Form QSS 2 - Statistics Singapore

SURVEY REF NO
Date 5 Jan 2015
FORM QSS 2
CONFIDENTIAL
For DOS ' Official Use
ATTN
NAME OF ESTABLISHMENT
SSIC
QUARTERLY SURVEY OF SERVICES
FOURTH QUARTER 2014
Purpose of Survey
The purpose of this survey is to obtain up-to-date information for monitoring and analysing the performance of the
services sector. The aggregated statistics are used extensively by the government and business community in their
policy-making and business planning. The survey findings are available on our website at
http://www.singstat.gov.sg/publications/economy.html#services.
Confidentiality
The survey is conducted under the Statistics Act (Chapter 317) and your completed return will be kept in confidence in
accordances with the Statistics Act. A copy of the Statistics Act is available on our website at
http://www.singstat.gov.sg/about_us/statistics_act.html
Due Date and Mode of Submission
We would be grateful if you could return the completed questionnaire by
19 Jan 2015
to our department through internet submission (E-survey) at https://www.biz-esurvey.singstat.gov.sg/IBSS. You can
login using either (i) EASY / SingPass or (ii) Survey Ref No (as indicated above) and the one-time survey PIN (which you
will receive in a separate letter as an added security measure). Details on EASY / SingPass and submission via E-survey
can be found at this website. Alternatively, you may return the completed questionnaire to our Department in the preaddressed envelope or through fax at 68358984 or 68358985. Please make a copy of the completed return for your
reference.
Assistance
If you have any questions pertaining to the survey, or need assistance in completing the questionnaire, please contact
the officers-in-charge at Business Statistics Division (operating hours are : Mon-Fri, 8.30 am - 5.00pm):
Tel : 6835 8977 / 6835 8979 / 6835 8980
Email : chang-chan_wai_han@singstat.gov.sg
You may also refer to our website for a list of frequently asked questions at
http://www.singstat.gov.sg/Survey_assistance/business_survey/business_faqs.html
Thank you for your co-operation.
Wong Wee Kim
Chief Statistician
Singapore
QUARTERLY SURVEY OF SERVICES, 4TH QUARTER 2014
SURVEY REF NO.
Name of Establishment
REPORTING INSTRUCTIONS
(a) As this form will be read using electronic equipment, please take note of the following:
- Use black pen and BLOCK LETTERS when completing this form.
- Keep each number or tick within the boxes provided.
- Leave answer boxes blank when you have no response or data to enter. Do not use `nil', `na', `-` or strike
throughout the boxes or page.
(b) Explanatory notes can be found on the following page.
ESTABLISHMENT INFORMATION
IF PRINCIPAL ACTIVITY, ESTABLISHMENT NAME OR ADDRESS HAS CHANGED, PLEASE COMPLETE THIS SECTION
New Principal
Activity
New Name
New Address
BUSINESS STATISTICS
Please provide the following items for the periods stated. Please note that items (1) to (4) are to be provided in
nearest Singapore dollars. If actual figures are not yet available, please supply your best estimates.
Oct - Dec 2014
1. Operating Receipts [excludes GST]
(S$)
,
,
,
2. Other Receipts [e.g. donations, grants/
subsidies, subscriptions, funds raised]
(S$)
,
,
,
3. Remuneration
(S$)
,
,
,
4. Depreciation
(S$)
,
,
,
Please explain briefly the factors causing the increase/decrease for items (1) - (4) as compared with the previous quarter
and/or the same quarter last year.
- 2 -
QSS 2
PARTICULARS OF CONTACT PERSON
I hereby declare that the information given in this return is complete and correct to the best of my knowledge and belief.
Please complete the following information in BLOCK LETTERS.
Name (Ms/Mr/Mdm)
Signature
Designation
Date
Contact Person (Person filling in the survey form)
Name (Ms/Mr/Mdm)
Tel 1
Designation
Tel 2
E-mail
Fax
EXPLANATORY NOTES
1
Operating Receipts
This generally refers to the fees or income arising from services rendered, commission charges, sales of goods, rental of
premises and machinery and equipment. Government subvention/subsidy on healthcare, education and childcare
services to patients, students and parents should also be included. Goods & services tax (GST) should be
excluded.
2
Other Receipts
This refers to gains from sale of fixed assets, realised gain/loss from foreign exchange transactions, hedging gains,
donations, grants (excluding subvention), subsidies, subscriptions, interest, dividends, membership fees, funds raised
and investment income.
3
Remuneration
This refers to total remuneration of employees, crew onboard vessels or aircraft and working directors which includes
wages and salaries, commissions, bonuses, overtime pay, CPF contributions and other benefits such as medical
benefits, cost of food, accommodation and other benefits in kind provided by employers but excludes gratuities and
retrenchment benefits. Remuneration also includes directors' fee, e.g. amount for attending board of directors' meetings.
Remuneration of working proprietors and partners are excluded.
4
Depreciation
This refers to the value, at current replacement cost, of reproducible fixed assets such as buildings, plants and machinery
used during a period of time as a result of normal wear and tear, foreseen obsolescence and the normal rate of
accidental damage.
- 3 -
QSS 2