Annual Progress Report
Agriculture Projects

Annual Progress Report for OtherConcession Projects[1]

Project name
Concession License number
Reporting Period / From(beginning of project ): / To (2014) :

IMPORTANT PLEASE READ This reporting form has been prepared to collect information on other concessions that are not agriculture, hydropower and mining. This form requests information from the initial starting date of the investment to the end of 2014. Please read the questions carefully before answering. If at any time the space is inadequate for your response, please attach additional pages to this form and reference the section and question where more information is being given. When giving dates please provide as DD/MM/YY

I.PROJECT/COMPANY INFORMATION

Please provide current details on the following:

Items / Current Information / Acknowledge by
Name of Mother Company 1
Address of Mother Company
Country of Registration
Name of Mother Company 2
Address of Mother Company
Country of Registration
Name of Mother Company 3
Address of Mother Company
Country of Registration
Name of Mother Company 4
Address of Mother Company
Country of Registration
Name of Project Company Registered in Laos
Project Name
Office Address
Project Location
Percentage Share of Investment
Foreign (%)
Domestic (%)
Government (%) / Must equal 100%
%
%
%
​Name of Main Directors
1.
2.
3.
Main Shareholders
1.
2.
3.
4.

II.INVESTMENT STATUS

  1. If you are in MOU stage, do you expect to complete the MOU on time?

☐YES (If yes, go to question 2)
☐NO If no, how many days and months delay? / Months / days

Please provide reasons for delay:

☐ / License/permit obtaining Issues
☐ / Land Issues;
☐ / Lack of Technical Staff/expert;
☐ / Lack of Equipment;
☐ / No Access to Site;
☐ / Weather Issues;
☐ / Lack of Funds;
☐ / Breakdown
☐ / Worker Issues
☐ / Other(s)
  1. Any issues experienced in this project? ☐NO☐YES If yes, what type of issues

☐ / Boundary Issues;
☐ / Compensation;
☐ / Resettlement;
☐ / InternalIssues;
☐ / Others
  1. Status of the following (if applicable):

Items* / Progress / Approval Date
Land Survey / ☐ / Completed
☐ / In progress
EIA(ECC) / ☐ / Approved
☐ / Under Study/Review
IEE(ECC) / ☐ / Approved
☐ / Under Study/Review
ECC (ESMMP) / ☐ / Valid
☐ / Invalid
☐ / Under review
☐ / Old project, Not required
Feasibility Study / ☐ / In progress
☐ / Under Review/Revision
☐ / Approved

*Please attach all certificates/approval letters

  1. Land survey Result

If applicable, please provide information on the results of the land survey completed during the MoU. For instance, if the MoU stated a theoretical land concession area of 2,000 hectares, how much of this 2,000 hectares was state land, private land and community land.

Location / 1. State land
(hectares) / 2. Private land
(hectares) / 3. Community land (hectares) / Sum of 1+2+3
Village / District / Province
Total
  1. Did the project area have Unexploded Ordnance(UXO)? ☐Yes☐No If no, go to Question 6

If yes, did the project finance the cost of UXO survey ☐Yes☐No

How many hectares of land in the project were surveyed for UXO? / hectares
  1. If applicable, what were the results of the EIA /IEE

Number of Villages / Number of Families
To be compensated
To be resettled
Other, please provide details
Totalestimated value of compensation/resettlement (USD)

III.Financial Contribution during MoU

  1. Guarantee fund paid?
/ ☐ No / ☐ Yes / Total value / USD
  1. Please provide details on the financial contributions provided by the company during the MOU stage

FUNDS* / From start of the MOU to the end of 2013(USD) / For 2014
(USD)
Project Management
Training
Local Development
Social Development
Environmental Protection
OTHER FINANCIAL CONTRIBUTIONS (THAT WERE OBLIGATIONS in the MOU)
Click here to enter text. /
Click here to enter text. /

* Please provide evidence of financial contributions to each funds

  1. Other contributions (non-contractual obligations)
    From start of the investment did you provide any other contributions for local-social development?

☐No ☐Yes If yes, please provide details below:

List / Status (Please ) / Value (USD) / Location
(village, District, Province) / Expected/ Completion Date / Acknowledged by
Done / In progress
☐ / ☐ /
☐ / ☐ /
☐ / ☐ /
☐ / ☐ /
☐ / ☐ /
Total

* Please attach letters of acknowledgement ifapplicable

IV.Financing during the MoU

  1. Imported equipment
/ ☐ No / ☐ Yes, / Total value / USD
  1. What is the total value of capital used:cash
/ USD / ,In kind / USD
  1. Do you expect to renew your MoU:☐No☐ Yes

If yes, how many months / and what is the expected value of capital to be
invested for the renewedMOU / USD
NOTE: The questions in sections V to XII are only for those Projects/Companies that have signed Concession Agreements (CA). If you are still in the MoU phase, please go directly to Section XI.

V.Progress of project operations

  1. What project activities were performed in 2014?

☐ / No activities undertaken
☐ / Land clearing, if yes, how many hectares? / hectares
☐ / Full business operations, start date of full business operations / (date)
☐ / Rehabilitation
☐ / Project activities suspended
☐ / Stopped indefinitely
☐ / Others, please provide details
  1. Has the company prepared a restoration plan? ☐YES ☐NO
  2. Does the company have a restoration (site rehabilitation) account? ☐YES ☐NO
  3. Does the company have insurance to cover ALL fixed and non-fixed assets? ☐YES ☐NO

(Ifyes,please attach insurance policy/contract)

  1. Did the project finance the cost of UXO clearance☐Yes ☐No

  1. How many hectares of land in the concession was cleared of UXO?
/ hectares

VI.INVESTMENTCAPITAL

  1. Imported capital: Please provide information regarding the investment capital imported since the beginning of the project until the end of 2014.

