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Form - I

ANNUAL PERFORMANCE REPORT FOR UNITS

Period -----

(See rule 22)

PERIOD OF REPORTING: ANNUAL (APRIL-MARCH)

1. Name of the Unit

2. Item of manufacture/service activity.

3. EXPORT(INFLOW) (Rs. in Lakhs)

a) FOB value of exports for the

Year (indicate items of exports)

b) Cumulative value of exports

for the five year period.

c) Countries of exports

4. IMPORT(OUTFLOW) (Rs. in Lakhs)

A. Raw materials & other inputs utilized.

(a) Opening balance of imported

raw materials, consumables,

components, packing materials etc.,

(b) CIF value of raw materials, consumables,

components, packing materials etc. imported

during the year

(c) Cumulative value of raw materials, consumables,

components, packing materials etc.

(d) Value of imported raw materials, consumables,

components, packing materials etc. or finished goods

/services received from other units in SEZs/EOUs/

EHTPs/STPs during the year

(e) Total ( c + d)

(f) Value of imported raw materials, consumables,

components, packing materials etc. or finished goods/services

transferred to other units in SEZs/EOUs/EHTP/STP during the year

(g) Closing balance of imported raw materials, consumables

components, packing materials etc.

(h) Value of imported raw materials, consumables, components,

packing materials etc. actually consumed during the year

{ (e) [f + g] }

B. Capital goods

(i) Year-wise CIF value of capital goods

imports & spares till end of the year under report.

(ii) Value of imported Capital goods, and spares

received from other units in SEZ/EOU/EHTP/STP

during the year

(iii) Total (i) + (ii)

(iv) Value of imported Capital goods, and spares

transferred to other units in SEZ/EOU/EHTP/STP

during the year

(v) Total value of imported capital goods and spares

during the year. (iii) (iv)

(vi) Proportionate amortized value of imported capital goods

taken for NFE calculations as per rule -----

of Special Economic Zone Rules, 2006

5. Other outflow of Foreign Exchange

(Royalty, technical know-how fee, repatriation of

Dividend/Profits, Payment of Sales Commission,

Interest on overseas borrowings, etc.)

during the year

6. Total outflow [4.A.(h) + 4.B.(vi) + 5]

7. Net Foreign Exchange Earning for the year [3(a) 6]

8. Net Foreign Exchange Earning

position at the end of previous year.

9. Cumulative Net Foreign Exchange Earning for the

five year period [7 + 8]

Note: For details of calculation of NFE, please refer to rule -----------

Part - II

1. DTA SALES Value

(Rs. in lakhs)

(a) Sale of finished goods/services

(b) Sales of rejects

(c) Sale of by product

(d) Sale of Waste/Scrap/Remnant

(e) Total

2. Capital structure of the enterprise

A. i) Authorised capital

ii) Paid up capital

B. Overseas investments: - FDI NRI

a) Approved

b) Actual Inflow during the year

c) Cumulative actual investment for 5 years

3. Employment: Male Female

4. Investment in the Zone: (Rs. In lakhs)

(a) Building ________________________

(b) Plant and Machinery ________________________

(i) Indigenous ________________________

(ii) Import CIF value ________________________

(iii) Total (i) + (ii) ________________________

5. OTHER INFORMATION :

(1) External commercial borrowing

External commercial borrowing pending at the end of last year

(a) Less than three years Amount in $

(b) More than three years -do-

(2) Cases pending for foreign exchange realization, if any.

Date export

Name of importer

Address

Amount

(S I G N A T U R E)

with Seal of Co.

Note: - The information given in the formats for APRs should be authenticated by the authorized signatory of

the unit and certified by a Chartered Accountant.

 

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