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CMA Page1 ASSESSMENT OF WORKING CAPITAL REQUIREMENTS FORM II - OPERATING STATEMENT Name: M/S Amounts in Rs. Lacs Last 2 Years Actuals Current Yr. Next Year (As per audited accounts)Estimates Projections Year 31.03.2011 31.03.2012 31.03.2013 31.03.2014 No.of months 12 12 12 12 1. Gross Sales i. Domestic Sales 0.00 0.00 ii. Export Sales 0.00 Total 0.00 0.00 0.00 0.00 2. Less Excise Duty 0.00 0.00 3. Net Sales (1 - 2) 0.00 0.00 0.00 0.00 4. % age rise (+) or fall (-) in net sales N/A N/A N/A N/A 5. Cost of Sales i. Raw materials (including stores and other items used in the process of manufacture) 0.00 0.00 0.00 0.00 a. Imported 0.00 0.00 0.00 0.00 b. Indigenous 0.00 0.00 ii. Other Spares a. Imported 0.00 0.00 0.00 b. Indigenous 0.00 0.00 iii. Power and Fuel iv. Direct Labour (Factory wages & salaries) v. Other manufacturing expenses vi. Depreciation vii. Sub-total (i to vi) 0.00 0.00 0.00 0.00 viii Add: Opening Stock-in-process 0.00 0.00 0.00 Sub-total (vii + viii) 0.00 0.00 0.00 0.00 ix. Deduct: Closing Stock-in-process 0.00 0.00 0.00 0.00 x. Cost of Production 0.00 0.00 0.00 0.00 as compared to previous year (annualised

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ASSESSMENT OF WORKING CAPITAL REQUIREMENTS

FORM II - OPERATING STATEMENT

Name: M/S

Amounts in Rs. Lacs

Last 2 Years Actuals Current Yr. Next Year

(As per audited accounts) Estimates Projections

Year 31.03.2011 31.03.2012 31.03.2013 31.03.2014

No.of months 12 12 12 12

1. Gross Sales

i. Domestic Sales 0.00 0.00

ii. Export Sales 0.00

Total 0.00 0.00 0.00 0.00

2. Less Excise Duty 0.00 0.00

3. Net Sales (1 - 2) 0.00 0.00 0.00 0.00

4. % age rise (+) or fall (-) in net salesN/A N/A N/A N/A

5. Cost of Sales

i. Raw materials (including stores andother items used in the process ofmanufacture) 0.00 0.00 0.00 0.00

a. Imported 0.00 0.00 0.00 0.00

b. Indigenous 0.00 0.00

ii. Other Spares

a. Imported 0.00 0.00 0.00

b. Indigenous 0.00 0.00

iii. Power and Fuel

iv. Direct Labour (Factory wages & salaries)

v. Other manufacturing expenses

vi. Depreciation

vii. Sub-total (i to vi) 0.00 0.00 0.00 0.00

viii. Add: Opening Stock-in-process 0.00 0.00 0.00

Sub-total (vii + viii) 0.00 0.00 0.00 0.00

ix. Deduct: Closing Stock-in-process 0.00 0.00 0.00 0.00

x. Cost of Production 0.00 0.00 0.00 0.00

as compared to previous year (annualised)

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xi. Add: Opening Stock of finished goods 0.00 0.00 0.00

Sub-total (x + xi) 0.00 0.00 0.00 0.00

xii. Deduct: Closing Stock of finished goods

xiii. 0.00 0.00 0.00 0.00

6. Selling, general and administrative expenses 0.00

7. Sub-total (5 + 6) 0.00 0.00 0.00 0.00

8. 0.00 0.00 0.00 0.00

9. Interest

10. 0.00 0.00 0.00 0.00

11. i. Add: Other non-operating Income

a. Job Work Income

b. Interest

c. Dividend

d. Miscellaneous Income

Sub-total (Income) 0.00 0.00 0.00 0.00

ii. Deduct: Other non-operating expenses

a. Mis.Exp. Written off

b. Job work expense 0.00 0.00 0.00

c. Prior year adjustment 0.00

d.

