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Suggestions are invited on the draft
Questionnaire for the
16th ICSI NATIONAL AWARDS FOR EXCELLENCE
IN CORPORATE GOVERNANCE,2016
You may send in your Suggestions at
so as to reach us on or before 16th August, 2016
First Questionnaire
ICSI NATIONAL AWARDS FOR EXCELLENCE IN
CORPORATE GOVERNANCE, 2016
GENERAL INSTRUCTIONS FOR FILLING THE QUESTIONNAIRE
It is assured that the data provided by you shall be used only for
ascertaining and evaluating Corporate Governance Practices of your
company for ICSI National Awards for Excellence in Corporate
Governance, 2016. The data furnished and the identity of the
respondent will be kept confidential. The decision of Institute, based on
the recommendations of the Jury, will be final and binding on all
participating companies.
1. Please fill in the questionnaires on the basis of the facts of your company.
2. All Questions from Part II onwards carry weightage. Please answer all
questions. In case any question is not applicable to your company, please
tick „not applicable‟ or write the same. In case of wrong or misleading
response negative weightage will be given.
Note 1: “The ICSI National Awards for Excellence in Corporate Governance is
bestowed on the basis of the decision of the Jury relying on the
information provided by the companies in response to the
questionnaires, the information available about the company in public
domain and as gathered from various accessible sources including
feedback provided by regulatory bodies and analysis made by the
ICSI of the information so gathered. The authenticity and veracity of
the information provided by the companies and as contained in the
Annual Report and other documents of the Company are taken in
good faith by the ICSI.”
Note 2: Please furnish the policies, codes, as relevant in respective
questions to enable fair evaluation of the company.
Note 3: Please furnish the following documents along with the
Questionnaires –
a copy of each of Annual Report of your company for
the years 2015-16 and 2014-15 and 2013-14 in hard copy
shareholding pattern for the first quarter of F.Y. 2016-17
relevant documents wherever required
Note 4: The information provided in the Questionnaires should relate to
financial year 2015-16 or period ending in that year.
Note 5: The covering letter/e-mail to the duly filled in Questionnaires
should contain a statement to the effect that the responses to
the Questions in the Questionnaires and the information given
in supporting documents are true to the best of knowledge,
information and belief of the person authorized to sign the
covering letter/e-mail.
Note 6: The response to the Questionnaire should reach the Institute
on or before In case of any difficulty in filling the Questionnaires,
please email your query to the Institute at [email protected] .
You are required to send your responses to questionnaire by e-mail
at [email protected] to reach us on or before ---------------- or
send hard copies to the following address:
The Institute of Company Secretaries of India
ICSI House, 22, Institutional Area, Lodi Road, New Delhi-110 003
Phones:4534 1055, 4534 1030fax : +91-11-2462 6727
website: www.icsi.edu
PART I GENERAL INFORMATION
1. Name of Company:
2. Website:
3. Correspondence Address:
(a) Corporate Office Address:
Telephone No. Fax No. E-mail
(b) Registered Office Address:
Telephone No. Fax No. E-mail
DESIGNATION NAME E- MAIL ID PHONE NO.
Chairperson
Managing Director
Chief Executive
Officer
Company Secretary
Chief Financial
Officer
Independent Directors [Please indicate the Lead Independent Director,
if any]:
NAME DATE OF APPOINTMENT DATE OF COMPLETION
OF TENURE
AUDITORS NAME E-MAIL MEMBERSHIP
NO.
Secretarial Auditor
Financial Auditor
Cost Auditor (if
any)
Internal audit
Outsourced □
Internal □
A. COMPANY INFORMATION
CIN No. of the Company
Year of Incorporation and
State of Incorporation
Equity listed on ( including
overseas listing , if any)
Other securities i.e. Non-
convertible debentures/
bonds preference shares
listed on
Industry Sector
Main Business
No. of Subsidiaries
Promoters / Holding Company
Paid-up share capital as on
March 31, 2016
Change in Capital structure
during the year (Mention the
Change)
No. of Employees
No. of locations or plants
Total number of shareholders
B. Financial Information on Standalone basis (INR in Lakhs)
2015-16 2014-
15
2013-14
Turnover
Other Income
Total
EBIDT
Net Profit
Net Worth
Profit Margin
EVA (Economic Value Added)
P/E Ratio
EPS
Rate of Dividend
Dividend Payout Ratio
Market Capitalisation
Debt/Equity Ratio
Working Capital Ratio
Inventory Turnover Ratio
Return on Capital Employed
Return on Assets
Return on Equity
CSR Spent
Promoters’ shareholding (%)
Total number of shareholders
Audit Qualifications (if any)
Attach Note, if necessary
Credit Rating, if any
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
C.CONTACT DETAILS
Categories Name Address:
Telephone &
FAX No.
