Request for Quotations Attachment Financial Information Sheet

Financial Information Data Sheet
Note: This data sheet will be used for the Government to know the local offeror's financial stability under the "Management Self Diagnosis System" which is available in the Japanese website. Therefore, each accounting item included in this data sheet below is not translated into English.

下記にご記入の上、最新の決算報告書と共にご提出ください。

貸借対照表/ Balance Sheet

資産/ASSETS

負債/LIABILITIES

流動資産合計
\
(Total Current Asset)

流動負債合計
\
(Total Current Liabilities)

現金・預金
(Cash and Deposit)

\

短期借入金
(Short-term Debt)

受取手形
(Note Receivable)

\

売掛金
(Sales Allowance)

\

棚卸資産
(Inventories)

\

固定資産合計
(Total Fixed Asset)

\

有形固定資産合計
\
(Total Tangible Fixed Asset)
土地
(Land)

資産合計

(Total Asset)

\

固定負債合計
\
(Total Non-current Liabilities)
⾧期借入金・社債 \
(Long-term Debt and Bond)

\

\

純資産合計
(Total Net Asset)

\

負債・純資産合計

\

(Liabilities: Total Net Asset)

損益計算書/ Profit & Loss Statement

売上高
(Sales)

\

売上総利益
(Net Sales)

\

販売費及び一般管理費（減価償却実施額）
(Depreciation Expenses)

\

営業利益
(Operating Income)

\

受取利息配当金
(Interest Receivables and Dividend Income)

\

支払利息割引料
(Interest Payments and Expenses)

\

経常利益
(Ordinary Income)

\

その他 / Other
受取手形割引高
(Discounted Note Receivable)

\

受取手形裏書譲渡高
(Endorsed Note Receivable)

\

期末従業員数
(Number of employees at Fiscal-end)

\

前期資産合計
(Total Asset of Previous Financial Period)

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前期純資産合計
(Total Net Asset of Previous Financial Period)

\

前期売上高
(Sales of Previous Financial Period)

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N6264927QB001
Attachment (2)