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REPUBLIC OF INDOENSIA
CENTRAL BUREAU OF STATISTICS
KIP
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
: ……………………………….
7. Full name of Company
8. Address of Company
Filled by CBS
: ………………………………..
: ………………………………..
………………………Postal code
Phone: ( )……….
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
Confidentiality
Confidentiality of the data is guaranteed under Law no. 7 on Statistics, 1960
Deadline
Filled questionnaire is to be handed back latest JUNE, 30, 1994
For further information,
Please contact:
Biro Statistik Industri BPS
Jl. Dr. Sutomo 8 Jakarta, 10710
Tel/Fax: (021) 386-3816
Or the nearest Regional Office of the Bureau of Statistic
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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 is
engaged in activities to transform a product mechanically or chemically into a product/goods
which can used by the final user. An establishment that provides manufacturing activities or
assembles parts is included as a manufacturing establishment.
Manufacturing services are industrial activities that serve others. In these activities the basic
materials are supplied by others while the processor only conducts the processing and receives
payment or goods as a compensation, for example a rice mill which grinds the farmer’s rice
receives profit share.
For industries whose activities are closely linked with other sectors, data should be limited to
manufacturing 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 be
included in the agricultural (estate) sector, but production of smoked rubber or rubber processing
should 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 100.000.850,00
rupiahs, thus the entry in part II question 13.1.a is as follow:
In cash
a. Wage/salary
100.01
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 box
provided.
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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 establishment
Central Office
-1
Branch
-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: ……………
B. Name: ……………..
Address: ……………
Postal code
Postal code
Tel. ( ) ………..Fax: ( )……
Tel. ( ) ………..Fax: ( )……
C. Name: ……………..
Address: ……………
D. Name: ……………..
Address: ……………
Postal code
Postal code
Tel. ( ) ………..Fax: ( )……
Tel. ( ) ………..Fax: ( )……
2). The data reported here covers data of companies (please put a V mark in the respective box below
with 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: ……………….
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5. Activity of this manufacturing establishment
If the company is engaged in more than one activity, please choose the one having the largest
production value
6. Main product
Filled in by CBS
7. Legal status:
Government Company
Limited Corporation
Commandditer Venotschaft
Personal Firm
-1
-2
-3
-4
Cooperative
Non profit firm
Other legal entity
Firm having no legal status
-5
-6
-7
-8
8. Capital Source/Type of Investment
Domestic
-1
Foreign
9. Percentage of capital owned by:
a. Central Government
%
b. Local Government
%
c. National Private
%
d. Foreign
%
Total
100
-2
Other
-3
%
10.Year started commercial production in this province
11. Number of work shifts
12. Average number of workers each month during 1994
1). Paid workers
a. Production workers
b. Other workers
c. Total (1a + 1b)
2). Unpaid workers
Total (1c + 2)
Male
Female
Total
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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 market
price of .those goods at that time If the establishment provided goods to its workers at a price below the
market value, the value of the goods recorded in this form should be their market price minus the price
paid by the workers.
Housing and vehicles provided by establishments to workers are also classified as in-kind payments. To
value this, estimate the rent or depreciation value of those goods
13.Wage/salary of workers in 1994
1). Production workers
a. Wage/salary
b. Overtime
c. Gift, bonus, etc
d. Others
Total
In cash (Rp)
In-kind (Rp) Total (Rp)
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
2). Other workers
a. Wage/salary
b. Overtime
c. Gift, bonus, etc
d. Others
Total
In cash (Rp)
In-kind (Rp) Total (Rp)
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
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11
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
1). Production workers
2). Other workers
In cash (Rp)
In-kind (Rp) Total (Rp)
000
000
000
000
000
000
15. Accident allowance during 1994
1). Production workers
2). Other workers
In cash (Rp)
In-kind (Rp) Total (Rp)
000
000
000
000
000
000
16. Fuel and lubricants
1). Quantity and value of fuel and lubricants used in 1994
Standard
unit
Total
Quantity
a. Gasoline
b. Diesel fuel/HSD/ADO
c. Diesel oil /IDO
d. Fuel oil/FO/Bunker
C/MFO
e. Kerosene
f. Coal
g. Coke
h. Public gas
i. LPG
j. Charcoal
k. Firewood
l. Other fuel
m. Lubricant
Total
Liter
Liter
Liter
Liter
Liter
Kg
Kg
M3
Kg
Kg
Kg
Liter
Value (Rp)
000
000
000
000
Used for electric
generator only
Quantity
Value (Rp)
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
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2). Quantity and value of fuel used for generating electric power during 1994
Type of fuel
Standard Unit
Quantity
Total
Value (Rp)
000
000
000
000
000
17. Raw Material and Additional Inputs/Intermediates
State the kind of raw materials and additional inputs/intermediates used in 1994, both in quantity and
value. State the origin.
1) Imported origin
No Type of material
Standard unit
Quantity
Value (Rp)
1.
000
2.
000
3.
000
4.
000
5.
000
6.
000
7.
000
8.
000
9.
000
10.
000
11.
000
12.
000
13.
000
14.
000
15.
000
Total
000
Please use additional sheet as needed
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2) Domestic Origin
No Type of material
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20
Total
Standard unit
Quantity
Value (Rp)
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
For an establishment using many kinds of raw materials used, the materials having lower values may
be grouped and only their total value be written down, provided that their total value is not more than
10 percent of the total value of all materials used.
