPM Mandiri completion as referred to in Article 2 are from Budget Surplus or Saldo Anggaran Lebih (SAL) Fiscal Year 2012.

5 - 5 - (2) The sources of funding as referred to in paragraph (1) are the addition to budget ceiling of: a. Directorate General of Community and Rural Empowerment - Ministry of Home Affair for Rural PNPM Mandiri; b. Directorate General of Human Settlements - Ministry of Public Works for Urban PNPM, PPIP and PISEW; and c. Ministry of Development Disadvantaged Regions for P2DTK. (3) Continuance of PNPM Mandiri is included in the Amendment of State Revenues and Expenditures Budget (APBN - P) Fiscal Year CHAPTER III PREPARATION PROCEDURES AND APPROVAL OF BUDGET IMPLEMENTATION DOCUMENTS Article 4 (1) At the beginning of Fiscal Year 2013, Working Unit KPA reconciles PNPM Mandiri remaining fund which has not been disbursed to the local KPPN in accordance with the program / activity as referred to in Article 2 paragraph (3) as stated in the Minutes of Reconciliation and accompanied by attachments of Minute of Reconciliation prepared in accordance with the format as set forth in Appendix I which is an integral part of this Regulation. (2) The Head of KPPN submits Minute of Reconciliation as referred to in paragraph (1) to the Directorate General of Budget no later than January 11, 2013 as the material for settlement Continuance DIPA. (3) In the event of the remaining fund in the Minute of Reconciliation as referred to in paragraph (1) is included all to become the ceiling of Continuance DIPA, Working Unit KPA based on Minute of Reconciliation prepares Continuance RKA - K/ L, and submits it to Unit of Echelon I not later than January 16, 2013 to be consolidated.

6 - 6 - (4) In the event of the remaining fund resulted from the Minute of Reconciliation as referred to in paragraph (1) it is only included partly to become the ceiling of Continuance DIPA, Working Unit KPA prepares Continuance RKA - K / L, and submits it to Unit of Echelon I with attached with Statement prepared in accordance with the format as set forth in Appendix II which is an integral part of this Regulation. (5) Based on Continuance RKA - K / L as referred to in paragraph (3) and paragraph (4), Echelon I prepares Continuance Master DIPA in accordance with the format as set forth in Appendix III which is an integral part of this Regulation. (6) Continuance Master DIPA as referred to in paragraph (5) shall be submitted by Echelon I to the Directorate General of Budget not later than January 21, 2013 to be validated. (7) Based on the validation results as referred to in paragraph (6), the Directorate General of Budget on behalf of the Minister of Finance ratifies the Continuance Master DIPA not later than January 25, (8) Ratification of Continuance Master DIPA by the Directorate General of Budget is done by signing an Endorsement sheet of Continuance Master DIPA. (9) Based on the ratification of Continuance Master DIPA, Continuance Excerpt DIPA is printed automatically through a system that is equipped with a security code in the form of digital stamp in place the approval mark (authentication). (10) The Format of Continuance Master SP DIPA as referred to in paragraph (8) and Format of Continuance Excerpt DIPA as referred to in paragraph (9) are stated in the Appendix IV that is an integral part of this Regulation. CHAPTER IV FUND DISBURSEMENT Article 5

7 - 7 - (1) Disbursement of PNPM Mandiri fund as referred to in Article 2 is implemented in accordance with the provisions of the legislation. (2) In order to disburse PNPM Mandiri Fund as referred to in paragraph (1), KPA publishes SPM in accordance with fund allocation available in the Continuance Excerpt DIPA. (3) SPM as described in paragraph (2) shall be submitted to the KPPN as the Proxy of State Treasurer not later than April 30, 2013 at working office hours. (4) Based on the SPM as referred to in paragraph (3), local KPPN issues SP2D. CHAPTER V ACCOUNTABILITY AND REPORTING Article 6 (1) PA/ KPA Working Unit is fully responsible for the implementation of Continuance DIPA of PNPM Mandiri DIPA Fiscal Year 2013 using Source of Fund from the Remaining Budget of PNPM Mandiri Fiscal Year (2) Working Unit PA/ KPA should prepare Financial Statement on the implementation of Continuance DIPA of PNPM Mandiri Fiscal Year 2013 using Source of Fund from the Remaining Budget of PNPM Mandiri Fiscal Year 2012 in accordance with the Central Government Accounting and Financial Reporting System. (3) The financial statements of the implementation of DIPA Continuance of PNPM Mandiri Fiscal Year 2013 is delivered by the Minister / Head of Agency to the Minister of Finance cq Director General of the Treasury as State Treasurer in conjunction with the report of Budget Implementation List Fiscal Year 2013 first semester of CHAPTER VI CLOSING PROVISIONS Article 7

8 - 8 - This Regulation of Minister shall come into force on the date of its promulgation. For public cognizance, this Regulation of Minister shall be promulgated by placing it in the State Gazette of the Republic of Indonesia. Stipulated in Jakarta on December 26, 2012 MINISTER FINANCE OF THE REPUBLIC OF INDONESIA, Signed, AGUS D.W. MARTOWARDOJO Promulgated in Jakarta on December 26, 2012 MINISTER OF JUSTICE AND HUMAN RIGHTS THE REPUBLIC OF INDONESIA, Signed AMIR SYAMSUDIN STATE GAZETTE OF 2012 NUMBER 1324

