Щодо діагностичного обстеження банків 3 та 4 груп

НАЦІОНАЛЬНИЙ БАНК УКРАЇНИ Департамент безвиїзного банківського нагляду

ЛИСТ

10.04.2009 N 47-512/6975

Банкам (за списком)

Щодо діагностичного обстеження банків 3 та 4 груп

З метою надання банками 3 та 4 груп в єдиному форматі інформації про результати діагностичного обстеження Департамент безвиїзного банківського нагляду направляє для використання у роботі формат таблиць до Звіту про результати діагностичного обстеження банку, який передбачений постановою Правління Національного банку України від 19.02.2009 N 80 ( v0080500-09 ) "Про здійснення діагностичного обстеження банків 2, 3 та 4 груп", викладений англійською мовою (далі - Звіт).

Банкам необхідно терміново надати аудиторській фірмі, яка здійснює діагностичне обстеження, відповідний формат Звіту для його заповнення (додається).

Директор Департаменту безвиїзного банківського нагляду В.І.Мазепа

Додаток

Table N 1

Capital Adequacy of

_________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

------------------------------------------------------------------

| | | | | the |

| | | | | the |

|---+---------------+------------+---------------+---------------|

|1 |Regulator y | | | |

|---+---------------+------------+---------------+---------------|

|2. |Assets used for| | | |

|---+---------------+------------+---------------+---------------|

|3 |The regulatory | #DIV/0! | #DIV/0! | #DIV/0! |

| |% | | | |

|---+---------------+------------+---------------+---------------|

| | | | | |

|---+---------------+------------+---------------+---------------|

|4 |The amount of | 0 | 0 | 0 |

| |(H2) of 10% | | | |

------------------------------------------------------------------

"__" ____________ 200_

Bank's President/Chairman ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 2.1

Adjustments of the regulatory Capital of

__________________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

---------------------------------------------------------------------

| N | The |The implications of| Balance sheet accounts |

| |adjustment|adjustments for the|-----------------------------|

| | | according to the |--------------+--------------|

|------+----------+-------------------+-------+------+-------+------|

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

| 1. | | | | | | |

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

| 2. | | | | | | |

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

| 3. | | | | | | |

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

| | | | | | | |

|------+----------+-------------------+-------+------+-------+------|

|......| | | | | | |

---------------------------------------------------------------------

"__" ____________ 200_

Bank's President/Chairman ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 2.2

Adjustments of the regulatory Capital of

__________________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

-------------------------------------------------------------------------

| з/п |коригування|of adjustments for the|-----------------------------|

| | | according to the |--------------+--------------|

|------+-----------+----------------------+-------+------+-------+------|

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

| 1. | | | | | | |

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

| 2. | | | | | | |

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

| 3. | | | | | | |

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

| | | | | | | |

|------+-----------+----------------------+-------+------+-------+------|

|......| | | | | | |

-------------------------------------------------------------------------

"__" ____________ 200_

Bank's President/Chairman ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 3

