Palestinian Central Bureau of Statistics
PO Box 1647 Ramallah/ Tel: 02_ 2406340 Fax: 02- 2406343
Economic Statistics Surveys Series
Services Survey 2002
Serial No.
Data provided herein are used only for mere statistical purposes and are considered highly confidential, according to the General Statistics Law of 2000.
Establishment number:
Enterprise number
Identification:
1. Establishment commercial name: _________________________________________________________
2. Owner or general manager: _______________________________________Sex: 1. Male
2. Female
3. Main economic activity (in details): _______________________________________________________
4. Address
Governorate: ____________________________ Locality: _________________________________
Street: _________________________________ Building name/ owner: __________________________ No of enumeration area.
P.O. Box: _________________________ Tel: ____________________ Fax: _____________________ Building No.
5. Tenure:
1. Private national
2. Private foreign
3. Government corporation
4. Foreign government corp.
6. Legal Status: ___________________________________________________________________________
7. Organizational Structure
1. Sole Proprietorship
2. Main Center With Branches 3. Branch
8. The institution purpose:
1. Profitable
2. Non-profitable
9. Class:
10.Institutional Sector:
Enterprise (Project): Economic entity capable of possessing assets and liabilities;
practicing economic activities and conducting transactions with other parties and
can provide complete records of profits and losses, preparing balance sheet at the
end of the year to the main and secondary activities practiced.
Remarks for Questionnaire Completion
• A separate questionnaire is completed for each establishment included in
the sample regardless of weather it keeps records or not.
• A separate questionnaire is completed for each economic activity within the
establishment, provided its inputs, workers, wages, new fixed assets are
separable, i.e. constitutes a branch.
••••
A single questionnaire is completed for the establishment if the branches keep no
records. However, if the branches keep separate records and practice activities
similar or different from those practiced in the main center, then its questionnaire
undergoes completion in coordination with the main center.
Establishment: An enterprise or a branch producing a single group of goods (with
the possibility of having ancillary production activities), provided enough data are
available for calculating operation surplus.
Workers: They are of two categories:
• Unpaid enterprise owners or family members.
• Paid workers weather they are permanent, temporary or working for
establishment.
Excluded are trainees, those in unpaid vacations and members of board of
directors.
Wages and Salaries in Cash: All wages given to employees during the survey
year in addition to allowances, rewards, overtime, the thirteenth and fourteenth
month salaries before applying any deductions, e.g. insurance, tax...etc.
Ownership: It is determined when the majority of capital (51% and more) is:
1. Private national
2. Private foreign
3. Government corp.
4. Foreign government corp.
2
.
Interview result
Not
Completed
(Specify):
1. Completed
2. Completely closed
3. Temporarily closed
4. Could not reach the address
5. Did not practice any activity in 2001
6. Of different economic activity *
7. Refusal
8. Repeated
9. Central government
10. Agricultural Appropriation
11. Branch Keep No Records
First: General Data:
1. Number of actual work months during the survey year ________________
2. Fiscal Years for the establishment:
From ___ /___ / 2002
To ___ /___ / 2002
3. Data Sources
1. Financial books and records
2. Estimates
3. Both
4. Currency used in questionnaire completion
1. Jordanian Dinnar (JD)
2. US Dollar ($)
3. New Israeli Shekel (NIS)
For non-profitable institutions or followed establishments :
1. Does this establishment work with serious economic prices ( sales cover the cost or more )
1. Yes
2. No
For Institutions Only (for sole proprietorship or main centers with branches):
1. Establishing Year :
12. The Balance isn’t ready
13. Isn’t an Establishment as Recognized
14. Israeli Ownership
15. Of Different Ownership
2. Declared Capital
3. Paid Capital of the year 2001
4.The enterprise prepares profits/losses account and balance sheet? 1.Yes 2.No
16.Branch Keeps Records & the Center Out of the Sample
17. Converted from other surveys and not completed
18.Other (specify)
• If the economic activity changed, describe the new as of possible;
_____________________________________.
3
No.2: Employment and Employees Remuneration
Engaged persons’ categories
1
Unpaid employees
Paid employees
Average number of persons
engaged during the reference
year Male
Female
2
3
Average number of
weekly work hours per
employee
4
Salaries and wages in
cash during the reference
year Male
Female
5
6
Proprietors
Family members
Administrators
Operatives
Other
Total
Payments in kind Other benefits
Total remuneration
Notes:
Average number of employees during the reference year = Total number of employees at the end of each month
12
Salaries and wages in cash during the reference year include: Basic salary or wage, allowances, premium and overtime in addition to the thirteenth and fourteenth months
salaries (if found).