9 APPENDIX 1 REGULATION OF THE MINISTER OF FINANCE NUMBER 229/PMK.02/2012 ON PREPARATION AND IMPLEMENTATION OF BUDGET IMPLEMENTATION LIST OF CONTINUATION OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2013 USING SOURCE OF FUNDS FROM THE REMAINING BUDGET OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2012 MINISTER OF FINANCE MINISTER OF FINANCE THE REPUBLIC OF INDONESIA MINUTES OF RECONCILIATION number: On this day... date... month... years... there have been carried out the reconciliation of budget realization between Proxy of Budget User Authority (KPA) of Working Unit of code (... ), with the Head of State Treasury Service Office (KPPN) code The reconciliation is carried out collectively by matching the data of realization of Society Direct Aid of National Program / Activity of Community Empowerment (PNPM) Fiscal Year 2012 with its result is attached and as an integral part of this Minutes of Reconciliation. The report of the result of this reconciliation shall be the basis for preparing and ratifying the Budget Implementation List of Continuation of National Program / Activity for Community Empowerment (PNPM) Mandiri Fiscal Year 2013 Using Source of Funds from the Remaining Budget of National Program / Activity for Community Empowerment Fiscal Year It witness whereof, this official report is prepared to be implemented. The Head of KPPN. Working Unit KPA NIP NIP

10 MINISTER OF FINANCE THE REPUBLIC OF INDONESIA APPENDIX OF MINUTE OF RECONCILIATION OF REMAININGFUND OF PROGRAM / ACTIVITY OF COMMUNITY EMPOWERMENT FISCAL YEAR 2012 (IN THOUSANDS RUPIAH) SP Number : aaaa / bbb cc.d/ee/ffff [1] Code and Title of Working Unit : (999999) XXXXXXXXXXXXXXX [2] A description of SOCIAL AIDS EXPENDITURES Program, CEILING REALIZATION REMAINING No. Code Activities, Output, Source of Fund Reg Note XX [4] XX.XX.XX. YYYYYYYYYYYY [3] [8] [5] XXXX YYYYYYYYYYYY [9] [6] XXX.XX YYYYYYYYYYYY [10] XXXXXXX [12] [7] ZZ YYYYYYYYYYYY [11] TOTAL HEAD OF KPPN...,.2013 [13] PROXY OF BUDGET USERS WORKING UNIT.. XXXXXXXXXXXXXXXXXXXXXX[16] NIP. YYYYYYYYYYYYYYYYYYYY[17] XXXXXXXXXXXXXXXXXXXXXX[14] NIP. YYYYYYYYYYYYYYYYYYYY[18]

11 - 3 - PROCEDURES FOR FILLING THE APPENDIX OF RECONCILIATION OFFICIAL REPORT OF REMAINING FUND OF PROGRAM / ACTIVITY OF NATIONAL COMMUNITY EMPOWERMENT The appendix of Reconciliation Official Report of Remaining Fund of Program / Activity of National Community Empowerment consists of information about ceiling, realization and remaining fund of activity of Social Direct Aids of National Program / Activity of Community Empowerment Fiscal Year 2012 using the filling procedures as follows: No. Description [1] Filled with number of SP DIPA that will be continued. [2] Filled with working unit (Satker) number and working unit title. [3] Filled with entry Number. [4] Filled with Program code. [5] Filled with Activity code. [6] Filled with Output code. [7] Filled with Source of Fund code. [8] Filled with Program description. [9] Filled with Activity description. [10] Filled with Output description. [11] Filled with Source of Fund description. [12] Filled with Register number. [13] Filled with place and date of signing of the Appendix of Reconciliation of Official Report [14] Filled with name of Official Giving Signature (KPA/Head of Working Unit) [15] Filled with NIP of Official Giving Signature (KPA/Head of Working Unit) [16] Filled with name of KPPN Head. [17] Filled with NIP of KPPN Head. Issued as a true copy HEAD OF GENERAL AFFAIRS BUREAU HEAD OF MINISTRY T.U DEPARTMENT Stamped GIARTO NIP MINISTER OF FINANCE OF REPUBLIC OF INDONESIA Signed AGUS D.W. MARTOWARDOJO

12 APPENDIX II REGULATION OF THE MINISTER OF FINANCE NUMBER 229/PMK.02/2012 ON PREPARATION AND IMPLEMENTATION OF BUDGET IMPLEMENTATION LIST OF CONTINUATION OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2013 USING SOURCE OF FUNDS FROM THE REMAINING BUDGET OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2012 The undersigned below: Name :... [ 2 ] NIP :... [ 3 ] Position : PA Power Unit... [ 4 ] Hereby states that: MINISTER OF FINANCE THE REPUBLIC OF INDONESIA HEADING..[1] STATEMENT 1. Based on the Official Report of KPPN... [ 5 ], there is remaining fund of Society Direct Aid of National Program / Activity of Community Empowerment Fiscal Year 2012 Number... [ 6 ] Working Unit [ 7 ] amounting Rp... [ 8 ]; 2. Based on the remaining fund aforementioned in point 1, it is proposed as the ceiling of Budget Implementation List of Continuation of National Program / Activity for Community Empowerment Fiscal Year 2013 Using Source of Fund from The Remaining Budget of National Program / Activity for Community Empowerment Fiscal Year 2012 amounting Rp [ 9 ]; 3. The Remaining funds amounting Rp... [ 10 ] is not proposed as the ceiling of Budget Implementation List of Continuation of National Program / Activity for Community Empowerment Fiscal Year 2013 Using Source of Fund from The Remaining Budget of National Program / Activity for Community Empowerment Fiscal Year 2012 because... [ 11 ]. In witness whereof we prepare this statement true to the best.,.. [12] Working Unit KPA..[13] (signed) [14] NIP.[15]