Structure of the Regulatory Capital

________________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

------------------------------------------------------------------

|-------+----------------+-----------+-------------+-------------|

| | | | | |

|-------+----------------+-----------+-------------+-------------|

| I |Bank's | | | |

| |IV - V) | | | |

|-------+----------------+-----------+-------------+-------------|

| | | | | |

|-------+----------------+-----------+-------------+-------------|

| II |Core capital | | | |

| |(1 + 2 - 3) | | | |

|-------+----------------+-----------+-------------+-------------|

|-------+----------------+-----------+-------------+-------------|

| 1 |Actually paid | | | |

|-------+----------------+-----------+-------------+-------------|

| 2 |Disclosed | | | |

|-------+----------------+-----------+-------------+-------------|

| 3 |Decrease in the | | | |

| |of | | | |

|-------+----------------+-----------+-------------+-------------|

|-------+----------------+-----------+-------------+-------------|

| 3.1 |underaccumulated| | | |

|-------+----------------+-----------+-------------+-------------|

| 3.2 |estimated losses| | | |

|-------+----------------+-----------+-------------+-------------|

| | | | | |

|-------+----------------+-----------+-------------+-------------|

| | | | | |

|-------+----------------+-----------+-------------+-------------|

| III |Suplementary | | | |

| |2 + 3 + 4 + 5) | | | |

|-------+----------------+-----------+-------------+-------------|

|-------+----------------+-----------+-------------+-------------|

| 1. |Reserves to the | | | |

|-------+----------------+-----------+-------------+-------------|

| 2. |Revaluation of | | | |

|-------+----------------+-----------+-------------+-------------|

| 3. |Estimated profit| | | |

|-------+----------------+-----------+-------------+-------------|

| 4. |Profits of | | | |

|-------+----------------+-----------+-------------+-------------|

| 5. |Subordinated | | | |

|-------+----------------+-----------+-------------+-------------|

|(III) |Additional | | | |

|-------+----------------+-----------+-------------+-------------|

| | | | | |

|-------+----------------+-----------+-------------+-------------|

| | | | | |

|-------+----------------+-----------+-------------+-------------|

| IV |Deductions (1 + | | | |

| |2 + 3 + 4 + 5 + | | | |

| |6 + 7 + 8) | | | |

|-------+----------------+-----------+-------------+-------------|

|-------+----------------+-----------+-------------+-------------|

| 1 |Balance sheet | | | |

|-------+----------------+-----------+-------------+-------------|

| 2 |total | | | |

|-------+----------------+-----------+-------------+-------------|

| 3 |Balance sheet | | | |

|-------+----------------+-----------+-------------+-------------|

| 4 |Excess of the | | | |

|-------+----------------+-----------+-------------+-------------|

| 5 |Excess of the | | | |

| |(H9) | | | |

|-------+----------------+-----------+-------------+-------------|

| 6 |Value of | | | |

|-------+----------------+-----------+-------------+-------------|

| 7 |Total | | | |

|-------+----------------+-----------+-------------+-------------|

| 8 |Balance sheet | | | |

|-------+----------------+-----------+-------------+-------------|

| | | | | |

|-------+----------------+-----------+-------------+-------------|

| V |Deductions | x | x | |

| |2 + 3 + 4) | | | |

|-------+----------------+-----------+-------------+-------------|

| 1. |Balance sheet | x | x | |

|-------+----------------+-----------+-------------+-------------|

| 2. |Gaps between | x | x | |

|-------+----------------+-----------+-------------+-------------|

| 3. |Total | x | x | |

|-------+----------------+-----------+-------------+-------------|

| 4. |Other | x | x | |

|-------+----------------+-----------+-------------+-------------|

| | | | | |

------------------------------------------------------------------

"__" ____________ 200_

Bank's President/Chairman ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 4

The information on asset operations for the calculation of the regulatory capital adequacy limit

_________________________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

------------------------------------------------------------------------------

|------+---------------------------+-----------+--------------+--------------|

| | | | | |

|------+---------------------------+-----------+--------------+--------------|

| 1. |Total assets, included in | 0 | 0 | 0 |

|------+---------------------------+-----------+--------------+--------------|

| | | | | |

|------+---------------------------+-----------+--------------+--------------|

| | 0% | | | |

|------+---------------------------+-----------+--------------+--------------|

| 1.1 |Total assets | | | |

| |---------------------------+-----------+--------------+--------------|

|------+---------------------------+-----------+--------------+--------------|

| | 10% | | | |

|------+---------------------------+-----------+--------------+--------------|

| 1.2 |Total assets | | | |

| |---------------------------+-----------+--------------+--------------|

|------+---------------------------+-----------+--------------+--------------|

| | 20% | | | |

|------+---------------------------+-----------+--------------+--------------|

| 1.3 |Total assets | | | |

| |---------------------------+-----------+--------------+--------------|

|------+---------------------------+-----------+--------------+--------------|

| | 50% | | | |

|------+---------------------------+-----------+--------------+--------------|

| 1.4 |Total assets | | | |

| |---------------------------+-----------+--------------+--------------|

|------+---------------------------+-----------+--------------+--------------|

| | 100% | | | |

|------+---------------------------+-----------+--------------+--------------|

| 1.5 |Total assets | | | |

| |---------------------------+-----------+--------------+--------------|

|------+---------------------------+-----------+--------------+--------------|

|1.6. |Long-term asset-based | | | |

|------+---------------------------+-----------+--------------+--------------|

| 1.7 |Gross open currency | | | |

------------------------------------------------------------------------------

"__" ____________ 200_

Bank's President/Chairman ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 5

