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Companies with annual total income of less than Rs.150 crore are eligible for nomination.

Last date for receiving filled questionnaires is October 7, 2011. Fields marked with * are mandatory. I. *Company Information Name of the company: Registered Address: Telephone: Website: □ Proprietary □ Manufacturing □ Partnership □ Trading Fax: Email: □ Private Limited □ Service Provider □ Public Limited □ Export House Year of Establishment:

i. Ownership Pattern: ii. Nature of Operation:

iii. Total Number of employees (including contract labour): iv. Top Management 1. 2. Designation Designation

II. Operational Details i. *Please select ONE from among the following 12 sectors under which you would like to be nominated for the awards: Sector Auto Components Chemicals and Petrochemicals Food and Agro Products Hospitality Metal and Metal Products Logistics Tick Sector Textiles (including readymade garments) Pharmaceuticals Engineering Goods (including machinery & instruments) Plastic, Plastic Goods and Plastic Processing Electronic Goods and Components IT & ITES Tick

ii. Major products/services: iii. Plant Details Total no. of – Plants (manufacturing Location of plants (manufacturing)/ Total Installed Capacity of all plants and sector) OR Delivery Centres (IT-ITeS) OR delivery centres (IT-ITeS)/ No of Rooms units of measurement p.a./ no of seats Hotels/Resorts (Hotels/Resorts) (IT-ITeS)/ no of rooms (Hotels/Resorts)

Business Gaurav SME Awards 2011

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Miscellaneous i.25 lakh □ More than Rs. Manufacturing □ Up to Rs. Crore) FY10 (Rs.10 crore B. *Financial Details Please attach the audited financial statements for FY09.5 crore FY09 (Rs.25 lakh and up to Rs. Crore) FY11 (Rs. Investment in plant and machinery/equipment (excluding land and building): A. Service Sector □ Up to Rs.5 crore □ More than Rs. Please rate the various sources of obtaining finance as preferred by the company (Kindly rate them in the order of 1 to 6 with 1 being the least preferred and 6 being the most preferred) Source Bank Credit/Loans Private Equity Loans from unorganized sector (money lenders etc) Rating Source External Commercial Borrowings Government Institutions (SIDBI etc) Other Financial Institutions Rating Others (Please Specify) ii.10 lakh and up to Rs.iv. Please mention your banking preference (Kindly rate them in the order of 1 to 4 with 1 being the least preferred and 4 being the most preferred) Public Sector Banks: Private Banks: Foreign Banks: Cooperative Banks: Please mention the name of your banking institution/s and rate their services on a scale of 1 to 5 with 1 being the worst and 5 being the best Bank 1: Bank 2: Bank 3: Rating: Rating: Rating: Business Gaurav SME Awards 2011 2 .2 crore □ More than Rs.10 crore □ More than Rs. FY10 and FY11 Financials Details ^Total Income (domestic + exports) Net Profit (PAT) Export Revenue Note: ^Total Income refers to net sales + other income □ More than Rs.10 lakh □ More than Rs.5 crore and up to Rs. Crore) Please specify the top five exporting countries - IV.2 crore and up to Rs.5 crore III.

Do you think that the various initiatives undertaken by the Ministry of micro. Do you provide any training to employees? □ Yes □ No If yes. Please mention the key initiatives/achievements of your company with regards to improving operational efficiency Business Gaurav SME Awards 2011 3 . please mention the major initiatives undertaken by the company with respect to training and development of employees ii. kindly rate the various factors responsible for hindering the process (on a scale of 1 to 4 with 1 being the lowest and 4 being the highest) Factors Corruption Faulty implementation Rating Red-Tapism Lack of awareness among SMEs Factors Rating Others (Please Specify) V. Major Challenges faced by SMEs (Kindly rate them in the order of 1 to 6 with 1 being the lowest and 6 being the highest) Benefits Obtaining Finance Lack of Infrastructure Competition from larger players and MNCs Rating Bureaucratic Hurdles Obtaining Skilled Manpower Technology up-gradation Benefits Rating Others (Please Specify) iv. *Key Initiatives and Achievements (Please attach additional sheets wherever applicable) i.iii. A dedicated stock exchange exclusively for SMEs would have a highly favorable impact on the sector □ Strongly Agree □ Agree □ Neither Agree nor Disagree □ Disagree □ Strongly Disagree v. small & medium enterprises or any other Government agencies towards promotion of SMEs have not been very effective? □ Yes □ No If yes.

dnb.28476281 / 82. Fax: 022 . Future plans(Kindly tick the option relevant to your company) Option Expanding Product/Service offerings Diversifying into a new Segment/Sector Tick Option Entering new geographies within India Venturing into international markets Tick Please elaborate VI. Powai. 2nd Floor. To be filled by Axis Bank employees Employee code Business Gaurav SME Awards 2011 Branch / Centre name Date 4 .. Saki-vihar Road. Marketing and sales promotion initiatives (Kindly tick the option relevant to your company) Option Product Development Promotional schemes and offers Tick Option Dealer/retailer Discounts Participating in industry/association events & trade fairs Tick Please elaborate on the various marketing and sales promotion initiatives undertaken by the company iv.Jalal Khatib (022-66801378) / Rohit Singh (022-66801347) Dun & Bradstreet Information Services India Pvt. * Declaration This is to certify that the above information is true and correct to the best of my knowledge Name of the Respondent: Mobile: Date and Signature: Email: Stamp: Designation: Please enclose financial statements. Phone (Board Line): 022– 22-66801300. Please send the completed questionnaires to: Contact Person . Ltd. Near Saki-vihar Telephone Exchange. client’s testimonials.co. marketing brochure and any other relevant information using additional sheets.iii. ICC Chambers 2. Email: businessgaurav@mail. Mumbai – 400072.in The questionnaire is designed to elicit information for ‘Business Gaurav SME Awards 2011’ and the publication ‘Leading SMEs of India 2011’ and will be used solely for the same purpose.