13 - 2 - PROCEDURES FOR FILLING THE STATEMENT No. Description [1] In accordance with the relevant Working Unit. [2] Filled with name of Official Giving Signature. [3] Filled with NIP of the Official Giving Signature. [4] Filled with relevant Working Unit Name. [5] Filled with name of Paying State Treasury Office. [6] Filled with number of Budget Implementation List Fiscal Year 2012 [7] Filled with name of relevant Working Unit. [8] Filled with the value of Remaining Fund (which has not been realized) based on reconciliation with State Treasury Office. [9] Filled with value of the remaining fund that will be proposed as the ceiling of Budget Implementation List of Continuation of National Program / Activity for Community Empowerment Fiscal Year 2013 Using Source of Fund from The Remaining Budget of National Program / Activity for Community Empowerment Fiscal Year 2012 [10] Filled with the value of remaining fund that is not proposed as the ceiling of Budget Implementation List of Continuation of National Program / Activity for Community Empowerment Fiscal Year 2013 Using Source of Fund from The Remaining Budget of National Program / Activity for Community Empowerment Fiscal Year [8] [9]. [11] Filled with the reason for not to be proposed as the ceiling of Budget Implementation List of Continuation of National Program / Activity for Community Empowerment Fiscal Year 2013 Using Source of Fund from The Remaining Budget of National Program / Activity for Community Empowerment Fiscal Year [12] Filled with place and date of signing the letter. [13] Filled with relevant Working Unit Name. [14] Filled with name of person in charge. [15] Filled with NIP of person in charged. Issued as a true copy HEAD OF GENERAL AFFAIRS BUREAU HEAD OF MINISTRY T.U DEPARTMENT Stamped GIARTO NIP MINISTER OF FINANCE OF REPUBLIC OF INDONESIA Signed AGUS D.W. MARTOWARDOJO

14 APPENDIX III REGULATION OF THE MINISTER OF FINANCE NUMBER 229/PMK.02/2012 ON PREPARATION AND IMPLEMENTATION OF BUDGET IMPLEMENTATION LIST OF CONTINUATION OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2013 USING SOURCE OF FUNDS FROM THE REMAINING BUDGET OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2012 MINISTER OF FINANCE MINISTER OF FINANCE THE REPUBLIC OF INDONESIA DIPA (Budget Implementation List) Continuation from Page 1. Information of Performance and Program Budget BUDGET IMPLEMENTATION LIST OF CONTINUATION BUDGET MASTER FISCAL YEAR 2XXX [1a] DIGITAL STAMP [24] NUMBER: DIPA- l aaa.bb-c/2xxx [1b] I. INFORMATION OF PERFORMANCE AND BUDGET MASTER A. UNIT IDENTITY: 1. STATE MINISTRY / AGENCY : (XXX) Name of K/L [2] 2. ORGANIZATION UNIT : (XX) Name of Echelon Unit [3] 3. CEILING : [4] B. THE RELATIONSHIP OF THE PROGRAM, TARGET STRATEGIES K/L, FUNCTION AND DEVELOPMENT PRIORITY IN RKP: 1. PROGRAM : (XXX.XXX.XXX) Title of Program Rp [5] PROGRAM : (XXX.XXX.XXX) Title of Program Rp PROGRAM : (XXX.XXX.XXX) Title of Program Rp And so on 2. TARGET STRATEGY K/L : (XX) Target Strategy Description Rp [6] 3. FUNCTION : (XX) Function Description Rp [7] SUB FUNCTION : (XXXX) Sub Function Description Rp [8] FUNCTION : (XX) Function Description Rp SUB FUNCTION : (XXXX) Sub Function Description Rp And so on 4. NATIONAL PRIORITY : (XX) National Priority Description Rp [9] NATIONAL PRIORITY : (XX) National Priority Description Rp And so on NON-NATIONAL PRIORITY Rp [10]

15 - 2 - MINISTER OF FINANCE THE REPUBLIC OF INDONESIA BUDGET IMPLEMENTATION LIST OF CONTINUATION BUDGET MASTER FISCAL YEAR 2XXX DIGITAL STAMP [24] NUMBER: DIPA- L aaa.bb-c/2xxx I. INFORMATION OF PERFORMANCE AND BUDGET MASTER C. DETAIL OF PROGRAM AND ACTIVITY PERFORMANCE (thousands rupiah) CODE PROGRAM / OUTCOME /MAIN INDICATOR PERFORMANCE/ACTIVITY PERFORMANCE INDICATOR/OUTPUT VOL/UNIT FUND ALLOCATION xxx.xx.xxx Name of Program [11] Outcome [12] 01. Description IKU 1 [13] 02. Description IKU 2 Xxxx xxx.xxx xxx.xxx Xxxx xxx.xxx xxx.xxx Activity description 1 [14] 01. IKK description 1 [15] 02. IKK description 2 Output description 1 [16] Output description 2 Activity description IKK description IKK description 2 Output description 1 Output description 2 [19] NO1 [17] 99 sat 99 sat [18] NO1 99 sat 99 sat

16 - 3 - PROVISIONS: - This Continuance Master DIPA is stated further into Continuance Excerpt DIPA.,..[20] and the Continuance Excerpt DIPA acts as Working unit activity implementation on behalf of Minister / head of.. documents Sekjen/Sesmen/Sestama/Dirjen/Head of Agency/Echelon I Official [21] AAAAAAAAAAAAAAA[22] NIP. [23]

17 - 4 - MINISTER OF FINANCE THE REPUBLIC OF INDONESIA DIPA of Continuation Budget Master Page II Detail of Budget Allocation Per Working Unit For State Ministry / Agency BUDGET IMPLEMENTATION LIST OF CONTINUATION BUDGET MASTER FISCAL YEAR 2XXX [1a] DIGITAL STAMP [17] NUMBER: DIPA- L aaa.bb-c/2xxx [1b] II. DETAIL OF BUDGET ALLOCATION PER WORKING UNIT A. UNIT IDENTITY: 1. STATE MINISTRY / AGENCY : (xxx) K/L Name [2] 2. ORGANIZATION UNIT : (x) Echelon Unit Name I [3] 3. CEILING : Rp. 99, [4] B. DETAIL OF BUDGET ALLOCATION PER WORKING UNIT [10] NO CODE PROGRAM/PROVINCE/WORKING UNIT/SOURCE OF FUND KP KD DK TP UB TYPES OF EXPENDITURES EMPLOYEE GOODS CAPITAL SOCIAL AIDS CEILING / INCOME TARGET [11] (thousands rupiah) BLOCKADE [12] = xxx xx xxxxx PROGRAM 1/ 2 / 3 [5] PROVINCE 1 [6] Working unit description [7] [9] KP 2 xx RM [8] xx PLN xx and so on xx Revenue Target PROVINCE 2 Working unit description [7] KP

