Ref. No.: 330/B2/1 10th November 2014 Dear Sir/Madam, Re: ANNUAL PERFORMANCE REPORT With reference to the above, we wish to inform that MIDA is conducting the Annual Performance Report for year ending 2013 on all manufacturing companies granted approval for License/Incentives under the Industrial Coordination Act, 1975 and/or Promotion of Investments Act, 1986. The purpose of this survey is to ensure that we have the information on the status of companies in the manufacturing sector in Malaysia for the purpose of policy formulation and industrial planning. We would like to seek your kind cooperation to provide updates, on the information of your company, as indicated in the attached form. If actual data is not yet available, please provide reasonable estimates. You may also refer to the attached guidelines to complete the survey form. You may download the softcopy of the questionnaire from MIDA’s website at www.mida.gov.my and send your response via email to aprsurvey@mida.gov.my or fax to 03-2274 3120. We would appreciate if you could return the completed form to our office by 12 December 2014. Should you have any queries, please do not hesitate to contact Ms Shalini Ramakrishnan at 03-22676702 for further clarification. Your cooperation is very much appreciated. Thank you. Yours sincerely, (Choo Wai Meng) Director, Investment Statistics Division Malaysian Investment Development Authority (MIDA) APR Serial No. ANNUAL PERFORMANCE REPORT (For Reference Year 2013) Section A : Company Profile Company Name ROC No. Mailing Address Telephone No. Fax No. Website Factory Location Address Telephone No. Fax No. Product Change of Address Notification Mailing Address Telephone No. Fax No. Factory Location Address Telephone No. Fax No. Declaration This return is complete & correct to the best of my knowledge & belief Name Designation Date Signature Contact Person (for enquiries) Name Designation Telephone Fax No. Email For office use only State code Industry code Location code Product code Section B : Financing Structure Latest financial position (as at __ /__ / 201_ ) 1. Shareholder’s Fund 1.1 Paid-up Capital (RM) 1.2 Reserves (RM) 1.3 Retained Earnings (RM) 2. Paid-up Capital 2.1 Domestic Equity (RM) 2.1.1 Bumiputera (RM) 2.1.2 Non-Bumiputera (RM) 2.2 Foreign Equity (RM) 2.3 Source of Foreign Equity Country (RM) 1) 2) 3) 4) 3. Total Loans Outstanding (RM) 4. Other Financing Sources (RM) 5. Total Fixed Assets (Net book value) 5.1 Land (RM) 5.2 Buildings (RM) 5.3 Other Fixed Assets (e.g.Plant/Machinery/Equipment) 6. Working Capital (Current Assets–Current Liabilities) (RM) (RM) Section C: Production & Sales 7. Sales (RM) 9. Production Value (RM) 8. Export Sales (as % of sales) Section D: R&D Expenditure 10. R & D Spending (if any) (RM) Section E: Raw Material Cost 11. Cost of Raw Materials (RM) Section F: Earnings 12. Earnings Before Interest, Tax, Depreciation & Amortisation (EBITDA) 13. Net Profit After Tax (RM) (RM) (%) Section G: Employment / Salary & Wages 14. Total Number of Persons Engaged 14.1 Malaysian 14.2 Foreign 14.2.1 Expatriate 14.2.2 Non-expatriate * 15. Total Annual Employment Cost ** (RM) 16. Percentage of Outsourced Workers 17. Category of Employment / Occupational Skills (%) (%) Monthly Salary Range *** (RM) Total number of persons engaged Malaysian Foreign 2,000 – 3,000 < 2,000 3,000 – 5,000 5,000 – 10,000 10,000 and above 17.1 Managerial & Professional 17.1.1 Engineer 17.1.2 Science & Technical 17.1.3 Others 17.2 Technical & Supervisory 17.2.1 Engineer 17.2.2 Science & Technical 17.2.3 Others 17.3 Production / Operation Workers 17.3.1 Skilled Workers 17.3.2 Unskilled Workers 17.4 Clerical & General Workers Section H : Ultimate Holding Company or Parent Company (if applicable) 18. Company Name (Ultimate Holding) 19. Country of Origin Notes:- * Please include all skilled and unskilled workers. ** Including wages, salaries, bonuses, social insurance contributions and all employee benefits. *** Please indicate the number of persons engaged by range of monthly salary (Refer Example as below). Example: 14. Category of Employment / Occupational Skills 14.1 Managerial & Professional Monthly Salary Range *** (RM) Total number of persons engaged Malaysian Foreign < 2,000 2 3 1 14.1.1 Engineer 2 14.1.2 Others 3 2,000 – 3,000- 5,000 – 10,000 3,000 5,000 10,000 and above 1 1 1 1 1 1 1 1 1