1

2

REPUBLIC OF INDOENSIA KIPCENTRAL BUREAU OF STATISTICS Questionnaire II-A

1994 ANNUAL MANUFACTURING SURVEY

1. Province : ……………………………….2. District/Municipality *) : ……………………………….3. Administrative City :

……………………………….4. Sub-District :

……………………………….5. Village/Village Unit :

……………………………….6. Survey Year : ……………………………….

Filled by CBS

7. Full name of Company : ………………………………..8. Address of Company : ………………………………..

………………………Postal codePhone: ( )……….Fax: ( )……..

*) Cross out inapplicable category

Objective of the survey:To obtain reliable and accurate data for developing planning

Legal Status:Implementation of the survey is based on Law no.7 on Statistics, 1960

ConfidentialityConfidentiality of the data is guaranteed under Law no. 7 on Statistics, 1960

DeadlineFilled questionnaire is to be handed back latest JUNE, 30, 1994

For further information,Please contact: Biro Statistik Industri BPS

Jl. Dr. Sutomo 8 Jakarta, 10710Tel/Fax: (021) 386-3816Or the nearest Regional Office of the Bureau of Statistic

3

4

Instructions

Prior to filling the questionnaire, please read the following information carefully:

A manufacturing establishment is defined as a production unit located in a certain area that isengaged in activities to transform a product mechanically or chemically into a product/goodswhich can used by the final user. An establishment that provides manufacturing activities orassembles parts is included as a manufacturing establishment.

Manufacturing services are industrial activities that serve others. In these activities the basicmaterials are supplied by others while the processor only conducts the processing and receivespayment or goods as a compensation, for example a rice mill which grinds the farmer’s ricereceives profit share.

For industries whose activities are closely linked with other sectors, data should be limited tomanufacturing activities only. Separation of those activities should apply for every variable,such as number of workers, wages/salaries, raw materials, production, etc.

Example of manufacturing activities that are linked to other sectors:The tapping of rubber trees to produce latex as a raw material to make crumb rubber should beincluded in the agricultural (estate) sector, but production of smoked rubber or rubber processingshould be included in the manufacturing sector.

Data should cover activities from 1 January 1994 to 31 December 1994

Data in value term should be expressed in thousand rupiahs.Example: Suppose wage/salary of production workers in cash during 1996 is 100.000.850,00rupiahs, thus the entry in part II question 13.1.a is as follow:

In cash

a. Wage/salary100.01 000

Please use block letters for information having descriptive answer.For pre-coded answers, please choose the appropriate code and then write it down in the boxprovided.

5

6

PART I: GENERAL CHARACTERISTICS

1. Time period for data reported.

The data reported in this questionnaire covers activities from

/ /1994 to / /1994

If the data reported covers less than 12 months, please state the reason

2. What is the status of this establishmentCentral Office -1Branch -2 (go to Q. 4)Without branch -3 (go to Q. 5)

3. If question 2 is coded 1 (Central Office)1). State name and address of the branch office

A. Name: ……………..Address: ……………

Postal code

Tel. ( ) ………..Fax: ( )……

B. Name: ……………..Address: ……………

Postal code

Tel. ( ) ………..Fax: ( )……

C. Name: ……………..Address: ……………

Postal code

Tel. ( ) ………..Fax: ( )……

D. Name: ……………..Address: ……………

Postal code

Tel. ( ) ………..Fax: ( )……

2). The data reported here covers data of companies (please put a V mark in the respective box belowwith respect to the answers of question 3.1)

A B C. D.

4. If question 2 is coded 2 (branch) please fill in information of the Central Office

a. Name: ………………………………………Address: ………………………………………Postal code: ……………….

7

8

5. Activity of this manufacturing establishment

If the company is engaged in more than one activity, please choose the one having the largestproduction value

6. Main product

Filled in by CBS

7. Legal status:

Government Company -1 Cooperative -5Limited Corporation -2 Non profit firm -6Commandditer Venotschaft -3 Other legal entity -7Personal Firm -4 Firm having no legal status -8

8. Capital Source/Type of Investment

Domestic -1 Foreign -2 Other -3

9. Percentage of capital owned by:a. Central Government %b. Local Government %c. National Private %d. Foreign %Total 100 %

10.Year started commercial production in this province

11. Number of work shifts

12. Average number of workers each month during 1994

1). Paid workersa. Production workers Male Female Totalb. Other workersc. Total (1a + 1b)

2). Unpaid workersTotal (1c + 2)

9

10

3). Average number of workers each month during previous year ………….persons

4). If the average number of workers in 1994 differs from those in 1994, please explain the reason

PART II: EXPENSES

Goods given by the establishment to workers as in-kind payments must be valued according to the marketprice of .those goods at that time If the establishment provided goods to its workers at a price below themarket value, the value of the goods recorded in this form should be their market price minus the pricepaid by the workers.

