Form to submit CSR (Corporate Social Responsibility) Details
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CSR Detail Form
Please do NOT write in ALL CAPITALS as it is difficult to read.
You can use 'Tab' key to go to next field.
Fields marked with a
*
are compulsory.
Does the Company do CSR activities?
*
Yes
No
Part I - Company Contact Information
Name of the Company
*
Registered Address
*
City
State
Select
Andaman and Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra & Nagar Haveli
Daman & Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttaranchal
Uttar Pradesh
West Bengal
Pincode
Telephone Nos.
*
(with area code)
Fax No.
Email Id 1
Email Id 2
Website
*
(If no website, write 'None')
Year of establishment of company
Name of the Chairman / CEO
Select
Mr.
Ms.
Dr.
Designation
Part II - Contact details of CSR head
Name of the person
Select
Mr.
Ms.
Dr.
Designation
Name of the Company
Contact Address
Telephone no.
Fax no.
Email id 1
Email id 2
Link of CSR Website / Section
(If no website, write 'None')
Part III - Company Profile
Slogan on Annual Report
Company's Vision Statement
Company's Mission Statement
Special Notes, if any
(If you are part of a group, please state name of parent group company)
Type of Company
*
PSU - Public Sector
MNC - Multi National (from outside India)
Indian MNC- Indian Multi National
Private Sector (operating in India only)
Industry Sector
*
Select
Auto Ancilliaries
Automobiles
Banking
Cement
Chemicals
Construction
Computers
Diversified
Electricals
Electronics
Engineering / Machinery
Entertainment and Media
Fertilizers
Financial Services
FMCG and Consumer Durables
Foods
Healthcare
Heavy Engineering
Hotels
Iron and Steel
Jewellery
Logistics
Metal
Mining
Oil and Gas
Packaging
Paint
Paper
Petroleum and Petrochemicals
Pharmaceuticals
Polymers and Plastics
Power
Retail
Shipping
Software and ITES
Sugar
Telecommunications
Textiles
Trading
Others
Three Main Products / Services
*
a.
b.
c.
No. of Employees
*
(a)
Not Disclosed
OR
(b)
Source
Number (Source, if any)
Other locations of factories / offices
*
Time Period of financial result
*
Select
April 2008 - March 2009
July 2007 - June 2008
October 2007 - September 2008
July 2008 - June 2009
October 2008 - September 2009
January 2009 - December 2009
- Consolidated Sales
Rs.
Crores (Rounded)
-Consolidated Profit before Tax
Profit
Loss
Rs.
Crores (Rounded)
-Consolidated Net Profit After tax
Profit
Loss
Rs.
Crores (Rounded)
-CSR Budget
Rs.
Crores (Rounded)
Nil
Not Disclosed
Part IV - CSR Activities
Any Trust / Foundation for CSR?
Yes
No
If Yes, then please give it's name
CSR Areas
Children
Community Welfare
Disaster Relief
Education
Employee Welfare
Energy
Others
Environment
Girl Child
Healthcare
Heritage Conservation
Physically Challenged
Poverty Eradication
Rural Development
Senior Citizens
Sports
Vocational Training
Water
Women
Three main CSR activities (Short phrases)
a.
b.
c.
Do you publish a Sustainability Report?
Yes
No
Please give Weblink or Attach below
Are you a member of the UN Global Compact?
Yes
No
Please write about your CSR activities in brief (Upload detail information below)
To upload additional CSR Information (.jpg / .gif / .bmp / .doc / .xls / .pdf extension files only), please use the following.
1
Title of Document
(Max 10 MB)
2
Title of Document
(Max 10 MB)
3
Title of Document
(Max 10 MB)
Karmayog CSR 2008 Rating
Link
Karmayog CSR 2007 Rating
Link
Filled by
*
Email Id
*
Comment for Karmayog