18 - 5 - xx RM xx PLN xx and so on Total Revenue Total xx RM xx PLN xx and so on Revenue Target PROVISIONS : - This Continuance Master DIPA is stated further into Continuance Excerpt DIPA.,..[13] and the Continuance Excerpt DIPA acts as Working unit activity implementation documents. on behalf of Minister / head of.. Sekjen/Sesmen/Sestama/Dirjen/Head of Agency/Echelon I Official [14] AAAAAAAAAAAAAAA[15] NIP. [16]

19 - 6 - MINISTER OF FINANCE THE REPUBLIC OF INDONESIA DIPA of Continuation Budget Master Page III. The Plan of Fund Withdrawal and Estimated Revenues BUDGET IMPLEMENTATION LIST OF CONTINUATION BUDGET MASTER FISCAL YEAR 2XXX [1a] DIGITAL STAMP [12] NUMBER: DIPA- L aaa.bb-c/2xxx [1b] III. THE PLAN OF FUND WITHDRAWAL AND ESTIMATED REVENUES A. UNIT IDENTITY: 1. STATE MINISTRY / AGENCY : (xxx) K/L Name [2] 2. ORGANIZATION UNIT : (x) Echelon Unit Name I [3] 3. CEILING : Rp. 99, [4] B. THE PLAN OF FUND WITHDRAWAL AND ESTIMATED REVENUES PER WORKING UNIT [6] (thousands rupiah) WITHDRAWAL / PAYMENT PLAN NO CODE PROGRAM CEILING JAN FEB MARCH APRIL MAY JUNE JULY AUG SEPT OCT NOV DEC DESCRIPTION [7] 1 xxx Program Description 1 [5] Fund withdrawal Plan Estimated / targeted Revenue xxx Program Description 2 Fund

20 - 7 - withdrawal Plan Estimated / targeted Revenue xxx Program Description 3 Fund withdrawal Plan Estimated / targeted Revenue xxx Program Description 4 Fund withdrawal Plan Estimated / targeted Revenue TOTAL WITHDRAWAL PLAN TOTAL TARGETED REVENUE PROVISIONS : - This Continuance Master DIPA is stated further into Continuance Excerpt DIPA.,..[8] and the Continuance Excerpt DIPA acts as Working unit activity implementation on behalf of Minister / head of.. documents. Sekjen/Sesmen/Sestama/Dirjen/Head of Agency/Echelon I Official [9]

21 - 8 - AAAAAAAAAAAAAAA[10] NIP. [11]

22 9 PROCEDURES FOR FILLING THE DIPA OF CONTINUATION MASTER 1. DIPA of Continuation Budget Master Page I. Information of Performance and Program Budget No. Description [1a] Filled with Fiscal Year [1b] Filled with number of SP DIPA of Continuation Master with the following provisions: aaa : Code of State Ministry / Agency bb : Code of Organization Unit c : Revision of DIPA Continuation Master number 2XXX : Fiscal year [2] Filled with code of State Ministry / Agency followed by description of State Ministry / agency names. [3] Filled with code of Unit of Echelon I followed by Unit of Echelon I description. [4] Filled with ceiling amount of organization unit. [5] Filled with program code, program name and program ceiling. [6] Filled with code of Strategic Unit of State Ministry / Agency, Description of Strategic Target, and ceiling allocation. [7] Filled with code of function, description of function, and ceiling allocation. [8] Filled with code of sub function, description of sub function, and ceiling allocation. [9] Filled with code of National Priority, Description of National Priority, and ceiling allocation. [10] Filled with ceiling allocation for Non National Priority. [11] Filled with Program Code and program name. [12] Filled with Outcome description. [13] Filled with Program Main Performance (IKU) description. [14] Filled with Activity description. [15] Filled with Activity Performance Indicator description. [16] Filled with Output description. [17] Filled with fund allocation for program, activity and output. [18] Filled with volume quantity / output unit. [19] Filled with National Priority code. [20] Filled with place and date of signing of DIPA continuance master. [21] Filled with name of Official Giving Signature to DIPA continuance master. [22] Filled with name of person Giving Signature to DIPA continuance master. [23] Filled with NIP of person Giving Signature to DIPA continuance master. [24] Digital Stamp.

23 10 2. DIPA of Continuation Budget Master Page II. Detail of Budget Allocation Per Working Unit for State Ministry / Agency. No. Description [1a] Filled with Fiscal Year [1b] Filled with number of SP DIPA of Continuation Master with the following provisions: aaa : Code of State Ministry / Agency bb : Code of Organization Unit c : Revision of DIPA Continuation Master number 2XXX : Fiscal year [2] Filled with code of State Ministry / Agency followed by description of State Ministry / agency names. [3] Filled with code of Unit of Echelon I followed by name of Unit of Echelon I. [4] Filled with ceiling amount of organization unit. [5] Filled with program code followed by description of program name. [6] Filled with code of Province followed by Province description. [7] Filled with code and description of working unit name. [8] Filled with code of Source of Fund and Source of Fund description (01= RM, 02 = PLN, 03 = RMP, 04 = PNP, 05 = PDN, 06 = BLU, 07 = STM, 08 = HDN, 09 = HLN, 10 = HLD, 11 = HLL). [9] Filled with code of Working Unit Authorization (KP, KD, DK, TP, UB). [10] Filled with ceiling per types of expenditures (employee (51), goods (52), capital (53), social aids (57)) and total in thousands rupiah. [11] Filled with Total Ceiling or Revenue Target. [12] Filled with total blockade per Program, per Province and per Working Unit. [13] Filled with place and date of signing of DIPA continuance master. [14] Filled with name of Official Giving Signature to DIPA continuance master. [15] Filled with name of person Giving Signature to DIPA continuance master. [16] Filled with NIP of person Giving Signature to DIPA continuance master. [17] Digital Stamp.

