CSR Survey

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The Madras Chamber of Commerce & Industry

Championing Enterprise.... Since 1836

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1. Name of the Company

2. Location and Address of the Corporate Office

3. Business Area

4. Contact Person - (Who is handling the CSR)

5. Website Address

5a. Mobile no/Landline no

5b. E-mail ID

6. Information on CSR: How long has your company been carrying out CSR Activities? (Please specify the number of years. In case your company has not been engaged in CSR activities in the past three years please go to question 7)

7. Please indicate the focus areas of the CSR activities.

Education

Skill Development / Livelihood training / Vocational training

Drinking Water and sanitation

Working with Persons with Disability

Environmental issues

Sports

Women’s empowerment

Health

Senior Citizens

Infrastructure

Medical Support

Any other ( please specify)

7a. Specify Other Focus Areas if any

8. Do you take support of NGO for carrying out the CSR activity ? If yes, can you please share the name of NGO and details?

9. Approximate spend on CSR in the last three years

a. 2014-15

Less than 1 cr

1 to 5 cr

More than 5 cr

b. 2013-14

Less than 1 cr

1 to 5 cr

More than 5 cr

c. 2012-13

Less than 1 cr

1 to 5 cr

More than 5 cr

10. In your opinion, does your company need any assistance in starting/ upgrading the CSR activities?

Yes

No

11. If yes, can you specify the kind of assistance required?

12. How would you like to support the Chamber in CSR activities?

Enter Code

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