Summary of the results of of lending operations analysis of

_______________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | |----------------------| lending |--------------------------------------------------------------------+--------------------------------------------------------------------+---------------------------------------------|

| | | | | |----------------------+----------------------+----------------------+----------------------+----------------------+----------------------+----------------------+----------------------|

|----+------------+---------+------------+----------+---------+------------+---------+------------+---------+------------+---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 |

| 1. |Legal | | | | | | | | | | | | | | | | | | | |

|1.1.|off-balance | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | |

|2. |Total | | | | | | | | | | | | | | | | | | | |

|2.1.|mortgage | | | | | | | | | | | | | | | | | | | |

|2.2.|other loans | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | |

|2.3.|off-balance | | | | | | | | | | | | | | | | | | | |

| | | | | | | | | | | | | | | | | | | | | |

"__" ____________ 200_

Bank's Chairman/President ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 6

Analysis of lending operations of

_____________________________ (Bank's name) with legal entities as of ____________ 200__

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | | | | sheet |----------------------| value of |----------------------| refinancing (3) |-----------------------+------------------------------|

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|1 |Client 1 | x | | | | | | | | | | | | | |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for| | x | x | | | | x | x | x | | | x | x | x |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|2 |Client 2 | x | | | | | | | | | | | | | |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for| | x | x | | | | x | x | x | | | x | x | x |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|n |Client n | x | | | | | | | | | | | | | |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for| | x | x | | | | x | x | x | | | x | x | x |

|--+---------+--------+----------+---------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for| x | x | x | | | | x | x | x | | | x | x | x |

| |all | | | | | | | | | | | | | | |

-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

-------------------------------------------------------------------------------------------------------------------------------------------------

| Value of collateral according to the Bank's information |Comments on| The collateral |

|---------------------------------------------------------------------------------------------------------------|the Bank's |value that is used |

|category "A",|-------------------| | | |---------------| |residential| | |-------------------|

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+-------------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

-------------------------------------------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------

| Provision | The amount of reserves to be accumulated |

| | additionally |

|----------------------------------------------------------------+---------------------------------------------|

|------------------+----------------------+----------------------+----------------------+----------------------|

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| 31 | 32 | 33 | 34 | 35 | 36 | 37 | 38 | 39 | 40 |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+--------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

----------------------------------------------------------------------------------------------------------------

"__" ____________ 200_

Bank's Chairman/President ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 7

Analysis of lending operations of

_________________________ (Bank's name) with individual borrowers (mortgages) as of ____________ 200_

(thousand UAH)

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | | | | sheet |---------------------| value of |---------------------|refinancing (3) |----------------------------+------------------------------|

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

|1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

|1 |Client 1 | x | | | | | | | | | | | | | |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

| |Total for | | x | x | | | | x | x | x | | | x | x | x |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

|2 |Client 2 | x | | | | | | | | | | | | | |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

| |Total for | | x | x | | | | x | x | x | | | x | x | x |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

|n |Client n | x | | | | | | | | | | | | | |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

| |Total for | | x | x | | | | x | x | x | | | x | x | x |

|--+----------+--------+----------+---------+---------+-----------+-----------+---------+-----------+-----------------+----------------+-----------+------+----------+------------|

| |Total for | x | x | x | | | | x | x | x | | | x | x | x |

| |all | | | | | | | | | | | | | | |

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

-----------------------------------------------------------------------------------------------------------------------------------------------

| Value of collateral according to the Bank's information |Comments on| The collateral |

|-------------------------------------------------------------------------------------------------------------|the Bank's |value that is used |

|category "A", |------------------| | | |---------------| |residential| | |-------------------|

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|--------------+--------+---------+------+-----------+-----------+-----+---------+------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

-----------------------------------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------------------------------

| Provisions | The amount of provisions to be accumulated |

|--------------------------------------------------------------------+---------------------------------------------|

|----------------------+----------------------+----------------------+----------------------+----------------------|