Payments in kind include: food, accommodation, transportation, and recreational and social services provided by the establishment to its employees.
Other payments include social and health insurance installments and end of service appropriation.
4
No 3: Goods Production Inputs A. Row and Primary
Materials
1
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Auxiliary
code
2
ISIC Code
3
Value of
beginning
Inventory
4
Purchases during the year
Internally
produced
purchases
5
10
10
10
10
10
10
10
10
10
10
10
10
10
10
Total
Includes inputs used in main & auxiliary activities and assets produced for own account.
5
Externally
produced
purchases
6
Total
7
Production
inputs sold as
purchased
(purchased
price)
Lost and
written
off
Value of
ending
inventory
Value of
consumed
amount
during the
year
8
9
10
11
Continued: Goods Production Inputs:
B. Other Inputs
1
Packing and wrapping materials:
Plastic and nylon
Carton boxes
Other wrapping materials, specify
Spare parts:
Spare parts for vehicles
Spare parts for machines &
equipment
Disposable tools
Stationery
Publications
Work uniform
Cleaning material
Other inputs, specify
Auxiliary
code
ISIC
Code
2
3
41
41
41
2520
2102
42
42
3430
43
44
45
46
47
Value of
beginning
inventory
4
Purchases during the year
Internally
produced
purchases
Externally
produced
purchases
Total
5
6
7
2109
2221
1810
2424
48
48
48
48
48
48
Total
6
Production
inputs sold as
purchased
(purchase
price)
Lost and
written
off
Value of
ending
inventory
Value of
consumed
amounts
during the
year
8
9
10
11
Continued: Production Inputs
C. Fuel and oil
Auxiliary
code
ISIC
Code
Value of
beginning
inventory
Purchases during the year
Internally Externally
produced produced
purchases purchases
1
1. Gasoline
2. Kerosene
3. Diesel
4. Gas
5. Oils and
lubrications
6. Other fuel (coal,
fire wood)
Total
D. Electricity and
water
Electricity
Water
Total
2
21
22
23
24
25
3
2320
2320
2320
2320
2320
4
Total
5
6
26
ISIC code Purchased during Sales during the
the year
year
Production Lost and Value of
inputs sold written off ending
as purchased
inventory
(purchase
price)
Value of
consumed
amount during
the year
4010
4100
7
7
8
Value of The value
The value
consumed used in
used to
amounts electricity transportation
during the generation
vehicles
year
9
10
No.4: Other Production Expenditures (Services Offered by Others)
Types of expenditure
Auxiliary
code
ISIC
Code
Internal
4
Foreign
5
Type of expenditure
Total
6
Auxiliary
code
1
Rent of buildings
Rent of machines and equipment
Post, telegraph, telephone, and
fax
Maintenance and repair of
machines and equipment
Maintenance and repair of
buildings and constructions
Operational services provided by
others
Advertising
Hospitality
2
10
11
12
16
17
7430
5520
Auditing
Bank commissions/ other than
interests
Legal charges (Advocate charges)
18
19
7412
6519
20
7411
21
22
23
7523
7220
7421
24
6022
37
25
6023
37
Court fees
Computer consulting services
Engineering and consultation
services
Costs of official travels and
missions
Transport of goods and land
shipping
3
7010
7122
6420
Expenditure value
13
14
4540
15
1
Transportation of passengers
Storing services
Medical expenditure for work
accidents
Commissions paid to others in
return of purchased goods
Losses of selling production
inputs
Bids and tenders fees
2
26
27
28
3
6021
6302
8512
29
5110
31
7499
Cleaning expenditures
Employee training & educated
services
Unions and syndicates fees
Chambers of industry &
commerce fees
Incident insurance premium,
other than employees
Other, specify
32
33
7493
8090
34
35
9120
9111
36
6603
30
37
37
Total
8
ISIC
code
Expenditure value
Internal
4
Foreign
5
Total
6
No.5: Indirect Fees and Taxes
Fees and Taxes
ISIC
code
1
Customs duties
Value added tax (net tax)
Constructions licensing
fees
Vehicles licensing fees
Official stamps fees
Building taxes
Other indirect taxes,
specify
2
1001
1002
1003
Value of payments
Internal
3
*Foreign
4
Total
5
1004
1005
1006
1007
1007
1007
Total fees and taxes
* For Jerusalem establishments
Note: Income taxes are not required.
