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Collective5.2.Collective associationPeople's credit fund 0Private Ltd Co; Ltd Co. with state capital d" 50%% state capital% foreign capital(Joint stock Co. with state capital d" 50%%Joint stock Co. without state capitalcontrolled by state 1 Yes2 No 100% foreign capital enterprise%Joint venture between state & foreign%Joint venture between foreign & other,Real business production activities in 2016,4 (VSIC 2007-5 digits)%6.1. Key business production activity(Activity created the biggest production output. If production output is not available, please rely on activity with the biggest turnover or using the most labour)Z6.2 Other business production activities (write other activities, excluding key activity): (X - Activity : Operational status In operationYTemporarily inactive (for investment or technology innovation purpose, seasonal inactive)Labour in 2016:8.1. Labour as of 01/01/2016Of which: femalePerson8.2.Labour as of 31/12/2016 Unit: person IndicatorCodeTotal Of total: Female labour+Number of employees having social insuranceNumber of self-employees Number of foreign employeesBy qualification: 1. Untrained2. Trained less than 3 months 3. Primary4. Intermediate 5. College 6. University 7. Master 8. Doctor9. OtherBy age:1. From 16 -30 years old2. From 31 - 45 years old3. From 46 - 55 years old4. From 56 - 60 years old5. Over 60 years old5By business production activity (VSIC 2007- 5 digits) A Written by SO!Key business production activity:Other activities:+ Activity & & & & & & ..& & & .& & & & & & & & & & & & ...& & & & & & & * Activity& & & & & & ..& & & .& & & & & & & & & & & & ...& & & & & & & &Expenses relating to employees in 2016As of 31/12/2016As of 01/01/2016 Unit: Mill. VND  Unit: Mill. VNDData arise in 2016BTotal payables to employees (Refer to TK 334 and TK 353 for data) sOther payables of enterprise to social insurance, health insurance; unemployment insurance, trade union expenditure< \Total paid by social insurance instead of salary (under giving birth, sick-leave regimes...)1$Assets and capital resources in 201610.1. Total assets (01=02+13)  Current assets Of which: -Current receivable - Inventories+ Industrial inventoriesWork in progressFinished goods Goods on consignment+ Construction inventoriesLong-term assetsI. Long-term receivablesII. Fixed assetsOriginal value( - Capital investment completed in year  - Bought in year) - Increased in year from other resources2* Original value of fixed assets by type of asset House, architechture Machinery, equipments(Means of transportation and transmissionOther fixed assets!2. Fixed asset depreciation valueBy type of asset:2.1.1. House, architechture2.1.2. Machinery, equipments/2.1.3. Means of transportation and transmission2.1.4. Other fixed assets#2.2. Accumulated depreciation value 2.1. Depreciation value in year ,3. Cost on capital construction in progress (10.2. Total capital resources (30=31+32) Owner's equity Liabilities*11. Results of business production in 2016Unit: Mill. VNDRealized in 2016(Of which: Business, production subsidize11.2. DeductionsBExise tax, export tax, value added taxes by direct payable method @11.3.Net turnover from goods sale and services supply (05=01-03)5 911.1. Total turnover from goods sale and services supply #Net sales breakdown for activities:D(Under VSIC 2007- 5 digits, number code written by statistic office) Activity code Key activity:@ Activity & & & & & & & .& & & & & & & & & & & & ...& & & & & & & & & & & & & & & & & & & & & & & & ...& & & & & C11.5. Gross profit from sales of merchandise and service (07=05-06)8 Payment for domestic interest Payment for foreign interest 011.8. Profit from financial activity (12=08-09) $ / `11.9. Administrativen expenses (Data in debit account 911 corresponding to credit account 642) g11.6. Turnover from financial activity (Data in debit account 911 corresponding to credit account 515)'Z11.7. Financial expenses (Data in debit account 911 corresponding to credit account 635) `11.4. Value of goods purchased (Data in debit account 911 corresponding to credit account 632) U11.10. Sale expense (Data in debit account 911 corresponding to credit account 641)  ,Of which: Outsourced transportation expensesF11.11. Net profit from business production activities (16=07+12-13-14)5 U11.12. Other income (Data in debit account 911 corresponding to credit account 711)  T V11.13. Other expense (Data in debit account 911 corresponding to credit account 811)  11.14. Other profit (19=17-18)  411.15. Total accounting profit before tax (20=16+19)* X11.16. Expense on income tax (include enterprise income tax current + postponed)  P Current enteprise income tax511.17. Profit after enterprise income tax (23=20-21)* 5Tax, fee, charge and payables to State budget in 20165Payables in year (exclude moving from previous year )/ Paid in year-VAT of goods sold in domestic-VAT for impored goods -Excise tax -Export tax -Import tax>Implementation of legal capital share by country and territory (Apply for FDI enterprsies)Unit: 1000 USDLegal capital as of 31/12/2016%Realized legal capital share in 20160Legal capital share accumalated as of 31/12/2016Total (01=02+06)  Viet Nam (02=03+04+05) By which:State-owned enterprisesNon-state owned enterpriseForeign partnersBy which Country codeCountry714. Energy consumption for production, business in 2016EnergyUnitInventories in opening stockEnergy volume purchaedEnergy volume producedEnergy volume consumed For transportFor business productionNon-energy useEnergy volume sold Closing stock%Value of energy purchased (Mill. VND)5 ElectricityCoal Brown coal Fossil coal PetroleumPetrolTonne 1000 litre 1000 ltreAuto, motor petrol Plane petrolParaffinDiezel MazutGas Natural gas`* Note: Column 8 = column 1 + column 2 + column 3 - column 4 - column 5 - column 6 - column 7.15. Implemented development investment in 2016 Indicator +Total (01=02+05+06+09+15+18=21+27+28+29+30) A. By capital resource1. State budget (02=03+04)   -Central state budget- Local state budget2. Government bond+3. Development Investment credit (06=07+08) ! - Local capital4. Loan (09=10+11+12+13+14)   - Domestic bank loan 6- Loan from other domestic individuals, organizations - Foreign bank loan 6- Loan from other foreign individuals, organizations ,- Loan from mother company, brother company 5. Owner's capital (15=16+17)   - VietNam side -Foreign partner)6. Capital mobilized from other resourcesB. By investment items%+ Domestic machinery, equipment used <+ Cost of training technical workers and production manager .1. Basic construction investment (21=22+23+24) Of which: - Construction and installation-Machinary, equipment- Other/+ Expense on compensation for ground clearance %+ Land rent or buying land use right C2. Purchasing fixed asset for production out of basic construction :3. Investment in large scale repair, upgading fixed asset 34. Working capital supplemented by owner's capital 5. OtherC. By investment purpose%Code 2 digits VSIC 2007 (for SO only)E/ Purpose 1: Purpose 2: Purpose 3: Purpose 4: Purpose 5:D. By city/province!City/province code (for SO only) /5(Apply for work/construction items completed in 2016)816. Completed work and newly increased capacity in 2016NameNWork code (Written by SO in accordance with code of newly increased capacity ) Construction venueName of province/city!Province/city code (for SO only)  Year of startingNewly increased capacityQuantity2Total investment realized in the work (Mill. VND)'IValue of newly increasedly fixed asset of the completed work (Mill. VND)>J17. Accessing to capital resources of the enterprise in the last 3 years UWhich following banking services does enterprise use? (Circle the appropriate answer)6@Capital borrowingPaymentCredit letter (open L/C)Document against paymentPayment guarantee"Trade sponsor and other guaranteesFinancial consultancy#Foreign currency and risk provisionFinancial leasesFinancial asset management No serviceTDid the enterprise borrow capital from credit organization for business production ?Q. 17.4OWhich credit organization does loan come from? (Circle the appropriate asnwers)/State Non-state 3 Foreign direct investmentzWhat are the reasons for enterprise not borrowing loan for business production activities (Circle the appropriate asnwers)Z1 No demandQ. 