All the
Independent
Directors
(a).
(b)
(c )
Investor
Relation Officer
Corporate Governance Rating,
if any
Awards/Recognitions
received in CG/CSR/HR
PART II
1. BOARD STRUCTURE AND PROCESSES
BOARD STRUCTURE
1.1 Does the company have a written Charter and/or Code of Corporate Governance?
Yes No
(If yes, please provide us with a copy of the Code)
Please indicate the proportion of independent directors to total
number of directors on the board.
(a) If Chairperson is an Executive Director: Upto 49% 50-59%
60-69% 70-79%
80-89% 90% and above
OR
(b) If the non-executive Chairperson is a promoter of the company or
is related to any promoter or person occupying management
positions at the Board level or at one level below the Board :
Upto 49% 50-59%
60-69% 70-79%
80-89% 90% and above
OR
(c) If the Non-executive Chairperson is not a promoter of the company
or is not related to any promoter or person occupying management
positions at the Board level or at one level below the Board:
Upto 33.32% 33.33-59%
60-69% 70-79%
80-89% 90% and above
(Please mention the relevant page number of Annual
Report_______)
1.2 Is the Chairperson of the Board an independent Director?
Yes No
(Please mention the relevant page number of Annual Report_______)
1.3 Does the company have a designated lead independent
director?
Yes No
(Please mention the relevant page number of Annual Report_______)
1.4 How many women directors did the company have on its board
as on March 31, 2016?
None One More than one
(Please mention the date of appointment and name of director _______)
1.5 Is the woman director independent?
Yes No
1.6 Are there any independent director who has been on the Board
for 5 years or more?
No
1.7 (a) Was a separate meeting of independent directors held during the year?
Yes No
(b) If yes, is it disclosed in the Annual Report?
Yes No
(If yes, please mention the relevant page number of Annual
report____)
BOARD PROCESSES
1.8 Agenda and notes on agenda in respect of Board/Committee
Meetings were normally circulated:
>= 7 days before the meeting
< 7 days before the meeting
1.10 How soon are the draft minutes of Board/Committee Meetings
circulated to the Directors?
within 7 days within 15 days more than 15
days
1.11 Is there a process for placing Action Taken Report/
Implementation Report at the Board Meeting?
Yes No
1.12 Is the Board informed of the statutory compliances of the
various laws applicable to the company at its meeting each
quarter by way of statutory compliance certificate(s)?
Yes No
If yes, who signs the certificate(s)?
(Give Name and Designation and enclose copy of the
certificate.
Also specify the procedure/tools used for checking
compliance.)
1.13 Did the Company place list of applicable laws before the Board?
Yes No
(If yes, provide a list of laws)
1.14 Please specify whether any director of the company was re-
appointed even if he/she had attendance less than 50% in the Board meetings held during his/her tenure
Yes No
If yes, please mention the reason for his/her absence:
Abroad Others
Was an alternate director appointed in his/her place?
Yes No
1.15 Does the company have a formal policy for regular updation
programmes for the directors? If yes please give a copy of the same.
Yes No
(If yes, provide a copy of the same)
1.16 Does the company make disclosure in the Annual Report with
regard to orientation programme or the updation programmes attended by directors during the year?
Yes
(If yes, please mention the relevant page number of Annual
report____)
1.17 Does the company have any policy(ies) for succession at
a) Board level
Yes No
b) One Level below the Board?
Yes No
1.18 Has the company disclosed in its annual report the manner in which formal annual evaluation has been made by the Board of
its own performance and that of its committees and the individual directors?
No
1.19 (a) Does the company have a written Code of Conduct for Employees (other than directors and senior management)?
No
(b) Does the company obtain affirmative statement on the code of conduct from the employees?
i) Annually
Yes No
i) At the time of joining
Yes No
1.20 Does the RPT policy include a list of activities which are to be
considered to be in the ordinary course of business?
Yes No
(Please provide the copy of the same)
1.21 Please indicate the aggregate period which the statutory
auditor would complete in the company
a)Individual
-5 years
OR
b) Firm
<5 5-10
-13 & More
1.22 Has the company facilitated participation of director in
Board/committee meetings through video conferencing or
other audio visual means during the year?