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| 31 | 32 | 33 | 34 | 35 | 36 | 37 | 38 | 39 | 40 |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

--------------------------------------------------------------------------------------------------------------------

"__" ____________ 200_

Bank's Chairman/President __________________ (name)

Auditing company's manager __________________ (name)

Table N 8

Analysis of lending operations of

_________________________________ (Bank's name) with individual borrowers (other loans) as of ____________ 200_

(thousand UAH)

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | | | | sheet |----------------------| value of |----------------------| refinancing (3) |-----------------------+------------------------------|

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|1 |Client 1 | x | | | | | | | | | | | | | |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for | | x | x | | | | x | x | x | | | x | x | x |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|2 |Client 2 | x | | | | | | | | | | | | | |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for | | x | x | | | | x | x | x | | | x | x | x |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

|n |Client n | x | | | | | | | | | | | | | |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| | | | | | | | | | | | | | | | |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for | | x | x | | | | x | x | x | | | x | x | x |

|--+----------+--------+----------+----------+---------+------------+-----------+---------+------------+-----------------+-----------+-----------+------+----------+------------|

| |Total for | x | x | x | | | | x | x | x | | | x | x | x |

| |all | | | | | | | | | | | | | | |

---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

----------------------------------------------------------------------------------------------------------------------------------------------

| Value of collateral according to the Bank's information |Comments on| The collateral |

|------------------------------------------------------------------------------------------------------------|the Bank's |value that is used |

|category "A",|-------------------| | | |---------------| |residential| | |-------------------|

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | 28 | 29 | 30 |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

|-------------+---------+---------+------+----------+----------+-----+---------+-------+-----------+---------+-----------+------+------------|

| | | | | | | | | | | | | | |

----------------------------------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------------------------------

| Provisions | The amount of additional provisions to be |

| | accumulated |

|--------------------------------------------------------------------+---------------------------------------------|

|----------------------+----------------------+----------------------+----------------------+----------------------|

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| 31 | 32 | 33 | 34 | 35 | 36 | 37 | 38 | 39 | 40 |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

|---------+------------+---------+------------+---------+------------+---------+------------+---------+------------|

| | | | | | | | | | |

--------------------------------------------------------------------------------------------------------------------

"__" ____________ 200_

Bank's Chairman/President __________________ (name)

Auditing company's manager __________________ (name)

Table N 9

Credit operations with insiders of

______________________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

| | | | | | | | | | (2), | | | | |normative and legal|

| | | | | | | | | | (3) or | |-------------------+------------------------------+-----------------+-------------------|

| | | | | | | | | | | | | of | | | of | | | | of |

|---+---------+--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

|1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 |

|---+---------+--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

|1 | | | | | | | | | | | | | | | | | | | |

| | |--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

| | | | | | | | | | | | | | | | | | | | |

|---+---------+--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

| |1 | | | | | | | | | | | | | | | | | | |

|---+---------+--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

|2 | | | | | | | | | | | | | | | | | | | |

| | |--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

| | | | | | | | | | | | | | | | | | | | |

|---+---------+--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

| |n | | | | | | | | | | | | | | | | | | |

|---+---------+--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

|...| ... | | | | | | | | | | | | | | | | | | |

|---+---------+--------+------+--------+---------+-----+---------+------------+------------+----------+------+------------+------+----------+------------+------+----------+------+------------|

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

---------------

* Note. Information to be provided on the credits, whose value equals or exceeds 250000 UAH (excluding accred interest rate)

"__" ____________ 200_

Bank's President/Chairman ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 10

