Part (XII) - Tables, Forms and Filling In Instructions Part Twelve Tables, Forms and Filling In Instructions Index Annex in Table or Form in Subject Page No. Instructions Circulars 1 Statement No. (2) Daily Balance Statement of Gross And Average 365 Deposits (Required Reserve) 2 Table No. (1) Credit Facili ties Rating by Economic Sectors 366 -370 3 Form Anti -Money Laundering (AML) and Combating 371 Financing of Terrorism (CFT) (Financial Information Unit) 4 Form Average Interest/Return Rates 372 5 Form and Request Form for Foundation of a Mut ual Fund 373 -377 questionnaire - Personal Questionnaire for Appointing Manager of the Mutual Fund 6 Statement Nostro Reconciliation Report 378 7 Instructions Guidelines on S ound Risk Management 379 -382 Practices 8 Instructions Data Entry - Provisions of Non -Performin g 383 -387 Credit Facilities 9 Forms Capital Adequacy Ratio (Basel II) 388 -395 10 Forms Statistics of Balance of Payments 396 -399 11 Tables Balance of Payments 400 -409 Notification about Debts due to be Writ ten off 410 -411 ( إ ت Form ( 1 12 13 Statement Major Shareholders in National Banks in which 412 they own 5% or more of Bank's Capital - Instructions Filling in Statement of Major Shareholders in 413 National Banks - Continue Annex No. (13) 14 Form Monthly Movement of Non -Performing Loans 414 Periodical Statement of Credit Concentrations 415 ( ت س\Form No. ( 1 15 for a Single Customer and his Borrower Group Periodical Statement of Credit Concentrations 416 -417 ( ت س/Form No. (1 - 1 16 to a Single Customer and 418 -420 ( ت س /Instructions Filling in Instructions of Forms no. (1 - .Continue Annex No. (15) & Annex No :( ت س/1-1) Tenth Edition 358 Banks/March 2008 Part (XII) - Tables, Forms and Filling In Instructions Annex in Table or Form in Subject Page No. Instructions Circulars (1 6) 17 Instructions Implementation Instructions of Capital 421 -450 Adequacy Calculation in pursuance with Basel II Framework - Pillar One 18 Statement No. (1) Total of Overdrafts and Overdrawn Accounts 451 19 Statement No. (2) Details of Other Overdrafts and Overdrawn 452 Accounts Collateralized by In-kind Guarantees 20 Form No. (1 \1) Financial Investments Assessment Inside & 453 -454 Outside Qatar – All Banks 21 Questionnaire Questionnaire of Companies Candidate for 455 Board of Directors or Major Shareholder 22 Form No. (1 \3) Details of Balances and Movements of Financial 456 Derivatives held for Trading or Hedging Purposes 23 Form No. (1 \4) Details of Financial Derivatives for Hedging 457 Purposes 24 Form No. (2 \1) Details of Balances, Movements & Assessment 458 -459 of Financial Investments 25 Application Forms • License Application Form - National Bank 460 -461 (Form (A) – Banks) • License Application Form - Foreign Bank’s 462-464 Branch in Qatar (Form (B) - Banks) • License Application Form - Branch inside 465-466 Qatar (Form (C) - Banks) • License Application Form - National Bank’s 467-468 Expansion outside Qatar (Form (D) - Banks) 26 Table License Fees Received by QCB 469 27 Table Fines Table For Violating Liquidity Ratio 470 28 Form No. (1) Calculation Form of Liquidity Ratio 471 29 Form No. (2) Calculation Form of Liquidity Ratio 472 30 Form No. (3 ) Recording Fines Form of Violating Liquidity 473 Ratio 31 Form No. (1) Calculation Form of Credit Ratio 474 32 Table Fines Table of Violating Credit Ratio 475 33 Form No. ( 1) Calculation Form of Credit Ratio 476 34 Form No. ( 2) Recording Fines Form of Violating Credit Ratio 477 35 Table Fines Table of Violating Ratio of Overdraft To 478 Tenth Edition 359 Banks/March 2008 Part (XII) - Tables, Forms and Filling In Instructions Annex in Table or Form in Subject Page No. Instructions Circulars Total Credit Facilities 36 Form No. (1) Calculation Form of Ratio of Overdraft To Total 479 Credit Facilities 37 Form No. (2) Recording Fines Form of Violating Ratio of 480 Overdraft To Total Credit Facilities 38 Form No. (1) Calculation Form of Total International 481 Financing Ratio 39 Form No. (2) Recording Form of Fines of Violating Total 482 International Financing Ratio 40 Form No. (3) Calculation Form of Rat io of Investments in 483 Real Estate (Circulated Investments), Other Real Estate and Assets for purposes of (Trading/Leasing), and Real Estate for Bank Use 41 Form No. (4) Calculation Form of Ratio of Investments in 484 Real Estate (Circulated Investments), Other Real Estate and Assets for purposes of (Trading/Leasing) 42 Table Fines Table of Violating Total International 485 Financing Ratio 43 Table Fines Table of Violating Ration of Investments 486 in Other Real Estate and Assets For Purposes of (Leasing/Trading) 44 Form No. (2) Recording Form of Fines of Violating Ratio of 487 Assets in Foreign Currencies To Liabilities in Foreign Currencies 45 Form No. (1) Calculation Form of Ratio of Assets in Foreign 488 Currencies To Liabilities in Foreign Currencies 46 Table Fines Table of Violating Ratio of Assets in 489 Foreign Currencies To Liabilities in Foreign Currencies 47 Attachment No. (1) Personal Questionnaire of the Candidate for the 490 Board of Directors 48 Form No. (1) Scheduling Debt of a Memb er of the Bank's 491 -492 Board - Subject to Settlement 49 Form No. (2) Scheduling Debt of a Company Owned or Co - 493 -494 owned by a Member of the Bank's Board - Subject to Settlement 50 Attachment No.