EHTP - QUARTERLY PERFORMANCE REPORT (QPR) FOR THE QUARTER (Q4) F.Y. Particulars

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1 FMT-RQE-001 REV NO - 03 DATE: S-No SOFTWARE TECHNOLOGY PARKS OF INDIA - CHENNAI No.5, 3 rd Floor, Rajiv Gandhi Salai, Taramani, Chennai EHTP - QUARTERLY PERFORMANCE REPORT (QPR) FOR THE QUARTER (Q4) F.Y. Particulars 1 Name of the EHTP Unit 2 PAN No. of the Company (mandatory) 3 Address of the EHTP Unit Ph.No : 1 Ph.No : 2 Fax No id (mandatory) Web site (mandatory) 4 Name of the Director /Center Head/Partner/Proprietor Designation Phone/Mobile No: id (mandatory) 5 Name of the Contact Person ( The person interacting with STPI - Chennai) Designation Phone/Mobile No: E mail id (mandatory) 6 Date of Initial Approval (LOP) Date of Legal Agreement Latest LOP Renewed Date (if any) Renewed Legal Agreement Date 1

2 7 Bonded ware house license no & date Bonded ware house license Valid upto 8 Service Charges paid (Yes / No) 9 a. Details of Capital Goods, Raw Materials & Components, Spares & Consumables & Packaging Materials & Indigenous Capital Goods (Rs. In Lakhs) Particulars Capital Goods (Import) Initially Approved (Along with Date) Enhanced (Along with Date) Utilized Balance b. c. Raw Material & Components Spares & Consumables d. Packing Materials e. Indigenous CG 10 Capital Goods Imported Imports Through 2

3 11 Raw Materials & Components Raw Materials & Components 12 Spares & Consumables Imported Spares & Consumables 3

4 13 Packing Materials Imported Packing Materials 14 Procurement of Indigenous ( Central Excise Exemption ) Procurement of Indigenous Goods a. Indigenous Goods 15 Total Exports Made Exports a. Total Exports Made 16 DTA (Domestic Tariff Area ) Sales permission & Actually Utilized DTA Sales a. DTA Sales permitted by STPI b. DTA Sales Made 4

5 17 CST (Central Sales Tax) Claimed & reimbursed Central Sales Tax a. CST Claimed b. CST Reimbursed 18 Investment Details Investment Details (Towards your Company) Rs. In Lakhs a. Foreign Investment b. Indian Investment c. NRI Investment 19 FE Outflow & Inflow Foreign Earnings Rs. In Lakhs a. FE Inflow (Received) b. FE Outflow (CG) c. d. FE Out Flow (Other than CG) FE Out Flow (Technical Know -How Fee) 5

6 20 Manpower (Head Count at the end of the Q4) Manpower a) Managerial b) Technical c) Non Technical d) Supervisory e) Clerical f) Skilled Labor g) Semi skilled h) Unskilled i) Other category if any (specify) Total M:Male F:Female 21 Wage Bill incurred Q4 for F.Y. Wage bill Rs. In Lakhs 22 Type of the Company { MNC (Multinational Company) / JV (Joint Venture) / WOS (Wholly Owned Subsidiary)} a. Name of Parent Company b. Country of Parent Company c. Core Business Area of the parent company 23 Area Occupied in Sqft (Floor wise) a. 1 st Floor b. IInd Floor c. IIIrd Floor & etc Total Area 24 Status of Quality Certification / Assessment a. ISO 900 Certified & year b. CMM Level 1,2,3,4,5,6, others & Year 6

7 25 Existing High Speed Data Connectivity (HSDC) a. Internet Bandwidth Type of Connectivity Service Provider b. International Private Leased Circuit (IPLC) Bandwidth Local Service Provider International Destination 26 Items of Exports [for the Sl. No: 15 above] 27 Name of the Country where the exports made I/we hereby declare that the information provided is true and correct to the best of my/our knowledge. (Authorised Signatory along with Seal) Name: Designation: Date: 7

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