17.7Don't want to get in to debt(Complicated proceduces, time-consuming High interest rate!To be doubtful for rejecting loanDon't know about loan proceduceNot enough asset to mortgageOther (specify)1UWhat is purpose of enterprise for borrowing capital? (Circle the appropriate asnwers)Increasing current capital(Purchasing machinery, means of transport(Improving machinery, manufacturing lines'Science Research, technical improvementSolving due-debt!Investment for basic construction>Did the enterprise satisfy with loan from credit organization? SatisfactionUnsatisfactionQIf the enterprise have demand for a loan, what resoures do the enterprise chose?: (Circle the appropriate asnwers)Friend, relativeState credit organizationNon state credit organization 18. Use of computer and internetQ18.1. Did the enterprise use computer for operating (Include PC, laptop, tablet)?3 1 YesQ. 18.3F18.2. How many percents of employees regularly use computer for work? i18.3. Does enterprise use internet or other compute< r network for operating (through computer, telephone)?g Q. 18.5l18.4. How many percents of employees regularly use internet or other network for work (at least once a week)U +18.5. Does enterprise have its own website?1 yes Q. 19^18.6. Which activities does enterprise use Internet and other computer network for operating ?1. Operation, direction2. Send and receive email3. Search informationQ4. Study, research ( texchange information, download documents, online learning)Y5. Transaction with other institutes, organizations (Bank, Tax agency, Customs Agency & .)*6. Financial activity (Internet banking& & )7. Providing online service 8. Other (specify)& & & & & & ..& & & & @Establishment under enterprise 219.1. The list of establishments under enterprise (Note: List all establishments under enterprise, not distinguish type of establishment or business production place. If enterprise has headquarter office only operating in management located separate from establishments, ask form 1D/TTKT-VP)BName of establishment/branchAddress!Address code of EST(for SO only) @District Province/city-Tax code/address code of business production key business production activity' Code 5 digits VSIC 2007 (For SO only)@ Labour as of 31/12/2016 (Person)G1. Headquarter office has management, direction activity for enterprise,2. Enterprise's branch (Tax code 13 digits)N19.2. Did the enterprise/ subordinate establishment have following operations?(Each single enterprsie/establishment has activity under which industry will conduct the corresponding form for that industry )K (only write number of establishment with tax code 10 digits or 13 digits) CollectiveIf yesAnswering Form 1A.1/TTKT-HTXNumber of establishments3Number of establishments with industrial activity 7Enterprise with processing activity for foreign countryAnswering Form 1A.2/TTKT-CNAnswering Form 1A.2m/TTKT-DVGCAnswering Form 1A.3/TTKT-XDAnswering Form 1A.4/TTKT-TNAnswering Form 1A.5.1/TTKT-VTAnswering Form 1A.5.2/TTKT-KBAnswering Form 1A.6.1/TTKT-LTAnswering Form 1A.6.2/TTKT-DLAnswering Form 1A.7.1/TTKT-TC%Answering Form 1A.7.2/TTKT-XNKDVTCNHAnswering Form 1A.8/TTKT-BHAnswering Form 1A.9.1/TTKT-BSAnswering Form 1A.9.2/TTKT-TTAnswering Form 1A.9.3/TTKT-DVKAnswering Form 1A.9.4/TTKT-YTAnswering Form 1A.9.5/TTKT-GD3Number of establishments with construction activity1Number of establishments with commercial activityENumber of establishments with transport, post and delivery activitiesPNumber of establishments with storage, load and transport supporting activities FNumber of establishments with accommodation, catering service activity+Number of establishments with tour servicescNumber of establishments with financial brokerage and auxiliary activities for financial brokerage ?Number of establishments with service import, export activity FNumber of establishments with insurance activity, insurance brokerage <Number of establishments with real estate business activity ENumber of establishments with information and communication activity Number of establishments with professional, science and technology, administrative service and supporting services, entertainment, creation and other services ..Number of establishments with health activity =Number of establishments with education, training activities Answering Form 1A.10/TTKT-RTFNumber of establishments with waste collection and treatment activity Date & & & & .. 2017Director(Sign, full name and stamp) Interviewer Respondent  - Full name: & & & ...& & & & ...& & &   -Tel: & & & & & & & & & & & ..  - Sign: & & & & & & & & & & & & & ...   - Full name: & & & .& .& & & & & & & .  - Tel: & & & & & & & & & & & .. 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