(2) Undertaking & Acknowledgment ( Member of 495 Tenth Edition 360 Banks/March 2008 Part (XII) - Tables, Forms and Filling In Instructions Annex in Table or Form in Subject Page No. Instructions Circulars Board of di rectors) 51 Form Personal Questionnaire of Appointing General 496 Manager/Chief Executive Officer and Senior Staff 52 Table Investment Product Summary 497 53 Table Investment Product Register 498 54 Form Application Form for Appointing Chartered 499 -500 Auditor 55 Undertaking & Acknowledgment 501 56 Technical Technical Instructions for Credit Facilities and 502 -506 Instructions Guarantees Files (Facilities Flat File Structure - Guarantees Flat File Structures) 57 Form Organization al Chart of Ban king Supervision 507 Department 58 Form Application form of symbolic code for Ministries 508 and Government Companies and Institutions (Entry Form of Government Institutions) 59 Form Undertaking (From Headquarter / General 509 -510 Management of foreign bank branch operating in Qatar) 60 Form QCB Notification Form for Starting the Activity 511 of Branch (B) – Branch (C) 61 Form QCB Notification Form for Operating Automatic 512 Teller Machine (ATM) Monthly Statement o f Assets & Liabilities (For 513 -516 – /أ(رم Form No. (1 62 Islamic Banks Islamic Banks) - Instructions Filling In Instructions of Monthly Statement of 517 -520 Assets & Liabilities (For Islamic Banks): Continue Annex No. (62) 63 Table No. (1) Investments in Circulated Securities for Trading 521 (Islamic Banks) 64 Table No. (2) Fixed Continuous Investments in the Corporate 522 Capital (Islamic Banks) 65 Table No. (3) Investments in Portfolios and Mutual Funds 523 (Islamic Banks) 66 Table No. (4) Investments in Securities and Corporate 524 Capitals (Islamic Banks) 67 Table No. (5) International Murabaha in Commodities & 525 Metals (Islamic Banks) Tenth Edition 361 Banks/March 2008 Part (XII) - Tables, Forms and Filling In Instructions Annex in Table or Form in Subject Page No. Instructions Circulars 68 Table No. (6) Other International Financing Operations 526 (Islamic Banks) 69 Table No. (7) Investment in Real Estate for Trading (Islamic 527 Banks) 70 Table No. (8) Investment in Real Estate & Other Long Term 528 Assets for Leasing (Islamic Banks) 71 Table No. (9) Other Investments / Others (Islamic Banks) 529 72 Table No. (10) Other Assets & Liabilities (Islamic Banks) 530 73 Table No. (1 1) Private Investments (Provisioned) & their 531 Sources of Financing (Islamic Banks) 74 Form Monthly Statement of Assets and Liabilities 532 -533 - Instructions Filling In Instructions of the Monthly Statement 53 4-545 of Assets & Liabilities - Continue Annex No. (74) 75 Table Banks ’ Income and Expense Statement 546 -548 76 Table No. (1) (101) Cash and Precious Metals 549 77 Table No. (2) (102+104) Breakdown of balances maintained 550 with QCB/banks/Other Financial Institutions According to Maturity 78 Table No. (3) (103) Breakdown of Securities Portfolio by 551 Maturity 79 Table No. (4) (105) Breakdown of Credit Facilities by Maturity 552 80 Table No. (5) (105) Breakdown of Credit Facilities by 555 Collaterals 81 Table No. (6) (105) Breakdown of Cred it Facilities by 554 Economic Sectors 82 Table No. (7) (105) Credit Classification According to Quality 555 83 Table No. (8) (105) Break down of Direct/ Indirect Credit 556 Facilities by Amount Denominations and Number of Customers (Non-Government) 84 Table No. (9) (106) Long -term Investment 557 85 Table No. (10) 107/01 Net Fixed Assets for Bank Use 558 86 Table No. (11) 107/02 Net Fixed Assets ( for other purposes) 559 87 Table No. (12) 108 - Breakdown of Other Assets 560 88 Table No. (13) (201, 202 ) Breakdown of Balances due to 561 QCB/Banks and other Financial Institutions 89 Table No. (14) (203) Breakdown of Deposits as per Maturity 562 and according to Sectors 90 Table No. (15) (203) Breakdown of Customer Deposits by 563 Amount Denominations and Number of Tenth Edition 362 Banks/March 2008 Part (XII) - Tables, Forms and Filling In Instructions Annex in Table or Form in Subject Page No. Instructions Circulars Customers (Non -Government) 91 Table No. (16) (207) Breakdown of Other Liabilities 564 92 Table No. (17) (3) Details of Contra Items 565 93 Table No. (18) (50103) Breakdown of interest received on 566 credit facilities by economics inside Qatar 94 Table No. (1) Financial Investments/ By the Principal Items 567 (Commercial Banks) 95 Table No. (2) Trading Book in Securities/Item (103) 568 96 Table No. (3) Investment In Stocks per Investment/ Item 569 (103) 97 Table No.