Analysis of investments in securities of

______________________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

------------------------------------------------------------------

|------+----------------+------------+----------------+----------|

| 1 | 2 | | 4 | 5 |

|------+----------------+------------+----------------+----------|

| 1 |Trading | | | |

|------+----------------+------------+----------------+----------|

|------+----------------+------------+----------------+----------|

| 1.1 |Public | | | |

|------+----------------+------------+----------------+----------|

| 1.2 |Securities in | | | |

|------+----------------+------------+----------------+----------|

| 1.3 |Off-listing | | | |

|------+----------------+------------+----------------+----------|

| 1.4 |Securities not | | | |

|------+----------------+------------+----------------+----------|

| 1.5 |Securities of | | | |

|------+----------------+------------+----------------+----------|

| 2 |Portfolio for | | | |

|------+----------------+------------+----------------+----------|

|------+----------------+------------+----------------+----------|

| 2,1 |Public | | | |

|------+----------------+------------+----------------+----------|

| 2,2 |Securities in | | | |

|------+----------------+------------+----------------+----------|

| 2,3 |Off-listing | | | |

|------+----------------+------------+----------------+----------|

| 2,4 |Securities not | | | |

|------+----------------+------------+----------------+----------|

| 2,5 |Securities of | | | |

|------+----------------+------------+----------------+----------|

| 2,6 |other | | | |

|------+----------------+------------+----------------+----------|

| 3 |Portfolio before| | | |

|------+----------------+------------+----------------+----------|

| 3,1 |Public | | | |

|------+----------------+------------+----------------+----------|

| 3,2 |Other securities| | | |

|------+----------------+------------+----------------+----------|

| 3,3 |Other securities| | | |

|------+----------------+------------+----------------+----------|

| 4 |Investments in | | | |

|------+----------------+------------+----------------+----------|

| 5 |Total | | | |

------------------------------------------------------------------

"__" ____________ 200_

Bank's Chairman/President ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 11

Analysis of debitors of

____________________________ (Bank's name) as of ____________ 200_

(thousand UAH)

--------------------------------------------------------------------------------------------------

| | according to | | to the |------------------+------------------------+---------|

| | | | | | the | by the | the | |

| | | | | | of | | of | |

|--+--------------+------------+-----------+-----+------------+-----------+------------+---------|

|1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |

|--+--------------+------------+-----------+-----+------------+-----------+------------+---------|

|1 | I | 0 | | | | | | |

|--+--------------+------------+-----------+-----+------------+-----------+------------+---------|

|2 | II | 20 | | | | | | |

|--+--------------+------------+-----------+-----+------------+-----------+------------+---------|

|3 | III | 50 | | | | | | |

|--+--------------+------------+-----------+-----+------------+-----------+------------+---------|

|4 | IV | 100 | | | | | | |

|--+--------------+------------+-----------+-----+------------+-----------+------------+---------|

|5 | Total | х | | | | | | |

--------------------------------------------------------------------------------------------------

"__" ____________ 200_

Bank's Chairman/President ___________ __________________ (signature) (name)

Auditing company's manager ___________ __________________ (signature) (name)

Table N 12

Real Estate analysis of

___________________________ (Bank's name) as of ____________

(thousand UAH)

---------------------------------------------------------------------------------------

| | | |----------------| | | related | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

|1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

|1 |Bank's | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

| |in 2008 | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

| |in 2007 | | | | | | | |

| |2008 | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

|--+----------+--------+---------+------+----------+-------------+-------------+------|

|2 |Real | | | | | | | |

| |the | | | | | | | |

| |of | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

| |in 2008 | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

| |in 2007 | | | | | | | |

| |2008 | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

|--+----------+--------+---------+------+----------+-------------+-------------+------|

|3 |Other real| | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

| |in 2008 | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

| |in 2007 | | | | | | | |

| |2008 | | | | | | | |

|--+----------+--------+---------+------+----------+-------------+-------------+------|

---------------------------------------------------------------------------------------

"__" ____________ 200_

Bank's Chairman/President __________________ /name/

Auditing company's manager __________________ /name/

Table N 13

Structure of income and costs of

________________________________ (Bank's name) for the period of ______________

(thousand UAH)

