2006 SE06 ques SE06 UMB C5
REPUBLIK I DO ESIA
BADA PUSAT STATISTIK
SE SUS EKO OMI 2006
KA TOR PUSAT PERUSAHAA PERTAMBA GA
PE CACAHA
Diisi Oleh /
1. Propinsi
Province
2. Kabupaten/Kota*)
Regency/City
3. Kecamatan
Sub district
:
..
:
..
:
..
4.
:
ama Perusahaan
ame of Company
5. Alamat Kantor Pusat Perusahaan /Addressof Head Office
1
..
Kode Pos/
E mail
Phone
:
(
....)
.
6. Unit Pertambangan/Unit Eksplorasi / Mining Unit / Exploration Unit
Province
7.
! "
Kind of Minerals
Address of Mining/Exploration Unit
ama Orang yang Dapat Dihubungi / Contact Person:
ame
E mail
.
Phone
*) Coret yang tidak sesuai/
: Untuk memperoleh data statistik yang terpercaya dan tepat waktu untuk perencanaan pembangunan nasional
: Pelaksanaan survei ini berdasarkan Undang undang nomor 16 tahun 1997 tentang statistik
!"#
$ "%%&
: Survei ini tidak memungut biaya apapun
: Selambat lambatnya sudah diterima BPS pada tanggal 1 Agustus 2007
'
(
'
)
!
"
#
"
"$ *++&
$% &
,
BPS Propinsi terdekat (lihat cover belakang)
Kepala Sub Dit Stat. Pertambangan, Energi dan Konstruksi
(
,
Badan Pusat Statistik, Jl. Dr. Sutomo No. 6 8, Jakarta 10710
Telp. (021) 3841195, 3842508, 3810291 4, Pesawat 5231,
Fax (021) 3863816
02
: kpe@mailhost.bps.go.id
/
1 2
'
-
$0
.
'
$3!' !
4 ! #25$ 3 6
"+&"+
-+*". 758""%9$ 758*9+5$ 75"+*%"28$ 0 9*7"
-+*". 75#75"#
PERHATIA / Attention :
ISIA BERIKUT I I HA YA YA G BE AR3BE AR U TUK KA TOR PUSAT SAJA
For Head Office Only
I. BE TUK BADA
"
# !
&
" % Ltd.
HUKUM/Legal status of the company
#
Ltd (Government)
! Regional Government
$%
'
)
*
Cooperation
Others
(
+
II. PERMODALA
1. Persentase permodalan / Percentage of capital sharing
! #
Central Government
!&
-
./
0
#
#
,
! Local Government
,
/ ational Private
,
!/ Foreign
Total
! Total
,
1 1-10
1
0 0,
2. Apakah ada pemilikan saham/modal asing secara individual > 10%?
Does the capital of the company owned by foreigners individually more than 10%
2 Yes
"0
o
3
3
3. Apakah perusahaan memiliki aset di luar negeri
Does the company have any assets abroad
2 Yes
"0
o
3
3
#
4 -
5 go to guest for 10
4. Apakah perusahaan memiliki penyertaan modal pada perusahaan di luar negeri >10%?
Does the company invest its capital in other company abroad more than 10%?
2 Yes
"0
o
3
3
5. Apakah perusahaan menjual hasil tambang ke luar negeri/orang asing?
Does the company export or self its product to foreigners?
2 Yes
"0
o
3
3
6. Apakah perusahaan membeli jasa dari perusahaan luar negeri/orang asing?
Does the company purchase any services from any company abroad or from foreigners?
2 Yes
"0
o
3
3
III. TE AGA KERJA / Employment
; 8 Indonesian
)
3)
/ Male
#
/ Female
;
)
3)
Foreigners
/ Male
#
/ Female
(
- . 6
Post Graduate
. 7 & 8% Graduate
-
. 6
9#0 7 &888 Diploma Bachelor Degree
0 .)"
Senior High School
.)"
Junior High School
: .& Elementary School
JUMLAH / TOTAL
IV. PE GELUARA
U TUK TE AGA KERJA (Rupiah)
Employment Expenses
W A
Foreigners
(3)
; 8
Indonesian
(2)
! < 6 Wage / Salary
)
# Overtime
# 7 = 0 !7 0
6
* Bonus, Gift, etc
"# 6
3# 6
Benefits
JUMLAH / TOTAL
"# 6
3# 6
#
0
# 7 # 6
70 # 6
Benefits consists of pension funds, social security, accident allowance and other benefits
V.