24 11 3. DIPA of Continuation Budget Master Page III. Plan of Fund withdrawal and Estimated Revenue. No. Description [1a] Filled with Fiscal Year [1b] Filled with number of SP DIPA of Continuation Master with the following provisions: aaa : Code of State Ministry / Agency bb : Code of Organization Unit c : Revision of DIPA Continuation Master number 2XXX : Fiscal year [2] Filled with code of State Ministry / Agency followed by description of State Ministry / agency names. [3] Filled with code of Unit of Echelon I followed by name of Unit of Echelon I. [4] Filled with ceiling amount of organization unit. [5] Filled with program code followed by description of program name. [6] Filled with Plan of Fund Withdrawal and estimated Revenue in detail monthly. [7] Filled with Total of Fund Withdrawal Plan and Estimated Revenue in a year. [8] Filled with place and date of signing of DIPA continuance master. [9] Filled with name of Official Giving Signature to DIPA continuance master. [10] Filled with name of person Giving Signature to DIPA continuance master. [11] Filled with NIP of person Giving Signature to DIPA continuance master. [12] Digital Stamp. Issued as a true copy HEAD OF GENERAL AFFAIRS BUREAU u.b HEAD OF MINISTRY T.U DEPARTMENT Stamped GIARTO NIP MINISTER OF FINANCE OF REPUBLIC OF INDONESIA Signed AGUS D.W. MARTOWARDOJO

25 APPENDIX IV REGULATION OF THE MINISTER OF FINANCE NUMBER 229/PMK.02/2012 ON PREPARATION AND IMPLEMENTATION OF BUDGET IMPLEMENTATION LIST OF CONTINUATION OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2013 USING SOURCE OF FUNDS FROM THE REMAINING BUDGET OF NATIONAL PROGRAM / ACTIVITY FOR COMMUNITY EMPOWERMENT FISCAL YEAR 2012 VALIDATION SHEET OF DIPA (SP DIPA) OF CONTINUANCE MASTER MINISTRY OF FINANCE OF REPUBLIC OF INDONESIA DIRECTORATE GENERAL OF BUDGET MINISTER OF FINANCE THE REPUBLIC OF INDONESIA LETTER OR VALIDATION OF BUDGET IMPLEMENTATION LIST (SP DIPA) OF CONTINUANCE MASTER FISCAL YEAR 2XXX [1a] DIGITAL STAMP [11] NUMBER: DIPA-L-aaa.bb.-c/AG/2XXX [1b] A. LEGAL BASIS: 1. Law Number 17 of 2003 on State Finance 2. Law Number 1 of 2004 on State Treasury 3. Law Number of 2xxx on State Revenues and Expenditures Budget (APBN) Fiscal Year 2xxx [2] 4. Law Number of 2xxx on Amendment of Law Number of 2xxx on State Revenues and Expenditures Budget (APBN) Fiscal Year 2xxx [3] B. HEREBY IT IS RATIFIED BUDGET ALLOCATION FOR: 1. STATE MINISTRY / AGENCY : (xxx) Name of K/L [4] 2. ORGANIZATION UNIT: (xx) name of Unit of Echelon I 3. CEILING: Rp (number and saying) [6] C. DISCLAIMER 1. This DIPA of Continuance Master that has been ratified is further stated into DIPA of Continuance Excerpt for Each Working Unit. 2. The validation of DIPA of Continuance Master is also the validation of DIPA of Continuance Excerpt. 3. DIPA of Continuance Excerpt functions as the implementation basis and withdrawal/validation fund for State General Treasurer /Proxy of State General Treasurer. 4. DIPA of Continuance Excerpt is printed automatically through a system equipped with security code (digital stamp) as the replacement of validation signature (authentication). 5. Information on Proxy of Budget User, Expenditure Treasurer and Official giving signature to SPM is stated in the DIPA of Continuance Excerpt. 6. Plan of Fund Withdrawal and Estimated Revenue stated in page III of DIPA of Continuance Master is filled with the plan of activity implementation.

26 The responsibility on fund utilization stated in the DIPA Continuance Master is fully on Budget User / Proxy of Budget User. 8. DIPA of Continuance Master is valid until April 30, ,..[7] On behalf of Minister of Finance, [8] AAAAAAAAAAAA [9] NIP. [10]

27 - 3 - MINISTER OF FINANCE THE REPUBLIC OF INDONESIA VALIDATION SHEET OF EXCERPT DIPA (SP DIPA OF CONTINUANCE EXCERPT) MINISTRY OF FINANCE OF REPUBLIC OF INDONESIA APPENDIX: A SET OF IMPLEMENTATION LIST OF BUDGET IMPLEMENTATION LETTER OR VALIDATION OF BUDGET IMPLEMENTATION LIST (SP DIPA) OF CONTINUANCE EXCERPT FISCAL YEAR 2XXX [1a] DIGITAL STAMP [36] NUMBER: DIPA-L-aaa.bb.-c/AG/2XXX [1b] A. Basis: 1. Law Number 17 of 2003 on State Finance 2. Law Number 1 of 2004 on State Treasury 3. Law Number of 2xxx on State Revenues and Expenditures Budget (APBN) Fiscal Year 2xxx [2] 4. Law Number of 2xxx on Amendment of Law Number of 2xxx on State Revenues and Expenditures Budget (APBN) Fiscal Year 2xxx [3] B. Hereby It Is Ratified Budget Allocation For: 1. State Ministry / agency 2. Organization Unit 3. Province 4. Code / Name of working unit a. BLU Status b. Amount of Limit Percentage Total For the following activities: Code and Name of Function and Sub Function: XX XXXXXXXXXXXXXXXXXXXXXXXXXX [12] XXX XXXXXXXXXXXXXXXXXXXXXXXXX [13] Code and name of function and sub function: XXXX XXXXXXXXXXXXXXXXXXXXXXXXX [14] : (xxx) xxxxxxxxxxxxxxxxx [4] : (xx) xxxxxxxxxxxxxxxxx [5] : (xx) xxxxxxxxxxxxxxxxx [6] : (xxxxx) xxxxxxxxxxxxxxxxx [7] : (full)/(in stages) [5] with percentage of direct utilization of PNPB xx% [9] : (xx) % of PNPB [10] : Rp ( xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx ) [11] Rp

