To be submitted in the week preceding the commencement of the quarter to which the

statement relates

QUARTERLY INFORMATION SYSTEM – FORM I

(Amount: Rs. in lakh)

Estimates for ensuing quarter ending

Name of the borrower:

A Estimates for the current accounting year indicated in the annual plan:
(Rs.in lakhs)
a. Production
b. Gross Sales
i. Domestic
ii. Exports

B. Estimates for the ensuing quarter ending -------------------

(Rs.in lakhs)
a. Production
b. Gross Sales
i. Domestic
ii. Exports

C. Estimates of current assets** & current liabilities c. Net Sales :

for the ensuing quarter ending

Current Assets:
(Rs.in lakhs)
I Inventory
i. Raw Materials (including stores & spares used in the
process of manufacture)
a. Imported$ (months consumption)@
b. Indigenous$ & (Months consumption)@
ii. Stocks-in-process (months’ cost of production)@
iii. Finished Goods (months’ cost of sales)@
iv. Spares excluding those under item I (I) above (months
consumption) @
II Receivables (other than exports & deferred) including bills
purchased and discounted with bankers**
(months domestic sales)@
III Export receivables, including bills purchased & discounted
with bankers ** (months domestic sales) @
IV Advances to supplier of raw materials and stores/spares &
consumables
V Other current assets including cash and bank balances
(specify major items)
VI Total (estimated) current assets

/conversion/tmp/scratch/423055545.doc 1
 -: 2 :-

Current Liabilities:
VII Short term bank borrowings from banks (including bills
purchased & discounted with bankers)***
Bank
Bank etc.
VIII Creditors for purchases of raw materials and stores/spares
and consumables (including those under Usance letters of
credit/co-acceptances facility from the banks) ***
a. Imported (months’ purchases)@
b. Indigenous (months purchases)@
IX Advance payments from customers
X Statutory Liabilities
XI Other current liabilities
XII Total (estimated) current liabilities

Notes:

1. Information should be furnished for each line of activity/unit separately as also for the
company as a whole. In case, where the different activities/units are financed by different
banks, the concerned activity/unit-wise data and data relating to the company as a whole
should be furnished to each financing bank.
2. The valuation of current assets or current liabilities in these forms should be on the same
basis as adopted for the statutory balance sheet and it should be applied on a consistent
basis.
3. @ The period should be shown in relation to the annual projection for the relative item. If
the levels of inventory/receivables are higher than the stipulated norms, reasons
therefor should be given.
4. $ If the canalised items form a significant part of raw materials, inventory these may be
shown separately.
5. ** Amount of bills discounted with bankers, included in items of Part C should be indicated
separately.
6. *** Amount of bills discounted with bankers in respect of purchases, included in item VII or
item VIII of part C should be indicated separately.
7. ** The clarification of current assets or current liabilities should be made as per the usually
accepted approach of bankers and not as per definitions in the companies act.

/conversion/tmp/scratch/423055545.doc 2
 TO BE SUBMITTED WITHIN SIX WEEKS FROM THE CLOSE OF THE QUARTER TO
WHICH THE STATEMENTS RELATES

QUARTERLY INFORMATION SYSTEM – FORM II

Performance during the quarter ended Sep 30, 2018 (Rs.in lakhs)

A. Name of the borrower: Rock and Storm Distillaries Private Limited

a. Production
b. Gross Sales
i. Domestic
ii. Exports
c. Net Sales

B. Actual production/sales during the current accounting year

(Data to be furnished for the completed quarters)

Particulars During the quarter Cumulative position

Production Sales Production Sales
1st quarter ended 19
2nd quarter ended
3rd quarter ended
4th quarter ended

C. Data relating to the latest completed quarter ended

Production/ Estimate Actuals

Gross Sales (As given in Form I at the beginning of the quarter)
i. Domestic
Ii Exports
Total

Net Sales

D. Current assets & Current Liabilities** for the latest completed quarter ended
Production/ Gross Sales Estimate Actuals
(As given in Form I at the beginning of the
quarter)
Current Assets
I. Inventory
i. Raw Materials (including stores and spares used in the process of manufacture)
a) Imported $ (months consumption)@
b) Indigenous $ (months consumption)@
Ii Stock-in-process (months’ cost of
production) @
iii. Finished Goods (months’ cost of sales)@
iv. Spares excluding those under item I(I)
above (months consumption)@
Total

/conversion/tmp/scratch/423055545.doc 3
 -: 2 :-

Production/ Estimate Actuals

Gross Sales (As given in Form I at the
beginning of the quarter)
II. Receivables (other than exports & deferred) including
bills purchased & discounted with bankers** (months
domestic sales)@
III Export receivables, including bills purchased &
discounted with bankers ** (months export sales)@
IV. Advance to suppliers of raw materials & stores/spares
& consumables
V Other current assets including cash and bank
balances (specify major items)
VI. Total current assets

Current Liabilities:

Production/Gross Sales Estimate Actuals

VII. Short term bank borrowings from banks (including
bills purchased & discounted with bankers)***

----------------------------------Bank

----------------------------------Bank etc.,

VIII. Creditors for purchases of raw materials and

stores/spares & consumables (including those under
usance letters of credit/co-acceptance facility from
the banks)***
a) Imported (months’ purchases) @
b) Indigenous (months’ purchases)@
Of which --
Dues to small units
IX. Advance payment from customers
X. Statutory Liabilities
XI. Other current liabilities (specify major items)
XII. Total Current Liabilities

Additional Information:

Contingent Liabilities:

i. Arrears of dividend
ii. Disputed excise/customs/tax liabilities
iii. Other liabilities not provided for