Yes No
Audit Committee
1.23 Please indicate the proportion of independent directors in
the Audit Committee.
Below 66.66% 66.67% to 99% 100%
1.24 Does the internal auditor directly report to the Audit
Committee?
Yes No
1.25 Does the audit committee have an independent session with:
(i) Internal auditor Yes No
(ii) Statutory auditor Yes No
1.26 Does the Chairperson of the Audit Committee confirm to the Board annually that the Audit Committee has carried
out the role assigned to it?
Yes No
Is it disclosed in the Annual Report
Yes No
Stakeholder Relationship Committee
1.27 Please indicate the following details regarding Shareholder complaints
during the relevant financial year
Number of Shareholders as on ________________ (date)
Complaints pending in beginning of the year _______________
Complaints received during the year _____________________
Complaints resolved during the year ______________________
Complaints pending at the end of the year _________________
(Please mention the relevant page number of Annual Report_______)
Nomination and Remuneration Committee
1.28 Are the terms of reference, role and authority of the Nomination and Remuneration Committee disclosed in the Annual Report?
Yes No
1.29 Does the Company have well laid objective norms for determination of remuneration of Executive and Non-Executive
Directors which is approved by the Board?
Yes No
1.30 Does the Company have well laid objective norms for
determination of remuneration of its Senior Executives?
Yes No
(If yes, Please provide a copy of the same)
2. TRANSPARENCY AND DISCLOSURE COMPLIANCES
2.1 Does the company have a Corporate Disclosure Policy?
Yes No
(If yes, Please provide a copy of the same)
2.2 Which of the following elements of remuneration package of
Board members were disclosed in the Annual Report?
All elements of Salary, Benefits, Bonus, Pension (i.e. variable and
not performance linked)
Details of fixed component and performance linked incentive along
with performance criteria
Commission
Service contracts, notice period, severance fees
Stock option details e.g. whether issued at discount, period over
which accrued and over which exercisable / Not Applicable
(Please mention the relevant page number of Annual Report_______)
2.3 Has the company presented the results of its financial
performance (half yearly, quarterly annual basis) and the
management’s analysis on its website?
Yes No
(If yes, please provide the website link………………………………………………)
2.4 Whether Half Yearly Declaration of financial performance &
summary of significant events in the last six month is sent to each household of shareholders?
Yes No
2.5 Were there any adverse remarks/qualifications made in the statutory Auditors Report in respect of financial audit?
Yes No
(Please mention the relevant page number(s) of Annual Report______)
2.6 Were there any adverse remark/qualifications made in the
Secretarial Audit Report?
Yes No
(Please mention the relevant page number(s) of Annual Report______)
2.7 Were there any adverse remarks/qualifications made in the cost
audit report?
Yes No Not applicable
(Please mention the relevant page number(s) of Annual
Report______)
2.8 (a) Has the company disclosed the criteria for appointment
of independent director with regard to the following in its Annual Report?
(i) Qualification Yes No (ii) Expertise/
Demonstrable competence Yes No
(iii) Accomplishment Yes No (iv) Age Yes No
(v) No. of other directorships Yes No (vi) Any other please specify________________
(If yes, please mention the relevant page number of Annual
report____)
2.9 (a) Has the company disclosed about the adoption of policy
on materiality of related party transactions?
Yes No
(To be checked from website of the company)
(b) Has the company disclosed about the adoption of policy on
dealing with related party transactions?
Yes No
2.10 Has the company disclosed in its annual report the manner in
which formal annual evaluation has been made by the Board of its own performance and that of its committees and the individual
directors?
No
2.11 Question on Mandatory Disclosure
3 STAKEHOLDERS VALUE ENHANCEMENT
3.1 Has there been consistent growth in the net worth* of the company during the last five years?(standalone)
Yes No
Please provide details
Year INR (in lakhs)
2015-2016
2014-15
2013-14
2012-13
2011-12
*Note: Net worth shall mean Share Capital (Add) + Reserves & Surplus (Minus)
– Miscellaneous Expenditure to the extent not written off or adjusted.
The networth may be mentioned after making suitable adjustments for
mergers, demergers etc.