28 - 4 - XXX XXXXXXXXXXXXXXXXXXXXXXXXX [15] Rp C. Source of Fund 1. Rupiah Rp, [17] 4. Domestic Loan / Grant 2. PNPB Rp, [18] - Domestic Loan - Current year PNPB Rp, [19] - Domestic Grant - Utilization of BLU opening balance Rp, [20] 5. Direct Grant 3. Foreign Loan / Grant Rp, [21] - Foreign Direct Grant - Foreign Loan Rp, [22] - Domestic Direct Grant - Foreign Grant Rp, [23] D. Fund disbursement is carried through: 1. XXXXXXXXXXXXXXXXXXXXXXX [30] 2. etc. (XXX) [31] Rp, [32] Rp, [24] Rp, [25] Rp, [26] Rp, [27] Rp, [28] Rp, [29] E. Disclaimer: 1. This DIPA excerpt is an integral part of Master DIPA (Program Name, Organization Unit and K/L) 2. DIPA of Continuance Excerpt is printed automatically through a system equipped with security code (digital stamp) as the replacement of validation signature (authentication) 3. This DIPA excerpt functions as implementation basis of working unit activities and fund disbursement / validation for State General Treasurer / Proxy of State General Treasurer. 4. The plan of Fund Withdrawal and Estimated Revenue stated in page III of DIPA is filled in accordance with the plan of activity implementation. 5. The responsibility on fund utilization stated in the DIPA Excerpt is fully on Budget User / Proxy of Budget User. 6. In the event of there is a data difference of fund utilization between DIPA Excerpt and RKA-K/L DIPA database of Ministry of Finance, then the applicable data is those in the database of RKA-K/L DIPA of Ministry of Finance (based on existing proof). 7. DIPA of Continuance Master is valid until April 30, On behalf of Minister of Finance, [33]

29 - 5 - XXXXXXXXXXXXXXXXXXXXX [34] NIP. [35]

30 - 6 - MINISTER OF FINANCE THE REPUBLIC OF INDONESIA DIPA of Continuance Excerpt Page IA Performance Information BUDGET IMPLEMENTATION LIST OF CONTINUANCE EXCERPT FISCAL YEAR 20XX [1A] DIGITAL STAMP [36] NUMBER: DIPA-L-aaa.bb.-c/AG/2XXX [1b] IA. PERFORMANCE INFORMATION State Ministry / Agency Organization Unit Province Code / name of Working Unit BLU information: 1. BLU Status 2. Number of percentage of Limit 1. Function [15] : xx Sub function [17] : xx xx Sub function [17] : xx xx : (XXX) : (XX) : (XX) : (XXXXXX) XXXXXXXXXXXXXXXXXXXXX [2] XXXXXXXXXXXXXXXXXXXXX [3] XXXXXXXXXXXXXXXXXXXXX [4] XXXXXXXXXXXXXXXXXXXXX [5] : (full)/(in stages) [5] with percentage of direct utilization of PNPB xx% [10] : xx% [11] of PNBP xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Proxy of Budget User Expenditure Treasurer Official Giving Signature of SPM 3. Opening balance of BLU cash 4. Closing balance of BLU cash : XXXXXXXXXXXXXXX [6] : XXXXXXXXXXXXXXX [7] : XXXXXXXXXXXXXXX [8] : Rp.,999 [12] : Rp.,999 [13] Rp.,999 [16] Rp.,999 [18] Rp.,999 Function [15] : xx Sub function [17] : xx xx Sub function [17] : xx xx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Rp.,999 Rp.,999 Rp., Program : xxx.xx.xx Outcome : xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [19] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [21] Rp.,999 [20]

31 - 7 - xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Program IKU: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [22] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Activity : xxx [23] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [24] Activity Performance indicator: 1. Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 2. xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx Output : 1. xxx.xxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [27] 2. xxx.xxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx 3. xxx.xxx xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [26] xxx [28] [29] xxx [30] xxx Rp.,999 [25] Rp.,999 Rp.,999 [31] Rp.,999 Xxxxxxxxxx, xxxx, xxxxxxxxxxxxxxxxxxx [32] On Behalf of [33] Signed.. [34] NIP.. [35]

32 - 8 - MINISTER OF FINANCE THE REPUBLIC OF INDONESIA DIPA of Continuance Excerpt Page IB Source of Fund BUDGET IMPLEMENTATION LIST OF CONTINUANCE EXCERPT FISCAL YEAR 20XX [1A] DIGITAL STAMP [39] NUMBER: DIPA-L-aaa.bb.-c/AG/2XXX [1b] IB. SOURCE OF FUND State Ministry / Agency Organization Unit Province Working Unit Code / Name : (xxx) : (xx) : (xx) : (xxxxx) xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [2] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [3] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [4] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [5] Page: IB xx [6] 1. Budget of 20xx 1. Rupiah 2. BNBP 3. Foreign Loan/Grant 4. Domestic Loan / Grant 5. Direct Grant 2. Detail of Loan / Grant: No : Rp.,999,9[7] : Rp.,999,9[8] : Rp.,999,9[9] : Rp.,999 [10] : Rp.,999 [11] : Rp.,999 [12] SOURCE OF LOAN AND GRANT NO. NPP/H per year Register Number 1. Foreign Loan 2. Foreign Grant 3. Domestic Loan Note: a. Foreign Loan b. Foreign grant c. Domestic Loan d. Domestic Loan e. Foreign Direct Loan f. Domestic Direct Loan This Year Ceiling 1) NPP/H Currency 2) USD Equivalent 3) Rupiah Equivalent (1) Foreign Currencies (2) RPLN (1) Foreign Currencies (2) RPLN DETAIL OF FUND BASED ON THE WAY OF WITHDRAWAL 1) PP 2) PL 3) RK 4) LC Ceiling : Currency Code [13] : Currency Code [16] : Currency Code [19] : Currency Code [22] IDR IDR IDR IDR [14] [17] [20] [23] [25] [26] [27] [28] MATCHING FUND Rupiah Equivalent Rp [15] Rp [18] Rp [21] Rp [24] (In rupiah)

