12I Progress Report
12I Progress Report
________________________________
Period:__________________________
Note:
Refer to Section 12I of the Income Tax Act 1962 (Act No. 58 of 1962), specifically paragraph 11
and 12 and the Regulations as promulgated in Government Gazette number 33385 of 23
July 2010
Each page of the application form and all the accompanying documents must be
initialled
All sections of this form must be completed by an authorised official of the applying
project.
Financial year-end:
Physical address for the serving of legal documents and other notices:
Postal address:
Code
Cell ( ) Email:
Financial year-end:
Physical address for the serving of legal documents and other notices:
Postal address:
Code
Cell ( ) Email
Representative body:
Postal address:
Code
Cell ( ) Email:
LOCATION OF PROJECT
PRODUCTION DATE
Envisaged
Description Actual date
date
Production start date (when assets are brought into use)
Date of commercial production (when production capacity >=50%
*Please provide a copy of Engineers Ready for Commissioning report
% of total
Product(s) Process(es) SIC code
Turnover
HAS ANY PROCESS OR PRODUCT CHANGED SINCE THE DATE OF APPROVAL? IF YES PROVIDE DETAILS.
Are the
Date on assets
Date on
which Date on being
Sourced which
the which all acquired/
Locally more
assets the contracted Total cost of
New or or than 50%
Description of Asset have assets from assets
Used? Imported assets
been will be connected
(indicate will be
acquired, brought person(s)?
country) brought
contract into use If yes,
into use
ed for provide
details
Plant and machinery:
Sub-total
Buildings:
Sub-total
All other assets (non-qualifying):
Sub total
Total assets (cost as per balance sheet)
MARKETS TO WHICH THE PROJECT IS SELLING AND THE SALES IF THE PROJECT IS IN OPERATION
Current data
List markets Unit of measure
20___
Volume
South Africa
Rand Value (R)
Volume
Volume
Volume
INNOVATIVE PROCESSES
Demonstrate the material significance of your product(s) or process(es) in terms of production time, quality, longevity
and reduced cost:
Production Time
Quality
Longevity
Reduced Cost
Please provide any additional information that may proof the innovative nature of the technology used/ to be used:
ENERGY EFFICIENCY
Please provide the planned and actual energy savings in the table below:
Period of Energy Used/Usage Total Utility Cost Number of Units
Measurement (kWh/mMh) produced
Planned Energy
Efficiency Savings
%
% Reported Savings
Actual Energy
Efficiency Savings
%
% Reported Savings
Final audited
Savings (SANEDI)
%
% Reported Savings
IMPORTANT NOTE: Please attach the SANEDI energy efficiency certificate confirming the above information.
Provide a short summary below of the most important measures/technology implemented or to be implemented that
would result in the energy efficiency savings indicated above.
BUSINESS LINKAGES
Criteria Details
Product previously imported
(More than 60% imported)
Exports
Pricing Practices
Criteria Details
a) Provide a detailed elaboration of the
pricing methodology by which sales
prices for the domestic market are
arrived at;
SMME PROCUREMENT
b) Indirect employment (please indicate under “Motivation” how this figure(s) were calculated)
SKILLS DEVELOPMENT
Please provide the latest skills development plan in the table below (If space is insufficient, kindly attach an annexure):
External
Internal training
(on the (course / SAQA
Trainin Remarks
job) or training Accredited
g Notes
Full Externa provider) or Cost in
Post / Position / NQF No of Period Additional
time or l connecte equivalent Rand
level trainee (days/ information
Occupation Part training d /non (Yes or
s weeks/ Type of skill /
time Act: connecte No)
months training
refer to d party Provide
)
par 1a- Act: refer details
b to par 1c
Expenditure on SAQA approved Expenditure on equivalent Total Salary & Wages Training Cost % of
training training wage bill
ALLOWANCE UTILISATION
Training
Investment Allowance
Allowance Total
Allowance approved (R)
Less: Allowance already deducted for 2012
DECLARATION BY APPLICANT
NOTE: The information submitted in this progress report will be used to compare projections from the
application form with actual/current information. If the facts upon review differ from the information
provided in the application form, to the extent that requirements regarding 12I of the Income Tax Act are
no longer met, any allowance granted with respect to this application may be revoked/ reclaimed.
I hereby declare that the information in this progress report is a fair and true reflection of the project and
that all relevant information has been disclosed
NOTE: If an independent consultant completes the progress report, the applicant must ensure that the
information provided is correct before signing the progress report. If at a later stage it transpires that
information is not correct, the applicant will be held solely responsible for misrepresentation and the
Department of Trade and Industry reserves its right to institute legal action.
SIGNED CAPACITY
(Signature of Managing Director of the entity in terms of the attached resolution of the Board members)
was appointed as consultant for the purposes of preparing and lodging a progress report.
(name of applicant), is a true and accurate reflection of the affairs of the applicant. Furthermore, I am aware of all
POSTAL ADDRESS
I hereby declare that the information submitted with this progress report is true and fair and I have initialled each page
of his form to this effect. I declare that the financial statements used to prepare the report are the same as those
submitted to South Africa Revenue Services.
SIGNATURE……………………………. DATE……………………
Please check if the documents are included before submitting the progress report. x
Valid tax clearance certificate(s).
CM22 form: notice of registered office and addresses
Certificate of change of registered name
Letters of appointment of acting as an agent (where an agent completes the application on
behalf of the applicant).
Audited annual financial statements.
Energy Efficiency certificate issued by SANEDI