(Please mention the relevant page number of Annual Report_______)
3.2 Please mention the EPS (exclusive of extraordinary/exceptional items) of the company for the last five years. (standalone)
Year EPS (in INR)
2014-15
2013-14
2012-13
2011-12
2010-11
(Please mention the relevant page number of Annual Report_______)
3.3 Please mention the Return on Capital Employed of the company
for the last five years. (standalone)
Year ROCE
2014-15
2013-14
2012-13
2011-12
2010-11
3.4 Has the company paid dividend in any of the previous five financial
years?(standalone)
Yes No
Year Rs./per share of Rs………………. (F.V)
2014-15
2013-14
2012-13
2011-12
2010-11
(Please mention the relevant page number of Annual Report_______)
3.4 Does the company give periodic reminders to investors who have not encashed their benefits (dividend/interest, etc.)?
Yes No
3.5 Has the company formulated service standards/handbook/FAQs for investors?
Yes No
(Please enclose a copy of the same)
3.6 Has the company conducted any shareholders satisfaction survey?
Yes No
(If yes, please enclose questionnaire and summary results)
(Summary or details not attached then no marks)
3.7 Has the company conducted any vendor satisfaction survey?
Yes No
(If yes, please enclose questionnaire and summary results)
(Summary or details not attached then no marks)
3.8 Has the company conducted any customer satisfaction survey?
Yes No
(If yes, please enclose questionnaire and summary results)
(Summary or details not attached then no marks)
3.9 Has the company conducted any employee satisfaction survey?
Yes No
(If yes, please enclose questionnaire and summary results)
(Summary or details not attached then no marks)
3.10 What is the percentage of women employees in your company?
0% Between 10% to 29%
Between 30% to 39% More than 40%
3.11 Does the company have a policy for prevention of sexual harassment at work place?
Yes No
(If yes, please provide us with a copy of the Policy)
3.13 Has the Company constituted a Committee for prevention of
Sexual Harassment which is chaired by a woman?
Yes No
3.14 Has any awareness programme been conducted among the employees about the mechanism available
for prevention of sexual harassment?
Yes No
3.15 Does the whistle blower mechanism cover the other stakeholders(other than employees)?
Yes No
3.16 Has any awareness programme been conducted about the
whistle blowing mechanism available?
Yes No
3.16 Were any new patents registered by the company during the
year?
Yes No
3.17 Has the company made any compromise or arrangement
with the lenders involving rescheduling or waiver of loans in the last 3 years?
Yes No
(If yes, please provide the details of same)
3.18 Has the company made any default in repayment of loans
and deposits and/or the interest thereon in the last 3
years?
Yes No
3.19 Were any fines imposed on the company during the year?
Yes No
(If yes, please mention the relevant page number of Annual Report……………..)
3.20 Has there been any revision in rating assigned by credit
rating agency?
Yes - Upward Yes - Downward No / Not
applicable
(If yes, please mention the relevant page number of Annual
Report……………..)
3.21 (a) Does the company have a risk management policy?
Yes No
(c) If yes, has the company disclosed about the development and
implementation of a risk management policy in its annual
report?
Yes No
(Please provide us with a copy of policy and mention the relevant page
number of Annual Report……………..)
4 CORPORATE SOCIAL RESPONSIBILITY (CSR) AND SUSTAINABILITY
4.1 Does the company publish Sustainability Report?
Yes No
(If yes, please give a copy of the same)
4.2 Highlight the sustainability initiatives of your company focused towards protection of environment and
sustainability. ___________________________________________________________
___________________________________________________________
___________________________________________________________
4.3 Describe the sustainability initiatives of your company focused towards society. ___________________________________________________________
___________________________________________________________
4.4 Has the company been prosecuted for any violation of any environmental norms?
Yes No
4.4 What is the percentage of differently-abled persons (as a
percentage of total employees) that the company employs?
Less than 1% 1% to 2% more than 2%
4.5 During the year under consideration, how much money as a % of profit was spent by the company on CSR activities?
0 to 0.99 %
1 to 2 %
4.6 Is there an independent assessment of the sustainability initiatives & reporting of the company?
Yes No
FURTHER QUESTIONS
Section-1- Board Structure and Process
1. Details of Attendance of directors in Board Meetings
Date Of
Board
Meeting
Total No.