Sub-total (Expenses) 0.00 0.00 0.00 0.00

iii. Net of other non-operating income /expenses [net of 11(i) & 11(ii)] 0.00 0.00 0.00 0.00

12. 0.00 0.00 0.00 0.00

13. Provision for taxes 0.00 0.00

14. 0.00 0.00 0.00 0.00

15. a. Equity dividend paid-amount(Already paid + B.S. provision) 0.00 0.00 0.00 0.00

b. Dividend Rate (% age) 0.00 0.00 0.00 0.00

16. 0.00 0.00 0.00 0.00

17. Retained Profit / Net Profit (% age)

Sub-total (Total Cost of Sales)

Operating Profit before Interest (3 - 7)

Operating Profit after Interest (8 - 9)

Profit before tax/loss [10 + 11(iii)]

Net Profit / Loss (12 -13)

Retained Profit (14 - 15)

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FORM III - ANALYSIS OF BALANCE SHEET

LIABILITIES

Name: M/S

Amounts in Rs. Lacs

Last 2 Years Actuals Current Yr. Next Year

(As per audited BS) Estimates Projections

Year 31.03.2011 31.03.2012 31.03.2013 31.03.2014

No.of months 12 12 12 12

CURRENT LIABILITIES

1. Short-term borrowing from banks (includingbills purchased, discounted & excessborrowing placed on repayment basis)

i. From applicant bank

ii. From other banks 0.00 0.00 0.00

iii. (of which BP & BD) 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00

2. Short term borrowings from others 0.00 0.00 0.00 0.00

3. Sundry Creditors (Trade)

4. Advance payments from customers /deposits from dealers 0.00 0.00 0.00 0.00

5. Provision for taxation 0.00 0.00

6. Dividend payable 0.00 0.00 0.00 0.00

7. Other statutory liabilities (due within 1 year) 0.00

8. Deposits / instalments of term loans / DPGs / debentures etc. (due within 1 year) 0.00

9. Other current liabilities & provisions0.00 0.00 0.00 0.00

a. Creditors for Expenses 0.00

b. Creditors for CAPEX 0.00 0.00 0.00 0.00

c. Others

d.

0.00 0.00 0.00 0.00

10. 0.00 0.00 0.00 0.00

Sub-total [i + ii] (A)

(due within 1 year) - specify major items

Sub total [2 to 9] (B)

Total current liabilities [A + B]

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TERM LIABILITIES

11. Debentures (not maturing within 1 year) 0.00 0.00 0.00 0.00

12. Preference Shares (redeemable after 1 year) 0.00

13. Term loans (excluding instalmentspayable within 1 year) 0.00 0.00

14. Deferred Payment Credits (excludinginstalments due within 1 year) 0.00 0.00 0.00

15. Term deposits (repayable after 1 year) 0.00 0.00 0.00

16. Other term liabilities

17. 0.00 0.00 0.00 0.00

18. 0.00 0.00 0.00 0.00

NET WORTH

19. Ordinary Share Capital 0.00 0.00 0.00

20. General Reserve 0.00 0.00 0.00

21. Revaluation Reserve 0.00 0.00 0.00 0.00

22. Other Reserves (excluding Provisions) 0.00 0.00 0.00 0.00

23. Surplus (+) or deficit (-) in Profit & Loss a/c 0.00 0.00 0.00 0.00

23. a. Others

Subsidy

0.00 0.00 0.00 0.00

24. Net Worth 0.00 0.00 0.00 0.00

25. 0.00 0.00 0.00 0.00

Total Term Liabilities [11 to 16]

Total Outside Liabilities [10 + 17]

TOTAL LIABILITIES [18 + 24]