Housing and vehicles provided by establishments to workers are also classified as in-kind payments. Tovalue this, estimate the rent or depreciation value of those goods

13.Wage/salary of workers in 1994

1). Production workers In cash (Rp) In-kind (Rp) Total (Rp)a. Wage/salary 000 000 000b. Overtime 000 000 000c. Gift, bonus, etc 000 000 000d. Others 000 000 000Total 000 000 000

2). Other workers In cash (Rp) In-kind (Rp) Total (Rp)a. Wage/salary 000 000 000b. Overtime 000 000 000c. Gift, bonus, etc 000 000 000d. Others 000 000 000Total 000 000 000

11

12

Expenses in question 14 and 15 refer expenses paid during 1994 to an institution dealing with pension,social security funds, insurance, and similar matters for workers.

14.Pension funds, social security, insurance and other during 1994

In cash (Rp) In-kind (Rp) Total (Rp)1). Production workers 000 000 0002). Other workers 000 000 000

15. Accident allowance during 1994

In cash (Rp) In-kind (Rp) Total (Rp)1). Production workers 000 000 0002). Other workers 000 000 000

16. Fuel and lubricants

1). Quantity and value of fuel and lubricants used in 1994

Total Used for electricgenerator only

Standardunit

Quantity Value (Rp) Quantity Value (Rp)a. Gasoline Liter 000 000b. Diesel fuel/HSD/ADO Liter 000 000c. Diesel oil /IDO Liter 000 000d. Fuel oil/FO/Bunker

C/MFOLiter 000 000

e. Kerosene Liter 000 000f. Coal Kg 000 000g. Coke Kg 000 000h. Public gas M3 000 000i. LPG Kg 000 000j. Charcoal Kg 000 000k. Firewood Kg 000 000l. Other fuel 000 000m. Lubricant Liter 000 000 Total 000 000

13

14

2). Quantity and value of fuel used for generating electric power during 1994Type of fuel Standard Unit Quantity Value (Rp)

000000000000

Total 000

17. Raw Material and Additional Inputs/IntermediatesState the kind of raw materials and additional inputs/intermediates used in 1994, both in quantity andvalue. State the origin.

1) Imported originNo Type of material Standard unit Quantity Value (Rp)1. 0002. 0003. 0004. 0005. 0006. 0007. 0008. 0009. 00010. 00011. 00012. 00013. 00014. 00015. 000 Total 000

Please use additional sheet as needed

15

16

2) Domestic OriginNo Type of material Standard unit Quantity Value (Rp)1. 0002. 0003. 0004. 0005. 0006. 0007. 0008. 0009. 00010. 00011. 00012. 00013. 00014. 00015. 00016. 00017. 00018. 00019. 00020 000 Total 000

For an establishment using many kinds of raw materials used, the materials having lower values maybe grouped and only their total value be written down, provided that their total value is not more than10 percent of the total value of all materials used.

17

18

18.Other expenses

Fill in other expenses outside expenses for raw materials in 1994

1). Expenses for other goods

Domestic(Rp)

Imported(Rp)

a Packaging 000 000b Spare parts, maintenance

and small repairs (notincluding those bought byothers)

000 000

c Stationery 000 000Total 000 000

2). Expenses for manufacturing servicesIncluding expenses for spare parts/goods provided by others

Value(Rp)

a. Manufacturing servicesprovided by others party

000

b. Maintenance and repairexpenses for capital goods

000

Total 000

3). Expenses for rent For rents of more than one year, estimate only the portion corresponding to 1994

Value(Rp)

a. Building, machinery andtools

000

b. Land 000Total 000

4). Indirect taxes

Value(Rp)

For example: sales tax, establishment license, building, and landtax (PBB), SWP3D, import duty, custom fee, etc. exceptincome and personal taxes.

000

19

20

5. Other expenses

Value(Rp)

a. Net interest on loan 000b. Gifts, charities, donations, etc. 000c. Representation cost 000d. Royalty 000e. Management fee 000f. Promotion/advertising 000g. Water expenses 000h. Postage, telex, facsimile and phone expenses 000i. Travel expenses 000j. Preventive environment pollution expenses 000k. Others 000

Total 000

PART III: PRODUCTIONS (GOODS PRODUCED)

19. State all goods produced in1994, classified by product name, quantity and value

Type of goods Standard unit Quantity Value (Rp)000000000000000000000000000000000000000000000000000000000000

Total 000Please use additional sheet as needed

21

22

20. Percentage of actual production to production capacity during 1994 ………%

If less than 50 % please explain why

21. Percentage of production exported in 1994 ……....%

PART IV. OTHER INCOME SOURCES

Fill in all other income sources for 1994Value (Rp)

22. Manufacturing services 000

23. Goods sold without modificationa). Purchase value 000b). Sale value 000c). Profit/loss (23b-23a) 000

24. Gross income from building or machinery leasing, transportservices and other income from non manufacturing activities 000

