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Lin hip HTX!DN khc lin doanh vi nc ngoi5.3Qu tn dng nhn dnNgi Trong : Nn v tnh: Ngi  Tng s  n v tnh: Triu ng@ Bo him x hi tr thay lng (theo ch  m au, thai sn...)9Thc hin gp vn iu l chia theo nc v vng lnh th< (p dng cho cc DN c vn u t trc tip ca nc ngoi)n v tnh: 1000 USD Chia ra:Doanh nghip nh ncDoanh nghip ngoi nh nc T chc khcBn nc ngoiM ncNcLoi nng lngTn kho u kKhi lng mua voKhi lng t sn xutKhi lng tiu dngKhi lng bn raTn kho cui k Cho vn tiTiu dng phi nng lngin1000 KWhThan TnKh thin nhin 1000 m36K* Ghi ch: Ct 8 = ct 1 + ct 2 + ct 3 - ct 4 - ct 5 - ct 6 - ct 7VT: Triu ngA. Chia theo ngun vn- Ngn sch Trung ng- Ngn sch a phng2. Tri phiu Chnh ph- Vn trong nc- Vn nc ngoi (ODA)- Vay ngn hng trong nc,- Vay cc t chc, c nhn khc  trong nc- Vay ngn hng nc ngoi,- Vay cc t chc, c nhn khc  nc ngoi"- Vay cng ty m, cng ty anh (em)- Bn Vit Nam- Bn nc ngoi!6. Vn huy ng t cc ngun khcB. Chia theo khon mc u t Trong : -+ My mc, thit b  qua s dng trong nc3+ Chi ph o to cng nhn KT v cn b qun l SX- Xy dng v lp t- My mc, thit b!- Vn u t xy dng c bn khc!+ Chi n b, gii phng mt bng%+ Tin thu t hoc mua quyn SD t*2. Mua sm TSC dng cho SX khng qua XDCB3. Sa cha, nng cp TSC&4. Vn lu ng b sung bng vn t c5. u t khcC. Chia theo mu#c ich u t Mc ch 1: Mc ch 2: Mc ch 3: Mc ch 4: Mc ch 5: & & & & & & & & ..6D. Chia theo ti nh/thanh ph tr#c thu#c Trung ngTnh/TP: Tn cng trnh Nm khi cngNng lc mi tng Tn tnh/TPS in thoi: M ngnh  - in thoi< : & & & & & & & & & & & ..  - K tn: & & & & & & & & & & & & & ... ' M a ch c s SXKD (CQ Thng k ghi)4. a ch doanh nghip:i hc&Tnh trng hot ng ca doanh nghip:& & & & & & & & & & & & & & & & & & & & & & .Nu cS c s hot ng xy dng S c s hot ng thng nghip+S c s hot ng dch v lu tr, n ung^S c s hot ng trung gian ti chnh v hot ng h tr cho hot ng trung gian ti chnh*S c s hot ng kinh doanh bt ng sn + Hng tn kho ngnh cng nghip+ Hng tn kho ngnh xy dng%r(Mi doanh nghip n/c s trc thuc DN c hot ng thuc ngnh no th thc hin phiu chuyn ngnh tng ng)9  - H v tn: & & & ...& & & & ...& & &   - H v tn: & & & .& .& & & & & & & .Nm 2016+Phn theo trnh  chuyn mn c o to:1. Cha qua o to2. o to di 3 thng 3. S cp 4. Trung cp 5. Cao ng 6. i hc4. T 56 n 60 tui5. Trn 60 tui!Lao ng nm 2016:3Cc khon chi lin quan n ngi lao ng nm 2016S pht sinh nm 2016Ti sn v ngun vn nm 2016Thc hin nm 2016Vn iu l n 31/12/2016(Thc hin gp vn iu l trong nm 2016%Gp vn iu l liy k n 31/12/2016Thc hin nm 2016S(p dng cho cc cng trnh/hng mc cng trnh xy dng hon thnh trong nm 2016) Ngy& ..thng& & nm 2017    (p dng chung cho cc DN nh nc, DN ngoi nh nc, DN c vn u t nc ngoi, hp tc x/lin hip hp tc x - sau y gi chung l doanh nghip)3. Gii tnh: Nm sinh:NamN> Dn tc (Nu l ngi nc ngoi ghi dn tc l "Nc ngoi"):G Quc tch (Nu c 2 quc tch tr ln, ghi quc tch thng dng nht): B..................................................................Cha qua o to Trnh  khc13.Thi im 31/12/2016Thi im 01/01/2016 Trong : Chi ph SXKD d dang Thnh phm Hng gi bn3132 Hp tc x Tr li phiu s 1A.1/TTKT-HTXTr li phiu s 1A.2/TTKT-CNTr li phiu s 1A.3/TTKT-XDTr li phiu s 1A.4/TTKT-TN Tr li phiu s 1A.5.1/TTKT-VT Tr li phiu s 1A.5.2/TTKT-KB Tr li phiu s 1A.6.1/TTKT-LT Tr li phiu