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ASSETS

Name: M/S

Amounts in Rs. Lacs

Last 2 Years Actuals Current Yr. Next Year

(As per audited BS) Estimates Projections

Year 31.03.2011 31.03.2012 31.03.2013 31.03.2014

No.of months 12 12 12 12

CURRENT ASSETS

26. Cash and Bank Balances

27. Investments (other than long term)

i. Govt. and other trustee securities

ii. Fixed Deposits with banks

28. i. Receivables other than deferred & exports (incldg. bills purchased anddiscounted by banks)

ii. Export receivables (incldg. billspurchased/discounted by banks) 0.00 0.00 0.00 0.00

29. Instalments of deferred receivables(due within 1 year) 0.00 0.00 0.00

30. Inventory: 0.00 0.00 0.00 0.00

i. Raw materials (including stores andother items used in the process ofmanufacture) 0.00 0.00 0.00 0.00

a. Imported 0.00 0.00 0.00 0.00

b. Indigenous

ii. Stocks-in-process 0.00 0.00 0.00 0.00

iii. Finished goods 0.00 0.00 0.00 0.00

iv. Other consumable spares 0.00 0.00 0.00 0.00

a. Imported

b. Indigenous

31. Advances to suppliers of raw materialsand stores/spares

32. Advance payment of taxes

33. 0.00 0.00 0.00 0.00

a. GEB Deposit

b. Balance With Excise Dept.

c. 0.00 0.00 0.00

d. 0.00

34. 0.00 0.00 0.00 0.00

FORM III - ANALYSIS OF BALANCE SHEET (Continued)

Other current assets (specify major items)

Total Current Assets (26 to 33)

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FIXED ASSETS

35 Gross Block (land, building, machinery,work-in-progress) 0.00

36 Depreciation to date 0.00 0.00 0.00

37 Net Block (35 - 36) 0.00 0.00 0.00 0.00

OTHER NON-CURRENT ASSETS

38 Investments/book debts/advances/depositswhich are not current assets 0.00 0.00 0.00 0.00

i. a. Investments in subsidiarycompanies / affiliates 0.00 0.00 0.00 0.00

b. Others

ii. Advances to suppliers of capital goodsand contractors 0.00 0.00

iii. Deferred receivables (maturity exceeding 1 year)

iv. Others 0.00 0.00 0.00 0.00

a. 0.00 0.00

b. 0.00

c.

d.

39 Non-consumable stores and spares

40 Other non-current assets includingdues from directors

41 0.00 0.00 0.00 0.00

42 Intangible Assets (patents, good will,prelim.expenses, bad / doubtful debts notprovided for, etc.

43 0.00 0.00 0.00 0.00

44 0.00 0.00 0.00 0.00

45 0.00 0.00 0.00 0.00

46

47 Total OUTSIDE Liabilities / Tangible

48 Total TERM Liabilities / Tangible

ADDITIONAL INFORMATION

A. Arrears of depreciation N/A N/A N/A N/A

B. Contingent Liabilities:

i. Arrears of cumulative dividends N/A N/A N/A N/A

ii. Gratuity liability not provided for N/A N/A N/A N/A

iii. Disputed excise / customs /tax liabilities N/A N/A N/A N/A

iv. Other liabilities not provided for N/A N/A N/A N/A

Total Other Non-current Assets (38 to 40)

Total Assets (34+37+41+42)

Tangible Net Worth (24 - 42)

Net Working Capital (34 - 10)

Current Ratio (34 / 10)

Net Worth (18 / 44)

Net Worth (17 / 44)