33 Domestic Grant 5) - Code Description Code Fund Code Fund Rp. Rp. LN Loc. Cost [29] [30] [31] [32] [33] [34] [35] [36] [37] [38] NPP/H: Naskah Perjanjian Pinjaman dan /atau Hibah or Document of Loan and / or Grant

34 MINISTER OF FINANCE THE REPUBLIC OF INDONESIA DIPA of Continuance Excerpt Page II Expenditure of State Ministry / Agency BUDGET IMPLEMENTATION LIST OF CONTINUANCE EXCERPT FISCAL YEAR 20XX [1a] DIGITAL STAMP [28] NUMBER: DIPA-L-aaa.bb.-c/AG/2XXX [1b] II. DETAIL OF EXPENDITURE (THOUSANDS RUPIAH) State Ministry / Agency Organization Unit Province Code / name of Working Unit : (XXX) : (XX) : (XX) : (XXXXXX) XXXXXXXXXXXXXXXXXXXXX [2] XXXXXXXXXXXXXXXXXXXXX [3] XXXXXXXXXXXXXXXXXXXXX [4] XXXXXXXXXXXXXXXXXXXXX [5] Page: II.xx [7] Code Description of Working Unit / EXPENDITURE Way of Location/ Program /Activity / Output / EMPLOYEE GOODS CAPITAL SOCIAL AIDS MISC. TOTAL Withdrawal / KPPN Source of Fund [51] [52] [53] [57] [58] register xxxxx [8] xxxxxxxxxxxxxxxxxxxxxxxxxx [9],999,999,999,999,999,999 xxxxx[10] xxxxxxxxxxxxxxxxxxxxxxxxxx [11],999,999,999,999,999,999 xxx [12] xxxxxxxxxxxxxxxxxxxxxxxxxx [13],999,999,999,999,999,999 xx.xx xxxxx [15] xxxxxxxxxxxxxxxxxxxxxxxxxx [16],999,999,999,999,999,999 [14] Xx [17] Xxxxxxxxxxxxxxx [18],999,999,999,999,999,999 xx.xx [19] xx xxxxxxxx [20] [21] [22] [23]

35 Total,999,999,999,999,999,999 xxxxxxxxxx, xxxx, xxxxxxxxxxxxxxxxxxx [32] On Behalf of [33] Signed.. [34] NIP.. [35]

36 MINISTER OF FINANCE THE REPUBLIC OF INDONESIA DIPA of Continuance Excerpt Page III Expenditure of State Ministry / Agency BUDGET IMPLEMENTATION LIST OF CONTINUANCE EXCERPT FISCAL YEAR 20XX [1a] DIGITAL STAMP [15] NUMBER: DIPA-L-aaa.bb.-c/AG/2XXX [1b] II. PLAN OF FUND WITHDRAWAL AND ESTIMATED REVENUE State Ministry / Agency Organization Unit Province Code / name of Working Unit : (XXX) : (XX) : (XX) : (XXXXXX) XXXXXXXXXXXXXXXXXXXXX [2] XXXXXXXXXXXXXXXXXXXXX [3] XXXXXXXXXXXXXXXXXXXXX [4] XXXXXXXXXXXXXXXXXXXXX [5] Page: III.xx [6] (in thousands rupiah) WORKING PLAN OF EXPENDITURE WITHDRAWAL / ESTIMATED REVENUE NO CODE UNIT Total Jan Feb March April May June July Aug Sept Oct Nov Dec DESCRIPTION (xxxxx) xxxxxxxxx [7] Plan of Fund Withdrawal 51 Employee Expenditure 52 Good Expenditure 53 Capital Expenditure 57 Social Aids Expenditure

37 xxx Xxxxxxxxx [8] 51 Employee Expenditure 52 Good Expenditure 53 Capital Expenditure 57 Social Aids Expenditure Estimated revenue - Tax - Import duty - PNBP - Grant - Financing Revenue [9] [10] xxxxxxxxxx, xxxx, xxxxxxxxxxxxxxxxxxx [11] On Behalf of [12] Signed.. [13]

38 DIPA of Continuance Excerpt Page III MINISTER OF FINANCE THE REPUBLIC OF INDONESIA BUDGET IMPLEMENTATION LIST OF CONTINUANCE EXCERPT FISCAL YEAR 20XX [1a] DIGITAL STAMP [31] NUMBER: DIPA-L-aaa.bb.-c/AG/2XXX [1b] II. NOTE State Ministry / Agency Organization Unit Province Code / name of Working Unit : (XXX) : (XX) : (XX) : (XXXXXX) XXXXXXXXXXXXXXXXXXXXX [2] XXXXXXXXXXXXXXXXXXXXX [3] XXXXXXXXXXXXXXXXXXXXX [4] XXXXXXXXXXXXXXXXXXXXX [5] CODE DESCRIPTION CODE DESCRIPTION xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [8] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [10] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [12] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [14] xxxxxx [15] xxxxxxxxxxxxxxxxxxxxxxxx [16] Rp.,999 [17] xxxxx [7] xxxxxxx [9] xxx [11] xxxxxx [13] Page: IV.xx [6] (in thousands rupiah) xxxx [18] xxxxxx [20] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [19] xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx [21] xxxxxx [22] xxxxxxxxxxxxxxxxxxxxxxxx [23] xxxxxxxxxxxxxxxxxxxxxxxxx [24] Rp.,999 [25] xxxxxxxxxxxxxxxxxxxxxxxxx [26] xxxxxxxxxx, xxxx, xxxxxxxxxxxxxxxxxxx [27]

