Page 1 \09 Telephone: (92 51) 2279641-6 \09 FAX (92 51) 2279648-9 THE WORLD BANK Islamabad Office Telephone: (92 51) 2279641-6 INTERNATIONAL BANK FOR RECONSTRUCTION AND DEVELOPMENT 20-A, Shahrah-e-Jamhuriat, G-5/1 Facsimile: (92 51) 2279648-9 I NTERNATIONAL DEVELOPMENT ASSOCIATION Islamabad, Pakistan Mailing Address: P.O. Box 1025 CONFORMED COPY September 17, 2010 Mr. Sibtain Fazal Halim Secretary Economic Affairs Division Government of Pakistan Islamabad Re: HIV-AIDS Prevention Project (DFID Grant No. TF093986-PK) Second Retroactive Extension of Closing Date Dear Mr. Halim: I refer to the DFID Grant Agreement between Islamic Republic of Pakistan (the “Recipient”) and the International Development Association (the “Association”), acting as administrator of the funds provided by the United Kingdom of Great Britain and Northern Ireland, through its Department for Foreign International Development (“DFID”) dated April 22, 2009 for the above-referenced HIV/AIDS Prevention Project (the “Project”), as amended (the “DFID Grant Agreement”). I also refer to the letter dated August 5, 2010, from the National Program Manager for the National AIDS Control Programme and the Project requesting an extension of the Closing Date of the DFID Grant Agreement until March 31, 2011. I am pleased to inform you that the Association, after due consideration, has agreed to retroactively extend the Closing Date in order to continue financing procurement of anti-retroviral drugs under disbursement category 3 (“HIV anti-retroviral medicines”), carried out by the National AIDS Control Programme, exclusively. To that end, the Association hereby establishes March 31, 2011 as the Closing Date for purposes of Section IV.B, paragraph 2, of the Schedule 2 to the DFID Grant Agreement. Kindly note that this would be the last extension to be granted under the aforementioned DFID Grant Agreement Sincerely, INTERNATIONAL DEVELOPMENT ASSOCIATION By/s/ Rachid Benmessaoud Rachid Benmessaoud Country Director, Pakistan South Asia Region Page 2 -2- cc: Mr. Salman Siddique, Secretary, Ministry of Finance Mr. Ashraf M. Hayat, Secretary, Planning and Development Division Mr. Khushnood Lashari, Secretary, Ministry of Health Dr. Hasan Abbas Zaheer, National Program Manager, HIV/AIDS Program, Ministry of Health