CONFIDENTIAL
REPUBLIC OF KENYA
KENYA NATIONAL BUREAU OF STATISTICS
BALANCE OF PAYMENTS SURVEY FOR THE YEAR ENDING 31ST DECEMBER 2011

Authority
The statistics sought in this form are collected under the Statistics Act (Cap. 112), Laws of
Kenya.

Confidentiality
The information supplied shall be held in strict confidence by Central Bureau of Statistics
and will only be for statistical purposes.

Period Of Reference
iWe are seeking for information covering the calendar years 2010 and 2011.

Reference Office
Should you require further clarification regarding the completion of the questionnaire,
please call Nairobi telephone 317588 extension 106 or come personally to Herufi House
(between Treasury and Central Bank Buildings), Second Floor Room No. 220D.

Capacity means the maximum number of delegates the conference facility is designated to hold.

Foreign delegates are participants who are non-Kenyan residents irrespective of nationality.

Local delegates are participants who are Kenyan residents irrespective of nationality.

Part A: GENERAL PARTICULARS OF YOUR FIRM
a) Firm name and address
b) Address
c) Telephone number
d) Email
e) Physical Location : Building & Floor
f) Road/Street
h) Year for the information provided
 
Part B: ECONOMIC ACTIVITIES
What are your main types of business activities undertaken by your firm?
1
2
3
4
 
PART C: (1) INCOME AND EXPENDITURE (as at 31st December) 2010  2011
No. of Employees
i Full time No
ii Part Time No
Employees’ salaries & wages, etc Kshs
Loans’/Overdrafts’, etc interest Kshs
Total depreciation allowed Kshs.
Total Operating Expenses Kshs
Total Revenue Earned Kshs.
Profit/Loss (before taxation) Kshs
PART C: (2) PERCENTAGE REVENUE CONTRIBUTION
Is your firm in various types of business activities? Yes /No (refer to your answer at Part B) If yes, please show the percentage contribution by each activity to total revenue earned by the firm. ACTIVITY Percentage of Revenue contributed by the activity to total revenue earned
i
ii
iii
iv
All activities 100%
PART D: COMMENTS AND CERTIFICATION
Please comment on any changes that might have affected your business during the calendar year 2011
Name of person filling the form
Email
 

Kenya National Bureau of Statistics
P.O Box 30266, Nairobi-Kenya
Telephone: 254-20-317583,317586
Fax: 254-20-315977
Email:directorgeneral@knbs.or.ke
Website: www.knbs.or.ke