Form 1364 WORLD BANK DEBT REPORTING SYSTEM
(12-00)
FORM 1A: SCHEDULE OF DRAWINGS AND PRINCIPAL AND INTEREST PAYMENTS
FOR INDIVIDUAL EXTERNAL PUBLIC DEBT AND PRIVATE DEBT PUBLICLY GUARANTEED
Rozvrh splátek jistin a úroků pro jednotlivé zahraniční státní dluhy a pro soukromé dluhy garantované institucemi státního sektoru
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| 1. REPORTING COUNTRY CZ | 2. DEBT NO. |
| Vykazující země | Identifikační číslo dluhu |
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| 3. CURRENCY IN WHICH REPORTED | 4. TYPE OF SUBMISSION CHECK IF: A. ORIGINAL B. REVISION |
| Měna, ve které se dluh vykazuje | Typ zasílaného výkazu +-+ +-+ |
| | A.Originál +-+ B.Oprava +-+ |
+-----------------------------------------------+-------------------------------------------------------------+
+----------------+------------------------------+-------------------------------------------------------------+
| DATE | | ESTIMATED FUTURE PAYMENTS |
| Datum | SCHEDULE OF RESCHEDULINGS | Odhad budoucích splátek |
+-------+--------+ Rozvrh splátek při +------------------------------+------------------------------+
| MONTH | YEAR | restrukturalizaci dluhu | PRINCIPAL | INTEREST |
| Měsíc | Rok | | Jistina | Úrok |
| | | | | |
+-------+--------+------------------------------+------------------------------+------------------------------+
| (1) | (2) | (3) | (4) | (5) |
+-------+--------+------------------------------+------------------------------+------------------------------+
+-------+--------+------------------------------+------------------------------+------------------------------+
+-------+--------+------------------------------+------------------------------+------------------------------+
+-------+--------+------------------------------+------------------------------+------------------------------+
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| NOTES: | Název, adresa a razítko | Jméno a podpis zpracovatele: |
| | vykazující jednotky: | |
| | | tel. č.: |
| | | |
| | | fax: |
| | | |
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WORLD BANK DEBT REPORTING SYSTEM +---------------------------------+