39 On Behalf of [28] Signed.. [29] NIP.. [30]

40 16 A. PROCEDURES FOR FILLING THE SP DIPA OF CONTINUATION MASTER No. Description [1a] Filled with Fiscal Year [1b] Filled with number of SP DIPA of Continuation Master with the following provisions: aaa : Code of State Ministry / Agency bb : Code of Organization Unit c : Revision of DIPA Continuation Master number 2XXX : Fiscal year [2] Filled with Law concerning State Revenues and Expenditures Budget (APBN). [3] Filled with Law concerning Amendment of Law on State Revenues and Expenditures Budget (APBN). [4] Filled with code of State Ministry / Agency followed by description of State Ministry / agency names. [5] Filled with code of Unit of Echelon I followed by name of Unit of Echelon I. [6] Filled with ceiling amount of organization unit. [7] Filled with place and date of stipulation of SP DIPA continuance master. [8] Filled with name of Official Giving Signature to SP DIPA continuance master. [9] Filled with name of person Giving Signature to SP DIPA continuance master. [10] Filled with NIP of person Giving Signature to SP DIPA continuance master. [11] Digital Stamp.

41 17 B. PROCEDURES FOR FILLING VALIDATION SHEET OF DIPA (SP DIPA) OF CONTINUANCE EXCERPT (SP DIPA CONTINUANCE EXCERPT) No. Description [1a] Filled with Fiscal Year [1b] Filled with number of SP DIPA of Continuation Master with the following provisions: aaa : Code of State Ministry / Agency bb : Code of Organization Unit c : Dekon Code ddddd : Unit working code 2XXX : Fiscal year [2] Filled with Law concerning State Revenues and Expenditures Budget (APBN). [3] Filled with Law concerning Amendment of Law on State Revenues and Expenditures Budget (APBN). [4] Filled with code of State Ministry / Agency followed by description of State Ministry / agency names. [5] Filled with code of Organization Unit Followed by description of Organization Unit. [6] Filled with code of location of a province followed by description of a province. [7] Filled with code of Working unit followed by description of working unit name. [8] Filled with status of BLU working unit full or in stages in accordance with Decree of Minister of Finance on BLU Working Unit Stipulation (only for BLU working unit). [9] Filled with percentage of direct utilization of PNBP BLU that can be used directly in accordance with the Decree of Minister of Finance on working unit stipulation applying BLU PK (it is filled only if working unit status is in stage BLU). [10] Filled with number of threshold. Note: - Threshold percentage is quantity of percentage of expenditure realization that is allowed to exceed the budget in DIPA BLU in accordance with the provisions. - Threshold percentage only for BLU working unit with status of full. - Threshold is calculated without considering surplus of previous budget. [11] Filled with amount of ceiling of all DIPA with numbers and words. [12] Filled with function code followed by function description. [13] Filled with sub function code followed by sub function description. [14] Filled with code of State Ministry / agency, Organization Unit and program followed by program description.

42 18 [15] Filled with activity code followed by activity description. [16] Filled with ceiling amount for the program and activity. [17] Filled with amount of ceiling Pure Rupiah or Rupiah Murni (RM). [18] Filled with total amount of ceiling of Non-tax revenue or Penerimaan Negara Bukan Pajak (PNBP). [19] Filled with amount of ceiling of current year PNBP. [20] Filled with amount of revenue ceiling coming from utilization of opening balance of BLU (only for BLU working unit) [21] Filled with amount of total ceiling of Foreign Loan / Grant. [22] Filled with amount of ceiling of Foreign Loan. [23] Filled with amount of ceiling of Foreign Grant. [24] Filled with amount of total ceiling of Domestic Loan /Grant. [25] Filled with amount of ceiling of Domestic Loan. [26] Filled with amount of ceiling of Domestic Grant. [27] Filled with amount of total ceiling of Direct Grant. [28] Filled with amount of ceiling of Foreign Direct Grant. [29] Filled with amount of ceiling of Domestic Direct Grant. [30] Filled with KPPN name. [31] Filled with KPPN Code. [32] Filled with amount of money for relevant KPPN. [33] Filled with place and date of signing of SP DIPA continuance excerpt. [34] Filled with name of person Giving Signature to SP DIPA continuance excerpt. [35] Filled with NIP of person Giving Signature to SP DIPA continuance excerpt. [36] Digital Stamp.

43 19 C. PROCEDURE FOR FILLING DIPA OF CONTINUANCE EXCERPT 1. DIPA of Continuance Excerpt Page I. Performance Information and Source of Fund a. Page IA. Performance Information No. Description [1a] Filled with Fiscal Year [1b] Filled with number of SP DIPA of Continuation Excerpt with the following provisions: aaa : Code of State Ministry / Agency bb : Code of Organization Unit c : Dekon Code ddddd : Unit working code 2XXX : Fiscal year [2] Filled with code of State Ministry / agency followed by description of state Ministry / Agency names. [3] Filled with code of Organization Unit followed by description of Organization Unit. [4] Filled with code of a province followed by description of the province. [5] Filled with code of Working unit followed by description of working unit name. [6] Filled with KPA name. [7] Filled with the name of Expenditure Treasurer. [8] Filled with Official giving signature to SPM. [9] Special Information for BLU Working Unit ([9] [13]): Filled with code 1 followed by a word full for BLU working unit with full status or code 2 followed by a word in stages for BLU working unit with in-stage status. [10] Filled with quantity of percentage of PNBP BLU utilization which can be directly used based on Decree of Minister of Finance on Working Unit Stipulation applying PK BLU (it is only filled if the working unit status is in-stage BLU). [11] Filled with number of threshold percentage. Note: - Threshold percentage is number of percentage of expenditure realization that is allowed to exceed the budget in DIPA BLU in accordance with the provisions. - Threshold percentage only for BLU working unit with status of full. - Threshold is calculated without considering surplus of previous budget. [12] Filled with amount of opening balance of BLU cash. [13] Filled with amount of closing balance of BLU cash. [14] Filled with sequence number of the pages.