PEMAKAIA BAHA BAKAR DA PELUMAS / Fuel and Lubricants (Rupiah)
# #!
!
*
0
0
#
Value of fuel and lubricants used in the main office during 2006
!#
*
VI. TE AGA LISTRIK / Electricity
*
4
55+
>#
<
*
0 #
Generator used
*
' #
Capacity
# !
unit
*
* >#
';=
'% ';
Value
*
4#
!
"
)
*
0
0
Electricity generated by the establishment
"
)
*
0
Electricity purchased
"
)
*
0 6#
Electricity sold to other parties
VII. PE GELUARA LAI / Other Expenses
8
#
#
0 #
!
#0
!
!#
Fill in other expenses exclude the expenses for raw materials during 2006
#
55+
Value
Kinds of Expenses
4#
. /
0
79
0
4ent of vehicles, machinery and equipment
. /
!0
0#
Expenses for rent of land and building
- .# # $ 0
Sparepart
0
*
!
0 9aintenance cost
*
Promotion Cost
:
* 6
#
Cost of Consultant services
'
#
0 #
#
Stationaries
!
! Cleaned Water
0 "
#
Post and Telecommunication
6
#0
0 "
Warehousing and Transportation Cost
* 4
0
Cost of Research and Development
*
.#
& * 9 # Human Research Development
6
)
#
*
Indirect Tax
Others
JUMLAH / TOTAL
!
VIII. ERACA PERUSAHAA
/ Company's BalanceSheet
! 7
7
6#
0
*# #
0
!#
55+
Addition, major repair, sale and depreciation of fixed capital in 2006
Keadaan akhir tahun 2005
Uraian / Description
@
3 3 55( B
4# !
(2)
(1)
Keadaan akhir tahun 2006
@
3 3 55+ B
4# !
(3)
A. HARTA / ASSETS
…………………………………..
…………………….
1. Harta / Aset Lancar
2. Harta / Aset Tetap / Fixed Assets
a. " ! Land
Building
b. < 0#
?
c. 9
Machinery & Equipments
Vehicles
d. ' 0
* Others
e. 9 0 "
3.
JUMLAH / Total [ (1) + (2) ]
B. HUTA G DA
…………………………………..
…………………….
MODAL
1. Kewajiban / Hutang
0
6
@ A
!# B
…………………………………..
…………………….
…………………………………..
…………………….
2. Modal
9 0
/
@
3.
…………………………………..
…………………….
!
0
#
6#
…………………………………..
…………………….
!
#B
JUMLAH / Total [ (1) + (2) ]
…………………………………..
…………………….
Value
IX. PE DAPATA /PE ERIMAA LAI / Other Income
4#
0
0
/
0# 7
0
6
36
0
#
Gross income from leasing and other services in Head Office
6#
0
# *
0 /
#
Income from goods sold in the same form as its bought
Purchase value
6#
-
' # #
Sales value
' #
JUMLAH / TOTAL ( 1 + 2c )
Profit / Loss
3
# 0
!
(
SERTIFIKASI PE GISIA KUESIO ER
Questionnaire Certification
&
0
0 :
0
&
0
0
! :
* 0
: 0 #
!
##
0
*
# !:# * 0 --#
# #! *
* *
!
ame
Occupation
"
Telephone
" 0 "
0 .
#
0*
C D
3
# !
KERAHASIAA
Confidentiality
Kerahasiaan Data / Data Confidentiality
'
!
G
*
0
*
06
!
/ 6
+ " !#
6
EEF7 *
!
*
*
!/
0
!0
0 G
Data confidentiality is guarranteed under Article 21 of Law o. 16, 1997;
"The conductor of statistical activities must ensure the confidentiality of the information obtained from respondents".
' / 6
0 0 *
0
F
+ " !# EEF7 *
G.
0 / 6
*
0
#
0
*
0
# .
G
Respondent obligation is guarranteed under Article 27 of Law o. 16, 1997;
*
!/
0
!
"Every respondent must provide the required information when the BPS Statistics Indonesia is collecting basic statistic".
BAGIA I I HA YA DIISI OLEH PETUGAS BPS
For BPS Enumerator's Use Only
ame
Occupation
(
"
"
" 0 "
*
!
'.'
. :
. :
.' #
.
