1
Annex 2
Statement of commitment summary (Part 1)[1]
The International Bureau/restricted union/Creditor of
on behalf of:
16
27
38
49
510
has decided to submit the project proposal in question as a:
global project
regional project
joint project
With the International Bureau/restricted union/Creditor of
being the agreed upon leading project authority.
The Creditors agree to share the project budget as follows:
No. / Creditors / Amount (in USD) relinquishedfor the project / Statement attached[2]
1
2
3
4
5
6
7
8
9
10
Total
Total of cost summary
Balance (+/–)
Statement of commitment (Part 2)[3]
Hereby, the Creditor of:
Agrees:
1irrevocably to relinquish the amount of USD
(in words: )
in favour of the project entitled:
submitted by:
the International Bureau of the UPU
the restricted union
the Creditor of
We entitle the Board of Trustees to transfer the amount as stated above from our QSF account to the account of the project in question.
Moreover, we agree with the nomination of:
the International Bureau of the UPU
the restricted union
the Creditor of
as the leading project authority.
2to fulfil the objectives and performance indicators of the project.[4]
Place:
Date:
Name of Postmaster/Director General:
Signature:
Name of QSF Coordinator:
Signature:
[1] To be completed by the International Bureau, the restricted union or the Creditor selected as the project leader in case of a global, regional or joint project.
[2] Please use part 2 of this form for individual statements of commitment.
[3] To be completed by individual Creditors participating in a global, regional or joint project.
[4] The duly signed statement of commitment also binds Creditors to the fulfilment of the project's objectives and/or achievement of the targeted levels of performance (see PMM art. 7.4.5).