of
Directors
on the
Board
(including
Independ
ent
Directors
on the
date of
meeting)
Total No. of
Independent
Directors on
the Board on
the date of
meeting
No. of
Directors
who
attended the
meeting
(including
Independent
Directors)
No. of
Independent Directors
who attended
the meeting
(Please mention the relevant page number of Annual
Report_______)
2. Please provide details of attendance at meetings of Audit Committee
Date of Meeting Total No. of Committee
Members on the date of
Meeting
No. of members who
attended the meeting
(Please mention the relevant page number of Annual Report______)
Section-3 : Stakeholder Value Enhancement
3.12 What is the percentage of shareholding with the public?
(a) Less than 10% (b) 10%
(c) 11% to 25% (d) more than 25%
************
SECOND QUESTIONNAIRE ICSI NATIONAL AWARDS FOR EXCELLENCE IN CORPORATE GOVERNANCE, 2016
1. Elucidate on how the vision, mission of the company are imbibed at all levels within the organisation? How does the same impact the
organisation culture. How frequently is it revisited to check its relevance?
2. (a) How has the process of selection, appointment and induction of following evolved over in the last three years?
i. Chief Executive Officer
ii. Executive Directors iii. Non-executive, both Independent and non-
independent Directors (B) Elucidate on the processes of Succession planning at Board
level? Please specify any instance in last 5 years of succession at Board level?
3. (a) Was any director removed in the last 3 years? If yes, what were the reasons and were these disclosed to shareholders? What
was the process followed for removal? (b) Has any director resigned prior to the completion of his tenure. If
yes, have the reasons for resignation been disclosed to the shareholders.
(c) What was the average tenure in service of the persons in the
positions viz. CFO, General Counsel, Company Secretary, Internal Audit and Compliance over the last 3 years?
4. (a) Explain in detail the procedure of evaluation and
measurement of the effectiveness and performance of the Board, its committees and its members?
(b) Elaborate on what measures are adopted by the company to address the identified skill and experience gaps identified during the
board evaluation process?
5. Elaborate on the areas of development initiatives imparted to the Directors. Whether these development initiatives were undertaken
in-house through the Board meetings/management presentations or an outside agency is hired for the purpose. give details. How many
directors underwent the familiarization process in the past 12
months?
6. Quoting specific instances elucidate on how Independent Directors
have contributed to the deliberations at the board meeting, with respect to crucial matters such as Related Party Transactions, issues
of strategy, company performance, risk management, resources
allocation/ mobilization, appointment and performance of Directors and KMPs, corporate social responsibility?
7. (a).How does your company ensure that the directors have access to the board and company records? Explain the process for timely
flow of relevant and adequate information to the Board.
(b). Does the Board have focused meetings to discuss strategy, risk management and internal controls? How is the Board time divided
between operational issues and strategic issues?
8. Detail the manner / mechanism of review by the audit committee
for each of the following -
a. Regulatory compliances b. Related Party Transactions
c. Prevention of Fraud d. Prevention of Corruption
9. How does your company foster creativity and innovation? How does
the company engage employees in this process? How does the company perceive and handle failed attempts? Please provide
examples of creative or innovative initiatives undertaken by the company in the past 12 months.
10. Elaborate on the R&D initiatives of your company? Please provide
tangible benefits of the outcome of the R&D efforts by your company in the past 12 months.
11. (a) Describe how the top management is involved in the
development human resources of your company particularly as regards the following–
a. Evaluation of performance of employees b. Employee counselling, coaching and mentoring, leadership
development c. Succession planning
d. Employee dignity e. Employee grievance redressal mechanism
(b) How does your company ensure that temporary/ part-time
employees/ outsourced employees are given their due rights and
equitable benefits.
12. How are stakeholders engaged in various processes of organization.
What is the mechanism and frequency of stakeholders engagement. What is the Grievance redressal mechanism adopted by the
company in this context?
13. Elaborate on the risk management framework of your company.
14. What are the Corporate Social Responsibility initiatives undertaken by your company? How is Board engaged in effective
implementation of CSR activities? Briefly, describe the how the CSR activities are assessed?
15. Is the Board informed about safety and security issues? Has the
company constituted a safety committee? How are these issues discussed and dealt with? Were there any fatal injuries/ major
environmental loss or occupational injuries occurring out of the
process of the company. What measures have been adopted to address the same.
16. How are stakeholders educated on the negative impacts, if any, of your products /services/processes/operations on the community/
society/environment. What are the measures taken to address the same. Is it part of the Board agenda?
17. What process is followed by your company to assess whether appropriate sustainability measures are adopted by your
suppliers/service providers of services and products, inclusive of legal requirements?
**************