/conversion/tmp/scratch/423055545.doc 4
Notes:

1. Information should be furnished for each line of activity/unit separately as also for the
company as a whole. In case, where the different activities/units are financed by different
banks, the concerned activity/unit-wise data and data relating to the company as a whole
should be furnished to each financing bank.
2. The valuation of current assets or current liabilities in these forms should be on the same
basis as adopted for the statutory balance sheet and it should be applied on a consistent
basis.
3. @ The period should be shown in relation to the annual projection for the relative item. If
the levels of inventory/receivables are higher than the stipulated norms, reasons therefor
should be given.
4. $ If the canalised items form a significant part of raw materials, inventory these may be
shown separately.
5. ** Amount of bills discounted with bankers, included in items of Part C should be indicated
separately.
6. *** Amount of bills discounted with bankers in respect of purchases, included in item VII or
item VIII of part C should be indicated separately.
7. ** The clarification of current assets or current liabilities should be made as per the usually
accepted approach of bankers and not as per definitions in the companies act.

/conversion/tmp/scratch/423055545.doc 5
 TO BE SUBMITTED WITHIN TWO MONTHS FROM
THE CLOSE OF THE HALF YEAR

FORM III A

(Amount : Rs. in lakhs)

Name of the borrower:

A. Half yearly operating statement:

Last Current Half year ended Current

year Year …………19 half-year
Sl. Particulars (Actuals) (budget) ending
No
Estimate Actuals Estimate
(1) (2) (3) (4) (5)
1 Gross Sales (net of
returns)
a) Domestic
b) Exports
Total
2 Less: Excise Duty
3. Net Sales (Item 1 – Item
2)
4 Cost of goods sold
a) RM consumption
(including stores & spares
used in the process of mfg)
b) Other spares
c) Power & fuel
d) Direct labour (factory
wages & salaries)
e) Other mfg expenses,
including depreciation
Sub-total
Add: Opg. Stock-in-
process & finished
goods
Sub-Total
Deduct: Closing stocks-
in-process & finished
goods
5 Total cost of goods
sold
6 Selling, general &
administrative exp.
7 Interest
8 Sub-Total (5+6+7)

/conversion/tmp/scratch/423055545.doc 6
 -: 2 :-

Last Current Half year ended Current

year Year …………19 half-year
Sl. Particulars (Actuals) (budget) ending
No
Estimate Actuals Estimate
(1) (2) (3) (4) (5)
9 Operating profit/loss
(3-8)
10 Other non-operating
income/expenses Net
(+)
11 Profit before tax/loss
(9+10)

/conversion/tmp/scratch/423055545.doc 7
 (Amount: Rs. in lakhs)

HALF-YEARLY FUNDS FLOW STATEMENT FORM III B

Last Current Previous half year Current

year Year ended …………19 half-year
Sl. Particulars (Actuals) (budget) ending
No ………
Estimate Actuals Estimate
(1) (2) (3) (4) (5)
1 Sources:
a) Profit before tax
b) Depreciation
c) Increase in capital
d) Increase in TL* (incl.
Public deposits)
e) Decrease in
i. F. Assets
ii. Other non-
current assets
f) Others
g) TOTAL (A)
2 Uses:
a) Net Loss
b) Dec. in TL **(incl.
public deposits)
c) Increase in
i. Fixed Assets
ii. Other non-
current assets
d) Dividend payments
e) Taxes paid
f) Others
g) Total (D)
3 Long Term surplus
(+)/deficit (-) (A-B)
4 Increase/Decrease in
Current Assets * (as per
details given below)
5 Increase/decrease in
current liabilities other
than bank borrowings
6 Increase/Decrease in
working capital gap
7 Net surplus (+)/deficit (-)
(Difference of 3 & 6)
8 Increase/Decrease in
Bank borrowings
Total

/conversion/tmp/scratch/423055545.doc 8
 * Break-up of (4)
i. Inc/Dec in RM
ii. Inc/Dec in SIP
iii. Inc/Dec in f. goods
iv. Inc/Dec in stores &
spares
v. In/Dec in receivables
a) Domestic
b) Export
vi. Inc/Dec in other CA

Note: Increase/Decrease under items 4 to 8 as also under break-up of (4)

Notes:

1. Information should be furnished for each line of activity/unit separately as also for the
company as a whole. In case, where the different activities/units are financed by different
banks, the concerned activity/unit-wise data and data relating to the company as a whole
should be furnished to each financing bank.
2. The valuation of current assets or current liabilities in these forms should be on the same
basis as adopted for the statutory balance sheet and it should be applied on a consistent
basis.
3. In case audited balance sheet and profit and loss account for the previous accounting year
are not available, estimated/provisional figures for the previous year may be furnished in
column (1) of Forms III A and III B and the figures for the proceeding year based on audited
balance sheet should be given in an additional column before column (1)
4. Under the items `Increase in term liabilities’ the details of each of such term liabilities
together with the names of the concerned lending/guaranteeing institutions should be
indicated separately.
5. Similarly, under the items `Decrease in term liabilities’, the details of the repayment of each
of the such term liabilities together with the names of the lending/guaranteeing institutions,
should be indicated separately.
6. Increase in carry of various items of inventory which is disproportionate to percentage rise
in sales turnover should be explained in detail separately.
7. Similarly, a decrease in CL which is not commensurate with percentage rise or fall in sales
turnover should be explained in detail separately.
8. Item 7 (not surplus/deficit) and item 8 (increase/decrease in bank borrowings) would be
algebraical opposite figures and these should agree with each other.

/conversion/tmp/scratch/423055545.doc 9