s 1A.6.2/TTKT-DL Tr li phiu s 1A.7.1/TTKT-TCTr li phiu s 1A.8/TTKT-BH!Tr li phiu s 1A.9.1/TTKT-BS!Tr li phiu s 1A.9.3/TTKT-DVKTNG IU TRA KINH T NM 2017? - Ngh)a v cung cp thng tin c quy nh theo Lut Thng ke- Thng tin cung cp theo phiu ny ch nhm phc v cng tc thng k v c bo mt theo Lut nh19.S c s hot ng chuyn mn, khoa hc v cng ngh, dch v hnh chnh v dch v h tr, hot ng ngh thut, vui chi, gii tr, dch v khc.S c s hot ng y t$S c s hot ng gio dc, o to!Tr li phiu s 1A.2m/TTKT-DVGC- Doanh nghip k khai s liu tng hp cho ton b hot ng ca tr s chnh, c s trc thuc hch ton ph thuc v c s trc thuc hch ton c lp.S c s hot ng cng nghip Cao ngo to di 3 thng Trung cpPhn theo nhm tui:Vay vnT vn ti chnh Thanh tonNgoi hi v phng nga ri roTn dng th (m L/C)Thu ti chnhNh thuQun l ti sn ti chnhBao thanh tonDch v ngn hng khc#Ti tr thng mi v bo lnh khcGDN c vay vn t cc t chc tn dng  phc v hot ng SXKD khng ?Nh ncNgoi Nh ncKhng c nhu cu Cho rng s b t chi khon vayKhng mun b mc nKhng bit th tc xin vay vn0Th tc phc tp, mt nhiu thi gian hon tt Khng c  ti sn th chpLi vay qu caoTng vn lu ng Nghin cu khoa hc, ci tin KTMua my mc, PT vn tiGii quyt cc khon n n hnCi tin my mc, dy truyn SXu t cng trnh XDCBTho mn Cha tho mnQNu c nhu cu vay vn  SXKD, nm bt c hi u t, DN s la chn vay vn t:Bn b, ngi thnT chc tn dng Nh ncT chc tn dng ngoi Nh nc Khc (ghi c th)1)8.1. Lao ng c ti thi im 01/01/2016)8.2. Lao ng c ti thi im 31/12/20169.1.9.2.9.3.(11. Kt qu sn xut kinh doanh nm 2016111.1. Tng doanh thu bn hng v cung cp dch v"11.2. Cc khon gim tr doanh thu(15. Thc hin u t pht trin nm 2016=16. Cng trnh hon thnh v nng lc mi tng trong nm 2016F17. Tnh hnh tip cn cc ngun<  vn ca doanh nghip trong 3 nm qua17.1.17.2.17.3.17.4.17.5.17.6.17.7.@18.2. T l lao ng thng xuyn s dng my tnh cho cng vicMy mc, thit bPhng tin vn ti, truyn dn TSC khc1 C #(Khoanh vo cc la chn thch hp)1. iu hnh tc nghip2. Gi v nhn email3. Tm kim thng tin+6. Hot ng ti chnh (Internet banking& & )7. Cung cp dch v trc tuyn 18. S dng my tnh v internetC18.5. C s c cng thng tin/trang thng tin in t ring khng?S cp W L do DN khng vay vn  phc v hot ng SXKD (Khoanh vo cc cu tr li thch hp)11N Nhu cu vay vn ca DN l nhm mc ch (Khoanh vo cc cu tr li thch hp)(&(Khoanh vo cc cu tr li thch hp)Cu 17.4Cu 17.7Cu 18.3Cu 18.5Cu 19Nh, vt kin trc/- Khng ghi thng tin vo cc c k hiu (x);Nguyn tc in phiu:M s thu ca doanh nghip:'Thng tin v gim c/ch doanh nghip:Thc sTin s...............................................................................................................................................................................................................................................................................................................................................................................UDN c nm trong khu cng nghip, khu ch xut, khu kinh t, khu cng ngh cao khng ? 7. Thc s 8. Tin s9. Trnh  khc Trong tng s: ) - Thu gi tr gia tng hng bn ni a' - Thu gi tr gia tng hng nhp khu - Thu tiu th c bit - Thu xut khu - Thu nhp khuA.................................................................:14. Tiu dng nng lng cho sn xut, kinh doanh nm 2016a im xy dng& ...& & & & & & & & & & & & & & & .