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FORM IV

COMPARATIVE STATEMENT OF CURRENT ASSETS AND CURRENT LIABILITIES

Name: M/S

Amounts in Rs. Lacs

Last Year Current Yr. Next Year Peak

Norms Actuals Estimates Projections Requirement

Year 31.03.2012 31.03.2013 31.03.2014

A. CURRENT ASSETS

1. Raw materials (incl. stores & other itemsused in the process of manufacture)

a. Imported 0.00 0.00 0.00

Month's Consumption

b. Indigenous 0.00 0.00 0.00

Month's Consumption

2. Other Consumable spares, excludingthose included in 1 above

a. Imported 0.00 0.00 0.00

Month's Consumption

b. Indigenous 0.00 0.00 0.00

Month's Consumption

3. Stock-in-process 0.00 0.00 0.00

Month's cost of production

4. Finished goods 0.00 0.00 0.00

Month's cost of sales

5. Receivables other than export & deferred receivables (incl. bills purchased & discounted by bankers) 0.00 0.00 0.00

Month's domestic sales: excluding deferred payment sales

6. Export receivables (incl. bills purchased and discounted) 0.00 0.00 0.00

Month's export sales

7. Advances to suppliers of raw materials & stores / spares, consumables 0.00 0.00 0.00

8. Other current assets incl. cash & bankbalances & deferred receivables duewithin one year 0.00 0.00 0.00

Cash and Bank Balances 0.00 0.00 0.00Investments (other than long term):i. Govt. and other trustee securities 0.00 0.00 0.00ii. Fixed Deposits with banks 0.00 0.00 0.00Instalments of deferred receivables (due within 1 year) 0.00 0.00 0.00Advance payment of taxes 0.00 0.00 0.00Other current assets 0.00 0.00 0.00

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9. Total Current Assets 0.00 0.00 0.00(To agree with item 34 in Form III)

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FORM IV

COMPARATIVE STATEMENT OF CURRENT ASSETS AND CURRENT LIABILITIES

Name: M/S

Amounts in Rs. Lacs

Last Year Current Yr. Next Year Peak

Norms Actuals Estimates Projections Requirement

Year 31.03.2012 31.03.2013 31.03.2014

B. CURRENT LIABILITIES

(Other than bank borrowings for working capital)

10. Creditors for purchase of raw materials, stores & consumable spares 0.00 0.00 0.00

Month's purchases

11. Advances from customers 0.00 0.00 0.00

12. Statutory liabilities 0.00 0.00 0.00

13 Other current liabilities: 0.00 0.00 0.00

Short term borrowings from others 0.00 0.00 0.00

Provision for taxation 0.00 0.00 0.00

Dividend payable 0.00 0.00 0.00

Deposits / instalments of term loans / DPGs

/ debentures etc. (due within 1 year) 0.00 0.00 0.00

Other current liabilities & provisions

(due within 1 year) 0.00 0.00 0.00

14. 0.00 0.00 0.00Total (To agree with total B of Form-III)

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FORM V

COMPUTATION OF MAXIMUM PERMISSIBLE BANK FINANCE FOR WORKING CAPITAL

Name: M/S

Amounts in Rs. Lacs

Last Year Current Yr. Next Year Peak

First Method of Lending Actuals Estimates Projections Requirement

Year 31.03.2012 31.03.2013 31.03.2014

1. 0.00 0.00 0.00

2. Other Current Liabilities (other than

0.00 0.00 0.00

3. 0.00 0.00 0.00

4. Min. stipulated net working capital:

(25% of WCG excluding export receivables) 0.00 0.00 0.00

5. Actual / Projected net working capital0.00 0.00 0.00

6. Item-3 minus Item-4 0.00 0.00 0.00

7. Item-3 minus Item-5 0.00 0.00 0.00

8. Max. permissible bank finance (item-6 or 7, whichever is lower) 0.00 0.00 0.00

9. Excess borrowings representing

Second Method of Lending

1. 0.00 0.00 0.00

2. Other Current Liabilities (other than

0.00 0.00 0.00

3. 0.00 0.00 0.00

4. Min. stipulated net working capital: (25% of total Current Assets excluding export receivables) 0.00 0.00 0.00

5. Actual / Projected net working capital0.00 0.00 0.00

6. Item-3 minus Item-4 0.00 0.00 0.00

7. Item-3 minus Item-5 0.00 0.00 0.00

8. Max. permissible bank finance (item-6 or 7, whichever is lower) 0.00 0.00 0.00

9. Excess borrowings representing

Total Current Assets (Form-IV-9)

bank borrowings (Form-IV-14)