Total (22+23c+24) 000

PART V: POWER MACHINERY AND ELECTRIC MOTORS USED ON DECEMBER31, 1994 OR THE LAST TIME THESE WERE USED IN 1994

Quantity Capacity25. Prime movers used directly to drive

production equipment PK

26. Prime movers used to generate electricityPK

27. Electric motors PK

28. Generators KVA/KW

23

24

PART VI. PRODUCTION, PURCHASE AND SALE OF ELECTRICITY DURING 1994

29. Electricity for production activities (choose one only)

Own production -1Purchase (PLN/.non PLN) -2Own production and purchase -3

30. Source of purchased electricityQuantity Value (Rp)

a. From PLN KwH 000b. From non-PLN KwH 000

31. Quantity of electricity produced by the establishment KwH

Quantity Value (Rp)

32. Electricity soldKwH 000

PART VII: STOCK

33. Stock at the beginning (Januaary,1, 1994) and the end (December 31, 1994) of 1994

Beginning (Rp) End (Rp) End-Beginning (Rp)a. Stock of raw materials, fuel,

packaging000 000 000

b. Stock of semi-finished products(still in process)

000 000 000

c. Stock of finished products 000 000 000

Total 000 000 000

25

26

PART VIII: ACTUAL INVESTMENT

34. Actual investment during 1994 based on current market prices

Source of capital Value (Rp)1. Private 0002. Reinvested earnings 0003. Stock/bonds 0004. Domestic loan 0005. Foreign loan 0006. Foreign investment 0007. Government 0008. Capital market 000 Total 000

PART IX : FIXED ASSETS

Major reparations are re-structurations/renovation works that increase capacity/work capacityand change the form or life span of a fixed asset.The value of construction and major reparation works is categorized into those that wereconducted by another party and those executed by the establishment itself.The value of construction and major reparations conducted by the establishment is based onmarket price. If this is not possible, the value is calculated by adding all the values of materialsused, of services and other charges and based on the current price.

For fixed assets that require more than a year to complete, e.g. buildings, the value is the actualvalue invested in 1994.

27

28

35. Additions/reduction/Major repair of fixed assets during 1994

Purchased/additions Production/large repairNew assets Used goods

of Domesticorigin (Rp)

By others(Rp)

By ownestablishment

Sale/reduction of usedgoods (Rp)

1. Land 000 000 000 000 0002. Building/

construction000 000 000 000 000

3. Machinery and itsaccessories

000 000 000 000 000

4. Vehicle 000 000 000 000 0005. Other assets 000 000 000 000 000Total 000 000 000 000 000

PART X: ESTIMATION VALUE OF ASSETS

36. Fixed assets based on current price and book value as of Dec. 31, 1994 also depreciation value during1994

Price as of Dec,31, 1994

Book value asof Dec, 31, 1994

Depreciationvalue 1994(Rp)

1. Land 000 000 0002. Building/ construction 000 000 000

3. Machinery and itsaccessories

000 000 000

4. Vehicle 000 000 0005. Other assets 000 000 000Total 000 000 000

29

30

PART XI: STATEMENT

37. Data sheet in this form has been filled out truthfully and accurately by

1). Name

2). Occupation

3). Signature and company seal

4). Date / / 1995

38. Person to be contacted if clarification is required regarding this form

1). Name

2). Occupation

3). Telephone

4). Facsimile

PART XII: COMMENT/NOTE

39. If CBS (Central Bureau of Statistics) were to promote your establishment by publishing your data,would you object or not?

Objection Not objection

40. If further explanations are needed, please state below:

31

32

PART XIII: ENUMERATION PARTICULARS

41. For CBS enumerator’s use only

1). Name & Identification number:

2). Date of document delivery: …../……/1995

3). Date of receiving document: ……./……./1995

4). Signature

5). Name of Supervisor

6). Date of supervision

7). Signature

42. Enumerator’s notes

33

34

PART XIV: SUMMARY (To be filled by supervisor)

43. EXPENDITURE

Value (Rp)1. Expenditures for workers (13+14+15) 0002. Fuel utilization (16.1) 0003. Utilization of raw materials (17.1 + 17.2) 0004. Other expenses (18.1+18.2+18.2+18.3+18.4+18.5) 0005. Purchased electricity (30) 000

Total 000

44. INCOMEValue (Rp)

1. Goods produced (19) 0002. Income from industrial services (22) 0003. Sale of goods (23c) 0004. Gross income from building or machinery leasing and

the equipment’s (24)000

5. Sale of electricity (32) 0006. Differences in stock value for semi finished products

(33b)000

Total 000

45. ADDITIONAL VALUEValue (Rp)

a. Other expenses which are Added Value component1. Question 18.3b 0002. Question 18.4 0003. Question 18.5a 0004. Question 18.5b 000

Total 000

b. Additional Value (44 – 43 + 43.1 + 45.a) 000