& & .a18.6. C s c s dng Internet v mng my tnh khc  thc hin nhng cng vic no di y ?D5. Giao dch vi c quan, t chc khc (Ngn hng, Thu, Hi quan& .):Doanh nghip c hot ng gia cng hng ha vi nc ngoi Tr li phiu s 1A.9.5/TTKT-GD,S c s hot ng x l rc thi, nc thiTr li phiu s 1A.10/TTKT-RT.S c s hot ng bo him, mi gii bo him*S c s hot ng dch v du lch l hnh2Doanh nghip c hot ng xut, nhp khu dch v D ..............& & & & & & & ..& & & & & & ..& & & & & & & & & .....& ...& & & & & & ..& & & & & & & & & &  Tn giao dch ( nu c) # Huyn/qun (th x, TP thuc tnh): ".........................................................................................................................................$& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ... Thn, p (s nh, ng ph): v H v tn (Vit y  bng ch in hoa, c du):...................................................................... /0=CQ Thng k ghi! Gi tr nng lng mua vo (Tr.)5Tnh/TP trc thuc TW: M tnh,TP (CQ Thng k ghi) /- Tng s (01=02+05+06+09+15+18=21+27+28+29+30)  Tng s (01=02+06)  Bn Vit Nam (02=03+04+05) LS c s hot ng dch v lin quan n hot ng thng tin v truyn thng2S c s hot ng vn ti, bu chnh, chuyn pht5 Tn doanh nghip:& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ..'& & & & & & & & & & & & & & & & & & & & & & & & & ..& & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & & ..' 3 C vn u t trc tip nc ngoi# 10.1. Tng cng ti sn (01=02+13)  "o 18.4. T l lao ng thng xuyn s dng Internet hoc mng my tnh khc trong cng vic (t nht 1 ln/tun)Z .....................................................................................................................................................m 18.3. C s c s dng Internet hoc mng my tnh khc cho cng vic khng (thng qua my tnh, in thoi)?K x 18.1. C s c s dng my tnh phc v cho cng vic khng (Bao gm my tnh  bn, my tnh xch tay, my tnh bng)?; Khng s dng6.1. Ngnh SXKD chnh=6.2 Ngnh SXKD khc (ghi cc ngnh SXKD ngoi ngnh chnh): 2; Nguyn giFng gp kinh ph cng on, BHXH, bo him y t, bo him tht nghip - Mua trong nm. - u t xy dng c bn hon thnh trong nm3* Nguyn gi ti sn c nh chia theo loi ti sn1.1.1.2. 1.3. 1.4.2. Gi tr hao mn TSC2.1. Gi tr hao mn trong nm Chia theo loi ti sn:2.1.1. Nh, vt kin trc2.1.2. My mc, thit b&2.1.3. Phng tin vn ti, truyn dn2.1.4. TSC khc2.2. Gi tr hao mn liy kCThu, ph, l ph v cc khon phi np ngn sch Nh nc nm 20161. T 16 n 30 tui2. T 31 n 45 tui3. T 46 n 55 tuiDEU Tng s tin chi tr cho ngi lao ng (Tham chiu TK 334 v TK 353  ghi s liu< ) '8 Cc ngnh thc t hot ng sn xut kinh doanh nm 201684 (VSIC 2007-Cp 5)@(Ghi theo m ngnh VSIC 2007 - Cp 5, ct m do CQ thng k ghi) Tr li phiu s 1A.9.4/TTKT-YTL Tm ngng hot ng ( u t, i mi cng ngh, do sn xut theo ma v& )A>G4. Hc tp, nghin cu ( trao i thng tin, ti ti liu, hc online) - Tng trong nm t ngun khc Huyn/ qunTnh/ TPFGNgnh hot ng SXKD chnh%Lao ng thi im 31/12/2016 (Ngi)@19.2. Doanh nghip/c s trc thuc c cc hot ng sau khng ?