Capital / From Beginning of Project to 2013 (USD ‘000) / 2014 (USD ‘000)
Total registered capital Imported
Total inflows of investment capital cash
Total inflows of investment capital equipment

*please attach certificates of importing registered capital

VII.FINANCES

  1. Revenues-expenditures
    Please populate the tables below for project revenuesand expenditures

ITEMS* / AMOUNTS (USD)
From start of investment to the end of 2013 / AMOUNTS (USD)
For 2014
Total gross revenue
Gross revenues for exported items
Gross revenues for domestic sale
Total expenses
Total assets
Total profit
Total losses
Expenses from post closure account
Balance of post close account

*please attach the annual financial report

  1. Tax and duties
    Please populate the table below:

ITEMS* / AMOUNTS (USD)
From start of investment to the end of 2013 / AMOUNTS (USD)
For 2014
Royalty
Concession fee
Income tax
Import tax
Export tax
Profit tax
Value Added Tax (VAT)
Social security payments
Dividend tax
Depreciation
other

*Please providecopy of all tax payment certificates

  1. Fund contributions during the concession agreement

FUNDS / From start of investment to the end of 2013 (USD) / For 2014 (USD)
Project Management
Training
Local Development
Social Development
Environmental Protection
OTHER FINANCIAL CONTRIBUTIONS (THAT WERE OBLIGATIONS)
Click here to enter text. /
Click here to enter text. /
Click here to enter text. /
  1. Other contributions (non-contractual obligations)
    Do you provide any other contributions to local-social development: ☐No ☐Yes If yes, please provide details:

List / Status (Please ) / Value (USD) / Location
(village, District, Province) / Expected/ Completion Date / Acknowledged by
Done / In progress
☐ / ☐ /
☐ / ☐ /
☐ / ☐ /
☐ / ☐ /
☐ / ☐ /
Total

* Please attach acknowledgement letters if applicable

  1. Does the project comply with any international standards or initiatives?

☐No

☐Yes Please specify below.

☐ / Loan from bank that’s a member of the Equator Principles - Bank
☐ / Global Reporting Initiative (GRI)
☐ / UN Guiding Principles on Business and Human Rights
☐ / IFC Performance Standards
☐ / ISO 26000
☐ / Voluntary principles on Security and Human Rights
☐ / Organic
☐ / Fair Trade
☐ / Others. Please specify
☐ / Others. Please specify
☐ / Others. Please specify

VIII.LABOUR AND HUMAN DEVELOPMENT

  1. Please provide details on the composition of the projects labour force in 2014.

ITEMS / NUMBER
Lao / Female / Foreign / Female
Number of full time staff
Management staff (full time)
Technical staff(full time)
Skilled workers(full time)
Number of part-time staff
  1. Has the company trained Lao nationals?☐YES ☐ NO If yes, please populate the table below:

In the case of professional andtechnicaltraining, please describethe type of training provided by the company. A few examples have been provided.

Area of Expertise* / Total Number of Domestic Staff Trained from beginning of project until December 2013 / Total number of Domestic Staff Trained in 2014
MANGEMENT
Human Resources
Financial Management
Accounting
Project Management
General Management
Operations Management
Strategic Planning
TECHNICAL SKILL

IX.ENGAGING DOMESTIC COMPANIES

Please provide details on domestically owned and operated Lao companies that currently provide materials and/or services to the concession project

Name of domestic company* / Service / Product Received / Total Expenditure on Services and/or Products (USD)

X.Environment and Social Management

Please provide information related to compensation and resettlement.

Number of Villages / Number of Families / Total Land Area Provided
(Hectares)
Numbers compensated
Numbers resettled
Other, please provide details
Totalvalue of compensation/resettlement (USD)

XI.RESOURCES

  1. Have you developed or purchased any environmental products or services that help maintain the function of natural environments such as land, water, air and related ecosystem and their organisms in 2014? ☐YES ☐​NO If no, please go to question 2.

Purchased Services: ☐Watershed Management;☐Forest Management; ☐Other

Developed Services: ☐Watershed Management;☐Forest Management; ☐Other

  1. Did you prepare a Corporate Social Responsibilities (CSR) report in 2014? ☐YES ☐NO

  1. How much electricity did project operation(s) consume in 2014?
/ Kwatt Hours /
/ Kwatt hours
  1. Where is water sourced for project operations?

☐Mains water ☐​River ☐Stream☐Bore hole☐Dam in concession

  1. How much water did the project use in 2014?

XII.UNDERSTANDING GENERAL INVESTMENT PROBLEMS

Please tick areas where your company is experiencing difficulties and briefly explain the problem

☐ / Permits/Licenses/certificates
☐ / National Policies and Regulations
☐ / Project reporting to government
☐ / Payment of Taxes and Fees
☐ / Investment tax and duty Incentives
☐ / Source materials for operations
☐ / Access to electricity and water
☐ / Markets (Local and Regional)
☐ / Suppliers
☐ / Contracts
☐ / Processing/Manufacturing
☐ / Labour
☐ / Logistics
☐ / Sales/After Sales
☐ / Others
☐ / Others
☐ / Others
☐ / Others

Investor’s Recommendations:

Please attach the projects annual work plan for next year along with this report.

On behalf of the project company, I certify that information provided in this progress report is all true.

Date

Certified by

​Name

Signed by company director

(Please initial each page of this report)

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[1]The term “Other Concessions” refer to all other concessions that are not operating in the area of agriculture, hydropower and mining. These include concessions in telecommunications, financial institutions, air transport services, radio and television services, investments in infrastructure construction and the development of national and local tourism resorts.