Working Capital Gap (WCG) (1-2)

(Form-III-45)

shortfall in NWC (4 - 5)

Total Current Assets (Form-IV-9)

bank borrowings (Form-IV-14)

Working Capital Gap (WCG) (1-2)

(Form-III-45)

shortfall in NWC (4 - 5)

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FORM VI

FUNDS FLOW STATEMENT

Name: M/S

Amounts in Rs. Lacs

Last Year Current Yr. Next Year

Actuals Estimates Projections

Year 31.03.2012 31.03.2013 31.03.2014

1. SOURCES

a. Net Profit 0.00 0.00 0.00

b. Depreciation 0.00 0.00 0.00

c. Increase in Capital 0.00 0.00 0.00

d. Increase in Term Liabilities(including Public Deposits) 0.00 0.00 0.00

e. Decrease in

i. Fixed Assets

ii. Other non-current Assets

f. Others 0.00 0.00 0.00

g. TOTAL 0.00 0.00 0.00

2. USES

a. Net loss

b. Decrease in Term Liabilities(including Public Deposits)

c. Increase in

i. Fixed Assets 0.00 0.00 0.00

ii. Other non-current Assets 0.00 0.00 0.00

d. Dividend Payments 0.00 0.00 0.00

e. Others

f. TOTAL 0.00 0.00 0.00

3. 0.00 0.00 0.00Long Term Surplus (+) / Deficit (-) [1-2]

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4. Increase/decrease in current assets* (as per details given below) 0.00 0.00 0.00

5. Increase/decrease in current liabilitiesother than bank borrowings 0.00 0.00 0.00

6. Increase/decrease in working capital gap 0.00 0.00 0.00

7. Net Surplus / Deficit (-) [3-6] 0.00 0.00 0.00

8. Increase/decrease in bank borrowings 0.00 0.00 0.00

9. Increase/decrease in NET SALES N/A 0.00 0.00

* Break up of item-4

i. Increase/decrease in Raw Materials 0.00 0.00 0.00

ii. Increase/decrease in Stocks-in-Process 0.00 0.00 0.00

iii. Increase/decrease in Finished Goods 0.00 0.00 0.00

iv. Increase/decrease in Receivables

a) Domestic 0.00 0.00 0.00

b) Export 0.00 0.00 0.00

v. Increase/decrease in Stores & Spares 0.00 0.00 0.00

vi. Increase/decrease in other current assets 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00

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OPERATING AND FINANCIAL PARAMETERS

NAME: M/S (Rs. in lacs)

YEAR 31.03.2011 31.03.2012 31.03.2013 31.03.2014NET SALES 0.00 0.00 0.00 0.00PBIDT 0.00 0.00 0.00 0.00PBT 0.00 0.00 0.00 0.00NET PROFIT 0.00 0.00 0.00 0.00CASH ACCRUALS 0.00 0.00 0.00 0.00PAID UP CAPITAL 0.00 0.00 0.00 0.00TANGIBLE NET WORTH 0.00 0.00 0.00 0.00CURRENT ASSETS 0.00 0.00 0.00 0.00CURRENT LIABILITIES 0.00 0.00 0.00 0.00NET WORKING CAPITAL 0.00 0.00 0.00 0.00CURRENT RATIOTOL/TNWMOD. TOL/TNW PBIDT/SALES (%) #DIV/0! #DIV/0! #DIV/0! #DIV/0!NET PROFIT/SALES (%) #DIV/0! #DIV/0! #DIV/0! #DIV/0!