'
3
3
3
. : . #
)
*
& #
& #
CATATA PETUGAS / Enumerator's 2otes
55F
55F
3
3(
BADA PUSAT STATISTIK
SE SUS EKO OMI 2006
KA TOR PUSAT PERUSAHAA PERTAMBA GA
PE CACAHA
Diisi Oleh /
1. Propinsi
Province
2. Kabupaten/Kota*)
Regency/City
3. Kecamatan
Sub district
:
..
:
..
:
..
4.
:
ama Perusahaan
ame of Company
5. Alamat Kantor Pusat Perusahaan /Addressof Head Office
1
..
Kode Pos/
E mail
Phone
:
(
....)
.
6. Unit Pertambangan/Unit Eksplorasi / Mining Unit / Exploration Unit
Province
7.
! "
Kind of Minerals
Address of Mining/Exploration Unit
ama Orang yang Dapat Dihubungi / Contact Person:
ame
E mail
.
Phone
*) Coret yang tidak sesuai/
: Untuk memperoleh data statistik yang terpercaya dan tepat waktu untuk perencanaan pembangunan nasional
: Pelaksanaan survei ini berdasarkan Undang undang nomor 16 tahun 1997 tentang statistik
!"#
$ "%%&
: Survei ini tidak memungut biaya apapun
: Selambat lambatnya sudah diterima BPS pada tanggal 1 Agustus 2007
'
(
'
)
!
"
#
"
"$ *++&
$% &
,
BPS Propinsi terdekat (lihat cover belakang)
Kepala Sub Dit Stat. Pertambangan, Energi dan Konstruksi
(
,
Badan Pusat Statistik, Jl. Dr. Sutomo No. 6 8, Jakarta 10710
Telp. (021) 3841195, 3842508, 3810291 4, Pesawat 5231,
Fax (021) 3863816
02
: kpe@mailhost.bps.go.id
/
1 2
'
-
$0
.
'
$3!' !
4 ! #25$ 3 6
"+&"+
-+*". 758""%9$ 758*9+5$ 75"+*%"28$ 0 9*7"
-+*". 75#75"#
PERHATIA / Attention :
ISIA BERIKUT I I HA YA YA G BE AR3BE AR U TUK KA TOR PUSAT SAJA
For Head Office Only
I. BE TUK BADA
"
# !
&
" % Ltd.
HUKUM/Legal status of the company
#
Ltd (Government)
! Regional Government
$%
'
)
*
Cooperation
Others
(
+
II. PERMODALA
1. Persentase permodalan / Percentage of capital sharing
! #
Central Government
!&
-
./
0
#
#
,
! Local Government
,
/ ational Private
,
!/ Foreign
Total
! Total
,
1 1-10
1
0 0,
2. Apakah ada pemilikan saham/modal asing secara individual > 10%?
Does the capital of the company owned by foreigners individually more than 10%
2 Yes
"0
o
3
3
3. Apakah perusahaan memiliki aset di luar negeri
Does the company have any assets abroad
2 Yes
"0
o
3
3
#
4 -
5 go to guest for 10
4. Apakah perusahaan memiliki penyertaan modal pada perusahaan di luar negeri >10%?
Does the company invest its capital in other company abroad more than 10%?
2 Yes
"0
o
3
3
5. Apakah perusahaan menjual hasil tambang ke luar negeri/orang asing?
Does the company export or self its product to foreigners?
2 Yes
"0
o
3
3
6. Apakah perusahaan membeli jasa dari perusahaan luar negeri/orang asing?
Does the company purchase any services from any company abroad or from foreigners?
2 Yes
"0
o
3
3
III. TE AGA KERJA / Employment
; 8 Indonesian
)
3)
/ Male
#
/ Female
;
)
3)
Foreigners
/ Male
#
/ Female
(
- . 6
Post Graduate
. 7 & 8% Graduate
-
. 6
9#0 7 &888 Diploma Bachelor Degree
0 .)"
Senior High School
.)"
Junior High School
: .& Elementary School
JUMLAH / TOTAL
IV. PE GELUARA
U TUK TE AGA KERJA (Rupiah)
Employment Expenses
W A
Foreigners
(3)
; 8
Indonesian
(2)
! < 6 Wage / Salary
)
# Overtime
# 7 = 0 !7 0
6
* Bonus, Gift, etc
"# 6
3# 6
Benefits
JUMLAH / TOTAL
"# 6
3# 6
#
0
# 7 # 6
70 # 6
Benefits consists of pension funds, social security, accident allowance and other benefits
V.