@1. Vn phng tr s chnh ch c hot ng qun l, iu hnh DN!Tn c s trc thuc DN/chi nhnh)2. Chi nhnh ca doanh nghip (MST 13 s)*M s thu/M a im sn xut kinh doanhC s trc thuc DN5S c s hot ng kho bi, bc xp v h tr vn tiThc hin Quyt nh s 1672/Q-TTg, ngy 26 thng 8 nm 2016 ca Th tng Chnh ph v t chc Tng iu tra kinh t nm 2017.119.1. Danh sch cc c s trc thuc doanh nghip\- i vi nhng cu hi/mc ghi thng tin, s liu, phi ghi vo ng hoc bng tng ng;`- i vi nhng cu hi/mc la chn, khoanh trn vo m s tng ng vi cu tr li thch hp;_ DN c s dng cc dch v ngn hng no di y khng ? (Khoanh vo cc cu tr li thch hp)9A\ Ngun vn vay ca DN l t cc t chc tn dng no? (Khoanh vo cc cu tr li thch hp)6...............................HMc  vay vn ca DN t cc t chc tn dng c tha mn nhu cu khng?'Tr li phiu s 1A.7.2/TTKT-XNKDVTCNH Tr li phiu s 1A.9.2/TTKT-TT* M ngnh Cp 2 VSIC 2007 (CQ Thng k ghi)G/V Trnh  chuyn mn c o to (Theo bng/giy chng nhn trnh  cao nht hin c)!D8 (ch ghi s lng c s c m s thu 10 s hoc 13 s) Lao ng nLao ng c ng BHXH'Lao ng khng c tr cng, tr lngLao ng l ngi nc ngoiThan Antracite021 Bituminous022Coke023024Than bn025Xng Xng t, xe my031 Xng my bay032DuDu ha041 Du Diezel042Du nng043LPG044Kh051F ..............& & & & & & & & & & & & & .& & ..& & & & & & ...& & & .....& ...& & & & & & ..& & & & & & & & a ch;3. a im SXKD (bao gm c a im SXKD thuc chi nhnh)& Phn theo ngnh SXKD (VSIC 2007-Cp 5)B 3. Chi ph XDCB d dang  $ 10.2. Tng cng ngun vn (30=31+32) = 11.3. Doanh thu thun bn hng v cung cp dch v (05=01-03)2 = Ngnh & & & & & & & .& & & & & & & & & & & & ...& & & & & & & & & & & & & & & & & & & & & & & & ...& & & & & > 11.5. Li nhun gp v bn hng v cung cp dch v (07=05-06)3 / 11.8. Li nhun hot ng ti chnh (12=08-09) # . 9 11.11. Li nhun thun t hot ng SXKD (16=07+12-13-14)( ! 11.14. Li nhun khc (19=17-18)  3 11.15. Tng li nhun k ton trc thu (20=16+19)( G 11.16. Chi ph thu thu nhp (gm thu TNDN hin hnh+hon li)  ? : 11.17. Li nhun sau thu thu nhp doanh nghip (23=20-21)/ E S pht sinh phi np trong nm (khng bao gm nm trc chuyn sang) /Cho sn xut kinh doanh 1. Ngn sch Nh nc (02=03+04)   ( 3. Tn dng u t pht trin (06=07+08)    4. Vn vay (09=10+11+12+13+14)  5. Vn t c (15=16+17) 1. Xy dng c bn (21=22+23+24)  B M cng trnh (CQ Thng k ghi theo m danh mc nng lc mi tng)5 Tng vn u t thc hin cho cng trnh (Triu ng))< Gi tr TSC mi tng ca cng trnh hon thnh (Triu ng)0 M tnh/TP (CQ Thng k ghi) % 8. Mc ch khc (ghi r)& & & & & & ..& & & & A (Lu : lit k tt c cc c s trc thuc doanh nghip khng phn bit loi hnh c s hay a im sn xut kinh doanh. Nu doanh nghip c vn phng tr s chnh ch hot ng qun l ng ti a im khc vi cc c s SXKD trc thuc th thc hin thm phiu 1D/TTKT-VP)C# M a ch c s (CQ Thng k ghi) A,  M ngnh Cp 5 VSIC 2007 (CQ Thng k ghi)A Trong : NI -& & & & & & & ..& .= M ngnh (CQ Thng k ghi) L( Ngnh & & & & & & ..& & & .& & & & & & & & & & & & ...& & & & & & & O 11.4. Gi vn hng bn (S liu kt chuyn bn N TK911 i ng bn C TK 632) [ 11.6. Doanh thu hot ng ti chnh (S liu kt chuyn bn C TK911 i ng bn N TK 515)$P 11.7. Chi ph ti chnh (S liu kt chuyn bn N TK911 i ng bn C TK 635) [ 11.9. Chi ph qun l doanh nghip< (S liu kt chuyn bn N TK911 i ng bn C TK 642) "#P 11.10. Chi ph bn hng (S liu kt chuyn bn N TK911 i ng bn C TK 641)  M 11.12. Thu nhp khc (S liu kt chuyn bn C TK911 i ng bn N TK 711)  L L 11.13. Chi ph khc (S liu kt chuyn bn N TK911 i ng bn C TK 811)  1000 lt1000 m3PB Hp8po~%* M a o 3[}3PRE!km"fK3wq J JVUY ObFgd  ;    a#$&(+-2 5 q6o6>7<u8s; ? 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