29-11 Monthly Report on Production, Sales, Inventory of Industrial Sand and Gravel and Employment Data

MGB monthly report for industrial sanf and gravel

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Republic of the Philippines
Department of Environment and Natural Resources
MINES AND GEOSCIENCES BUREAU
Mineral Economics, Information & Publications Division
North Avenue, Diliman, Quezon City
MONTHLY REPORT ON PRODUCTION, SALES AND INVENTORY OF INDUSTRIAL SAND & GRAVEL AND EMPLOYMENT
REPORT PERIOD: MONTH ________ YEAR ______
INSTRUCTIONS:
1. This form must be accomplished in duplicate
2. Submit the original copy to the MGB Central Office through the Mineral Economics, Information & Publications Division, copy furnished the Concerned Region
within fifteen (15) working days after the end of each calendar month.
3. Submission of this report is in compliance with SECTION 270, CHAPTER XXIX, OF DENR AO 96-40 or the implementing rules and regulations of
REPUBLIC ACT 7942
4. Information to be supplied by the reporting Operator/Permit Holder should cover the period from the first day to the last day of the report month.
5. This report form must be accomplished by a Holder of a Industrial Sand & Gravel Permit or its Operator
6. Write within the space provided for your answers and do not leave any of the requirements unanswered.
7. If a requirement does not apply to you, write NA (Not Applicable). If the question is applicable to you but you have no answer, write NONE.
8. This document should be signed by the resident manager or equivalent position.
9. This report should be duly notarized.
10.For any comments, suggestions or clarifications regarding this form please consult your nearest MGB Regional Office in your area.

DEFINITION OF TERMS
Mining Company is composed of one Head Office and one or more Mine Sites.
Head Office undertakes the job overall company administration. The mining company may or may not have a separate headquarters,
rooms or ports which house the personnel charged with the task
Mine Site refers to the location of mine where mining operations, specifically mineral extraction, takes place (Barangay, Municipality, Province)
Production quantity refers to the total volume of mineral extracted during the reporting period expressed in cubic meter
Production value refers to the total value of gross output of mineral extracted during the reporting period as defined in Chapter 1, Section 5 of the Revised IRR of the Phil. Mining Act of 1995.
(under the term "Gross Output")
Estimated extraction fee payable refers to an estimate of the total extraction fee to be paid by the permittee covering the production during the reporting period and based on the prevailing
extraction fee rate in the province/city.
Sales quantity refers to the total volume of mineral sold during the reporting period expressed in cubic meter
Sales value refers to the total value of mineral sold during the reporting period. This value includes all costs of production, taxes invoiced to purchasers, transport
& trade mark-up
Estimated Excise Tax Payable refers to an extimate of the total excise tax on minerals to be paid by the permittee to the Bureau of Internal Revenue (BIR) covering the production during the
reporting period and based on the rate prescribed by Section 217 (b) of the Revised IRR of the Mining Act of 1995.
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MGB Form 29-12 (Series of 2000)

I. ADMINISTRATIVE DATA
Name of Permit Holder/Operator:

Tax Identification No.:

Tel. No.

FAX

Official Address:

E-Mail

Location of Quarry:(State Barangay, Municipality, Province)
Date of First Operation:

No. of Days in Operation:
Permit No.

Date Approved

Date Expired

II. PRODUCTION & SALES/MARKETING DATA (Use additional sheet if necessary)
Construction

PRODUCTION

Materials

SALES

Quantity

Value

Quantity

(cu.m.)

(P)

(cu.m.)

Value
(P)

Quantity

Value

(cu.m.)

(P)

ESTIMATED

Buyer/

EXTRACTION

MONTHLY INVENTORY

EXCISE

Address

FEE PAYABLE

TAX PAYABLE

ESTIMATED

1. Sand
S1
S2
2. Gravel
G1
G2
3. Others (pls. specify)
Note: If three or more buyers just indicate "various buyers"

Reasons for increase or decrease in production this month compared to the previous month: (pls. check appropriate answer below and use additional sheet if necessary
Increase was due to:
1. Increased price of

Decrease was due to:
1. Lesser operating days

the mineral being

1.a Equipment breakdown (pls. specify)________________________________________________ Environmental Problems (pls. specify)_________________________
2.d

produced

1.b Unfavorable weather condition (state duration or other information)______________________ Gov't preventive actions such as CDO (pls. specify)______________
2.e

2. Increased demand
3. Expansion

1.c Labor or other strikes (state duration)
2. Suspension due to

4. More operating days
5. Others (pls specify)
_________________________

2.f Financial Problems (pls. specify) ______________________________
3. Others (pls. Specify) _________________________________________________

2.a Low price of the mineral commodity produced (pls. Specify)__________________________
2.b Market Problems (pls. specify)_________________________________________________
2.c Force Majeure (pls. specify)___________________________________________________

III. EMPLOYMENT DATA
Report the number of persons engaged in work at the office and site during this month
OFFICE
QUARRY SITE
MALE
FEMALE
MALE

TOTAL
FEMALE

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MALE

FEMALE

MGB Form 29-12 (Series of 2000)

PREPARED BY:

OFFICIAL DESIGNATION

ADDRESS

TELEPHONE NO.

(Signature over printed name)

IV. CERTIFICATION
I hereby certify that all information in this report are true and correct to the best of my knowledge and belief.
_________________________________
SIGNATURE OF REPORTING OFFICIAL

________________________________________
OFFICIAL POSITION

________________
DATE

REPUBLIC OF THE PHILIPPINES)
) S.S.
)
Subscribed and sworn to before me this ______ day of _________________, 20__ , the affiant exhibiting his/her Community Tax Certificate No. ________,
issued at _________on the ____________ day of __________________ 20______.
DOC NO.
PAGE NO
NOTARY PUBLIC
BOOK NO.
My Commission Expires on Dec. 31,_____.
SERIES OF
PTR No. ________

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