Appendix 1 - Monthly Statistical Return
Part A: SAR Outgoing Instructions
Insert name of the Settlement Agent Monthly Indirect Participants SAR Outgoing Instructions Month, YYYY Date Indirect Participant’s Name 1 Indirect Participant’s Name 2 Total Indirect Participants Instructions Total Saudi Arabian Riyal Interbank Express Instructions processed by Settlement Agent Percentage of Indirect Participant Instructions over Total Saudi Arabian Riyal Interbank Express Instructions Volume Value Volume Value Volume Value Volume Value Volume (%) Value (%) a b c d e f = b + d g = c + e i j k = f/i x 100 l = g/j x 100 dd/mm/yyyy dd/mm/yyyy dd/mm/yyyy Total In case of a bulk instruction - take volume of individual instructions within the bulk instructionPart B: SAR Incoming Instructions
Insert name of the Settlement Agent Monthly Indirect Participants SAR Incoming Instructions Month, YYYY Date Indirect Participant’s Name 1 Indirect Participant’s Name 2 Total Indirect Participants Instructions Total Saudi Arabian Riyal Interbank Express Instructions processed by Settlement Agent Percentage of Indirect Participant Instructions over Total Saudi Arabian Riyal Interbank Express Instructions Volume Value Volume Value Volume Value Volume Value Volume (%) Value (%) a b c d e f = b + d g = c + e i j k = f/i x 100 l = g/j x 100 dd/mm/yyyy dd/mm/yyyy dd/mm/yyyy Total In case of a bulk instruction - take volume of individual instructions within the bulk instructionPart C: Credit Lines and Collateral
Insert name of the Settlement Agent Credit Lines and Collateral Held As of DD/MM/YYYY SAR' mn Indirect Participant’s Name Credit Lines Value of Collateral Held Total Unutilized Utilized Committed Uncommitted Total Cash Non- Cash a** b c d e ***g h i Indirect Participant’s Name 1 Indirect Participant’s Name 2 Indirect Participant’s Name 3 Total ** a = b + c = d + e
*** g = h + 1