PEMAKAIA BAHA BAKAR DA PELUMAS / Fuel and Lubricants (Rupiah)
# #!
!
*
0
0
#
Value of fuel and lubricants used in the main office during 2006
!#
*
VI. TE AGA LISTRIK / Electricity
*
4
55+
>#
<
*
0 #
Generator used
*
' #
Capacity
# !
unit
*
* >#
';=
'% ';
Value
*
4#
!
"
)
*
0
0
Electricity generated by the establishment
"
)
*
0
Electricity purchased
"
)
*
0 6#
Electricity sold to other parties
VII. PE GELUARA LAI / Other Expenses
8
#
#
0 #
!
#0
!
!#
Fill in other expenses exclude the expenses for raw materials during 2006
#
55+
Value
Kinds of Expenses
4#
. /
0
79
0
4ent of vehicles, machinery and equipment
. /
!0
0#
Expenses for rent of land and building
- .# # $ 0
Sparepart
0
*
!
0 9aintenance cost
*
Promotion Cost
:
* 6
#
Cost of Consultant services
'
#
0 #
#
Stationaries
!
! Cleaned Water
0 "
#
Post and Telecommunication
6
#0
0 "
Warehousing and Transportation Cost
* 4
0
Cost of Research and Development
*
.#
& * 9 # Human Research Development
6
)
#
*
Indirect Tax
Others
JUMLAH / TOTAL
!
VIII. ERACA PERUSAHAA
/ Company's BalanceSheet
! 7
7
6#
0
*# #
0
!#
55+
Addition, major repair, sale and depreciation of fixed capital in 2006
Keadaan akhir tahun 2005
Uraian / Description
@
3 3 55( B
4# !
(2)
(1)
Keadaan akhir tahun 2006
@
3 3 55+ B
4# !
(3)
A. HARTA / ASSETS
…………………………………..
…………………….
1. Harta / Aset Lancar
2. Harta / Aset Tetap / Fixed Assets
a. " ! Land
Building
b. < 0#
?
c. 9
Machinery & Equipments
Vehicles
d. ' 0
* Others
e. 9 0 "
3.
JUMLAH / Total [ (1) + (2) ]
B. HUTA G DA
…………………………………..
…………………….
MODAL
1. Kewajiban / Hutang
0
6
@ A
!# B
…………………………………..
…………………….
…………………………………..
…………………….
2. Modal
9 0
/
@
3.
…………………………………..
…………………….
!
0
#
6#
…………………………………..
…………………….
!
#B
JUMLAH / Total [ (1) + (2) ]
…………………………………..
…………………….
Value
IX. PE DAPATA /PE ERIMAA LAI / Other Income
4#
0
0
/
0# 7
0
6
36
0
#
Gross income from leasing and other services in Head Office
6#
0
# *
0 /
#
Income from goods sold in the same form as its bought
Purchase value
6#
-
' # #
Sales value
' #
JUMLAH / TOTAL ( 1 + 2c )
Profit / Loss
3
# 0
!
(
SERTIFIKASI PE GISIA KUESIO ER
Questionnaire Certification
&
0
0 :
0
&
0
0
! :
* 0
: 0 #
!
##
0
*
# !:# * 0 --#
# #! *
* *
!
ame
Occupation
"
Telephone
" 0 "
0 .
#
0*
C D
3
# !
KERAHASIAA
Confidentiality
Kerahasiaan Data / Data Confidentiality
'
!
G
*
0
*
06
!
/ 6
+ " !#
6
EEF7 *
!
*
*
!/
0
!0
0 G
Data confidentiality is guarranteed under Article 21 of Law o. 16, 1997;
"The conductor of statistical activities must ensure the confidentiality of the information obtained from respondents".
' / 6
0 0 *
0
F
+ " !# EEF7 *
G.
0 / 6
*
0
#
0
*
0
# .
G
Respondent obligation is guarranteed under Article 27 of Law o. 16, 1997;
*
!/
0
!
"Every respondent must provide the required information when the BPS Statistics Indonesia is collecting basic statistic".
BAGIA I I HA YA DIISI OLEH PETUGAS BPS
For BPS Enumerator's Use Only
ame
Occupation
(
"
"
" 0 "
*
!
'.'
. :
. :
.' #
.
'
3
3
3
. : . #
)
*
& #
& #
CATATA PETUGAS / Enumerator's 2otes
55F
55F
3
3(