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18.Other expenses
Fill in other expenses outside expenses for raw materials in 1994
1). Expenses for other goods
a Packaging
b Spare parts, maintenance
and small repairs (not
including those bought by
others)
c Stationery
Total
Domestic
(Rp)
000
000
Imported
(Rp)
000
000
000
000
000
000
2). Expenses for manufacturing services
Including expenses for spare parts/goods provided by others
Value
(Rp)
a. Manufacturing services
provided by others party
b. Maintenance and repair
expenses for capital goods
Total
000
000
000
3). Expenses for rent
For rents of more than one year, estimate only the portion corresponding to 1994
Value
(Rp)
a. Building, machinery and
tools
b. Land
Total
000
000
000
4). Indirect taxes
Value
(Rp)
For example: sales tax, establishment license, building, and land
tax (PBB), SWP3D, import duty, custom fee, etc. except
income and personal taxes.
000
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19
5. Other expenses
Value
(Rp)
a. Net interest on loan
b. Gifts, charities, donations, etc.
c. Representation cost
d. Royalty
e. Management fee
f. Promotion/advertising
g. Water expenses
h. Postage, telex, facsimile and phone expenses
i. Travel expenses
j. Preventive environment pollution expenses
k. Others
Total
000
000
000
000
000
000
000
000
000
000
000
000
PART III: PRODUCTIONS (GOODS PRODUCED)
19. State all goods produced in1994, classified by product name, quantity and value
Type of goods
Standard unit
Total
Please use additional sheet as needed
Quantity
Value (Rp)
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
20
21
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 1994
Value (Rp)
22. Manufacturing services
000
23. Goods sold without modification
a). Purchase value
b). Sale value
c). Profit/loss (23b-23a)
000
000
000
24.
Gross income from building or machinery leasing, transport
services and other income from non manufacturing activities
000
Total (22+23c+24)
000
PART V: POWER MACHINERY AND ELECTRIC MOTORS USED ON DECEMBER
31, 1994 OR THE LAST TIME THESE WERE USED IN 1994
Quantity
25. Prime movers used directly to drive
production equipment
Capacity
PK
26. Prime movers used to generate electricity
27. Electric motors
28. Generators
PK
PK
KVA/KW
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PART VI. PRODUCTION, PURCHASE AND SALE OF ELECTRICITY DURING 1994
29. Electricity for production activities (choose one only)
Own production
Purchase (PLN/.non PLN)
Own production and purchase
-1
-2
-3
30. Source of purchased electricity
a. From PLN
b. From non-PLN
Quantity
Value (Rp)
KwH
000
KwH
000
31. Quantity of electricity produced by the establishment
KwH
Quantity
Value (Rp)
32. Electricity sold
KwH
000
PART VII: STOCK
33. Stock at the beginning (Januaary,1, 1994) and the end (December 31, 1994) of 1994
a. Stock of raw materials, fuel,
packaging
Beginning (Rp) End (Rp) End-Beginning (Rp)
000
000
000
b. Stock of semi-finished products
(still in process)
000
000
000
c. Stock of finished products
000
000
000
000
000
000
Total
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PART VIII: ACTUAL INVESTMENT
34. Actual investment during 1994 based on current market prices
Source of capital
1. Private
2. Reinvested earnings
3. Stock/bonds
4. Domestic loan
5. Foreign loan
6. Foreign investment
7. Government
8. Capital market
Total
Value (Rp)
000
000
000
000
000
000
000
000
000
PART IX : FIXED ASSETS
Major reparations are re-structurations/renovation works that increase capacity/work capacity
and change the form or life span of a fixed asset.
The value of construction and major reparation works is categorized into those that were
conducted by another party and those executed by the establishment itself.
The value of construction and major reparations conducted by the establishment is based on
market price. If this is not possible, the value is calculated by adding all the values of materials
used, 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 actual
value invested in 1994.
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35. Additions/reduction/Major repair of fixed assets during 1994
1. Land
2. Building/
construction
Sale/reducti
Purchased/additions
Production/large repair
on of used
New assets
Used goods
By others By own
of Domestic
(Rp)
establishment goods (Rp)
origin (Rp)
000
000
000
000
000
000
000
000
000
000
3. Machinery and its
accessories
4. Vehicle
5. Other assets
Total
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
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 during
1994
Price as of Dec,
31, 1994
1. Land
2. Building/ construction
3. Machinery and its
accessories
4. Vehicle
5. Other assets
Total
Book value as
Depreciation
of Dec, 31, 1994 value 1994
(Rp)
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
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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:
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PART XIII: ENUMERATION PARTICULARS
41. For CBS enumerator’s use only
1). Name & Identification number:
2). Date of document delivery:
3). Date of receiving document:
…../……/1995
……./……./1995
4). Signature
5). Name of Supervisor
6). Date of supervision
7). Signature
42. Enumerator’s notes
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PART XIV: SUMMARY (To be filled by supervisor)
43. EXPENDITURE
Value (Rp)
1. Expenditures for workers (13+14+15)
2. Fuel utilization (16.1)
3. Utilization of raw materials (17.1 + 17.2)
4. Other expenses (18.1+18.2+18.2+18.3+18.4+18.5)
5. Purchased electricity (30)
Total
000
000
000
000
000
000
44. INCOME
Value (Rp)
1. Goods produced (19)
2. Income from industrial services (22)
3. Sale of goods (23c)
4. Gross income from building or machinery leasing and
the equipment’s (24)
5. Sale of electricity (32)
6. Differences in stock value for semi finished products
000
000
000
000
000
000
(33b)
Total
000
45. ADDITIONAL VALUE
Value (Rp)
a. Other expenses which are Added Value component
1. Question 18.3b
2. Question 18.4
3. Question 18.5a
4. Question 18.5b
Total
000
000
000
000
000
b. Additional Value (44 – 43 + 43.1 + 45.a)
000
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