9
No.6 : Various payments and transfers
Payments and Remittances
Classification
ISIC
1
2
1012
1013
1014
1015
Rent of land
Interests on loans
Interests on other liabilities
Royalties
Dividends distributed to :
1. Shareholders own less than 10% of the
institution
2. Shareholders own 10% or more of the
institution
Bonuses to the board of directors
Withdrawals of proprietors (cash)
Withdrawals of proprietors (in kind)
Governmental fines
Key money
Grants, donations, and gifts
Employee’s allowances
Other, specify
Value of Payments
Internal
3
Foreign
4
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1025
Total
10
Total
5
No. 7 : Revenues of Services Rendered to Others (Services Activity)
Type of revenue
Auxiliary
code
ISIC
Code
1
2
10
3
A. Revenue of the main activity
B. Revenue of auxiliary activity
Industrial services on materials from others
Maintenance and repairs services
Buildings rent
Rent of machines and equipment
Transport of goods
Transport of passengers
Profits from inputs sales
Other services provided to others, specify
20
21
22
23
24
25
26
7010
7122
6023
6021
27
27
27
27
Total
11
Revenues Value
Local
4
Foreign
5
Total
6
No.8 : Commodity Products ( Industry Activity )
Line no. Type of product
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
1
Finished products
1.
2.
3.
4.
5.
6.
7.
8.
9.
10. Other (value)
Work in progress
1.
2.
Fixed assets produced for own accounts (work in progress)
1.
2.
Wastes (value)
Total commodity products
Auxiliary
code
ISIC
code
Measurement
unit
Beginning inventory
2
3
Unit
4
Quantity
6
10
10
10
10
10
10
10
10
10
10
20
20
25
25
30
12
Code
5
Value
7
Cont. Commodity products (Industry Activity)
Line
no.
Local
Quantity Value
8
9
Sales
External
Quantity Value
10
11
Total
Quantity Value
12
13
Reused in production
Ending inventory
Quantity
14
Quantity
16
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
13
Value
15
Value
17
Products produced
during the year
Quantity Value
18
19
No. 9: Goods Purchased for Resale (Trade Activity)
Items purchased for sale
without manufacturing
ISIC
Code
1
2
Value of
beginning
inventory
3
Purchases
during the
year
4
Lost &
written off
5
Value of
ending
inventory
6
Sales
* Trade margin
7
8
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Total
* Trade margin = Sales + Ending inventory – Purchases during the year – Beginning inventory – Lost and written off.
14
No.10: Various transfers and revenues
Types of revenue
ISIC
Code
1
2
1020
1021
1022
Rent of buildings
Royalties
Shares profits
Income from other institutions’ properties
1. More than 10%, from the institution
2. Less than 10%, from the institution
Compensations from insurance against incidents
Grants and donations
Fines imposed on others
Profits transfers from external branches
Governmental productive aid (support)
Received interests
1. From government
A. Loans and deposits
B. Others (bonds & treasury notes)
2. From other parts
A. Loans and deposits
B. Others (bills…etc.)
Other transformational revenues (specify)
Revenue value
Local
3
1023
1024
1025
1026
1027
1028
1029
1030
1031
1032
1033
1034
1034
Total
15
Foreign
4
Total
5
No. 11 : Fixed Assets
Types of fixed assets
Auxiliary
code
ISIC
code
Book value
at the
beginning
of the year
Value of purchased assets
during the year
Imported
1
Land
Residential buildings
Non residential
buildings
Machines, equipment
& devices
Goods vehicles
Passengers vehicles
Furniture and
furnishings
Livestock (goats &
cows)
Computer programs
Goodwill
Property & invention
Others, specify
2
10
11
12
3
4
5
New
Secondhand
6
7
13
3410
3410
3610
17
0121
18
19
20
7411
Capital
additions
and
improve
ments
Written
-off and
losses
Assets
sold
during
the year
Depreciation
during the
year
Book
value at
the end
of year
8
9
10
11
12
13
Local
1028
4520
4520
14
15
16
Fixed assets
produced at
the
establishment
7220
7411
21
21
Total fixed assets
Number of goods vehicles owned by the establishment: _________________________
16
Name and addresses of branches (for multi branch enterprise):
No.
Branches sequence no.
Address
Data included in the main center
questionnaire
1. Yes
1.
2.
3.
4.
5.
6.
* Respondent
Name:
Title:
Date:
Signature
Official Seal
* For PCBS use
Name
* Interviewer ______________
Code
Signature
___________________
Date
_____ / _____ / 2003
* Supervisor _______________
___________________
_____ / _____ / 2003
* Editor __________________
___________________
_____ / _____ / 2003
* Coder __________________
___________________
_____ / _____ / 2003
* Data entry operator ________
___________________
_____ / _____ / 2003
* Post data entry editor ________
___________________
_____ / _____ / 2003
17
Interviewer Notes
2. No