Annexes to Instruction No. 005-DOM/2021 of December 3, 2021

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ANNEX - I

SUBMISSION FOR MAIN OPERATIONS - LIQUIDITY INJECTION (1) - LIQUIDITY ABSORPTION (1)

Bank Name: ____________________

Launch Date of ____________________

ORDER NO.	SUBMISSION	Proposed Rates (with two decimals)
	Amount (in Ar)
TOTAL...

COLLATERAL (2):

Total collateral amount: Ariary.......................... Interest amount: Ariary ..........................

ORDER NO.	COLLATERAL
	Nature	Reference	Acquisition Rate	Maturity	Discount Rate	Nominal Amount of the Security (in Ariary)
						In words	In figures
TOTAL...

(1) Strike out the irrelevant mention (2) To be completed only in case of Injection Operations

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

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ANNEX - II

SUBMISSION FOR FINAL RECONCILIATION OPERATIONS - LIQUIDITY INJECTION (1) - LIQUIDITY ABSORPTION (1)

Bank Name: ____________________

Launch Date of ____________________

ORDER NO.	SUBMISSION	Rates (with two decimals)
	Amount (in Ariary)
	In words	In figures
TOTAL...

COLLATERAL (2):

Total collateral amount: Ariary.......................... Interest amount: Ariary ..........................

ORDER NO.	COLLATERAL
	Nature	Reference	Acquisition Rate	Maturity	Discount Rate	Nominal Amount of the Security (in Ariary)
						In words	In figures
TOTAL...

(1) Strike out the irrelevant mention (2) To be completed only in case of Injection Operations

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

2

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ANNEX - III

SUBMISSION FOR LONGER-TERM OPERATIONS - LIQUIDITY INJECTION (1) - LIQUIDITY ABSORPTION (1)

Bank Name: ____________________

Launch Date of ____________________

ORDER NO.	SUBMISSION	Proposed Rates (with two decimals)
	Amount (in Ariary)
TOTAL...

COLLATERAL (2):

Total collateral amount: Ariary.......................... Interest amount: Ariary ..........................

ORDER NO.	COLLATERAL
	Nature	Reference	Acquisition Rate	Maturity	Discount Rate	Nominal Amount of the Security (in Ariary)
						In words	In figures
TOTAL...

(1) Strike out the irrelevant mention (2) To be completed only in case of Injection Operations

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

3

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ANNEX - IV

SUBMISSION FOR SALE OF BFM SECURITIES

Bank Name: ____________________

Launch Date of ____________________

ORDER NO.	SECURITIES
	Nature	Reference	Number of Securities	Nominal Amount per Security (1)	Maturity	Total Amount (in Ariary)	PROPOSED RATES
	TOTAL ........................................................

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

(1) The nominal amount of a security is 100 million Ariary

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ANNEX - V

APPLICATION FOR ACCESS TO THE MARGINAL LENDING FACILITY

Bank Name: ____________________

Launch Date of ____________________

WE BORROW

Amount (in Ariary)	Duration (in days)	Date of	Rate
In figures	In words		Settlement

COLLATERAL (2):

Total collateral amount: Ariary.......................... Interest amount: Ariary ..........................

ORDER NO.	COLLATERAL
	Nature	Reference	Acquisition Rate	Maturity	Discount Rate	Nominal Amount of the Security (in Ariary)
						In words	In figures
TOTAL...

(1) Strike out the irrelevant mention (2) To be completed only in case of refinancing

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

5

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ANNEX - VI

APPLICATION FOR ACCESS TO THE DEPOSIT FACILITY

Bank Name: ____________________

Launch Date of ____________________

WE DEPOSIT WITH BFM

Amount (in Ariary)	Duration (in days)	Date of	Rate
In figures	In words		Placement

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

6

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ANNEX - VII

SUBMISSIONS FOR FIXED-RATE OPERATIONS WITH TOTAL OR PARTIAL ALLOCATION OF SUBMISSIONS

- LIQUIDITY INJECTION (1) - LIQUIDITY ABSORPTION (1)

Bank Name: ____________________

Rate: ____________________

Launch Date of ____________________

SUBMISSION
Total Amount (in Ar)
In figures	In words

COLLATERAL (2):

Total collateral amount: Ariary.......................... Interest amount: Ariary ..........................

ORDER NO.	COLLATERAL
	Nature	Reference	Acquisition Rate	Maturity	Discount Rate	Nominal Amount of the Security (in Ariary)
						In words	In figures
TOTAL...

(1) Strike out the irrelevant mention (2) To be completed only in case of Injection Operations

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

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ANNEX - VIII

INTERBANK OPERATIONS WITH COLLATERAL

Operation of ____________________

Lender	Borrower	Amount (in Ariary)	Duration (in days)	Date of	Rate
		In figures	In words		Settlement

COLLATERAL (1):

Total collateral amount: Ariary.......................... Interest amount: Ariary ..........................

ORDER NO.	COLLATERAL
	Nature	Reference	Acquisition Rate	Maturity	Discount Rate	Nominal Amount of the Security (in Ariary)
						In words	In figures
TOTAL...

(1) To be completed only in case of operations with collateral

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

8

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ANNEX - IX

UNSECURED INTERBANK OPERATIONS

Operation of ____________________

Lender	Borrower	Amount (in Ariary)	Duration (in days)	Date of	Rate
		In figures	In words		Settlement

At ____________________, on ____________________ (Names, Authorized Signatures, and Bank Stamp)

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