------------------------------------------------------------------

| | | | | (3 + 4) |

|----+--------------+--------------+--------------+--------------|

| 1 | 2 | 3 | 4 | 5 |

|----+--------------+--------------+--------------+--------------|

| I |TOTAL INCOME | | | |

|----+--------------+--------------+--------------+--------------|

| 1 | Interest | | | |

|----+--------------+--------------+--------------+--------------|

|1.1 |Accrued but | | | |

|----+--------------+--------------+--------------+--------------|

|1.2 |Accrued but | | | |

|----+--------------+--------------+--------------+--------------|

|1.3 |Accrued but | | | |

|----+--------------+--------------+--------------+--------------|

|1.4 |Accrued but | | | |

|----+--------------+--------------+--------------+--------------|

| 2 | Income from | | | |

|----+--------------+--------------+--------------+--------------|

|2.1 |Commissions | | | |

|----+--------------+--------------+--------------+--------------|

| 3 | Results of | | | |

|----+--------------+--------------+--------------+--------------|

| 4 | Return of | | | |

|----+--------------+--------------+--------------+--------------|

| 5 |Other income, | | | |

|----+--------------+--------------+--------------+--------------|

|5.1 |Income from | | | |

|----+--------------+--------------+--------------+--------------|

|II | TOTAL COSTS | | | |

|----+--------------+--------------+--------------+--------------|

| 1 | Interest | | | |

|----+--------------+--------------+--------------+--------------|

| 2 | Commissions | | | |

|----+--------------+--------------+--------------+--------------|

| 3 | General | | | |

|----+--------------+--------------+--------------+--------------|

| 4 | Cost of | | | |

|----+--------------+--------------+--------------+--------------|

| 5 | Losses from | | | |

|----+--------------+--------------+--------------+--------------|

| 6 | Other costs, | | | |

|----+--------------+--------------+--------------+--------------|

|6.1 |Losses from | | | |

|----+--------------+--------------+--------------+--------------|

|6.2 |expenditures | | | |

|----+--------------+--------------+--------------+--------------|

| 7 | Income tax | | | |

|----+--------------+--------------+--------------+--------------|

|III | Financial | | | |

------------------------------------------------------------------

"__" ____________ 200_

Bank's Chairman/President __________________ /name/

Auditing company's manager __________________ /name/

Table N 14

Structure of Assets and Liabilities of

______________________________________ (Bank's name) by Maturity Date as of ____________ 200_

(thousand UAH)

-----------------------------------------------------------------------------------------

|з/п | | | the Diagnostic Analysis |

| | |---------------------------------+---------------------------------|

| | |---------------------------------+---------------------------------|

| | | upon |2 to |32 to|93 to|more | upon |2 to |32 to|93 to|more |

| | |request* | 31 | 92 | 365 |than |request* | 31 | 92 | 365 |than |

| | | |days |days |(366)|365 | |days |days |(366)|365 |

| | | | | |days |(366)| | | |days |(366)|

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 1 |Cash | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 2 |Money in the | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 3 |Treasury and | | | | | | | | | | |

| |NBU | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 4 |Money in other| | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 5 |Operations | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|5.1 |loans to | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|5.2 |loans to | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 6 |Operations | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 7 |Accounts | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 8 |Financial and | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 9 |Intangible | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 10 |Fixed assets | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 11 |Other accrued | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 12 |Transit | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 13 |Debit amounts | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 14 |Other assets | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 15 |Total assets | | | | | | | | | | |

| |(I) | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 16 |NBU funds | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 17 |Other banks' | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 18 |Budgetary | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 19 |Corporate | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|19.1|money of legal| | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|19.2|money of legal| | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 20 |Deposits of | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|20.1|money of | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

|20.2|term deposits | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 21 |Money of non- | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 22 |Loans of | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 23 |Own debt | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 24 |Bank's | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 25 |Accounts | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 26 |Other accrued | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 27 |Transit | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 28 |Amounts of | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 29 |Other | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 30 |Total | | | | | | | | | | |

| |(II) | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 31 |Inconsistency | | | | | | | | | | |

| |(I) - (II) | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 32 |Bank's | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 33 |Total | | | | | | | | | | |

| |(III): | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 34 |Inconsistency | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 35 |Liabilities on| | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 36 |Unpledged | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 37 |Claims and | | | | | | | | | | |

|----+--------------+---------+-----+-----+-----+-----+---------+-----+-----+-----+-----|

| 38 |Total off- | | | | | | | | | | |

| |(IV): | | | | | | | | | | |

-----------------------------------------------------------------------------------------

---------------

* Including on demand and overnight operations Note: the analysed indicators are included in the description to the table

"__" ____________ 200_

Bank's Chairman/President __________________ /name/

Auditing company's manager __________________ /name/

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