Stone India

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	Investor Complaint

SHAREHOLDER SATISFACTION RESPONSE FORM

Dear Shareholder ,

We thank you very much for the encouraging response we received from most of you during the past couple of years on our services. We give below a response sheet requesting your feedback. We request you to kindly fill up the form and let us know your views.

Name*

Date *

DD MM YYYY

Address*

City*

Pin Code*

Telephone Number*

Mobile Number

Email*

Folio No :

DP ID No :

Client ID No :

We request you to rate our service levels on a 1-5 point scale by entering the respective points in the Rating Fields

1- Poor 2 – Average 3 – Satisfactory 4- Good 5 – Excellent

Sl.No	Areas of Service	Rating	Sl.No.	Areas of Service	Rating
1.	Response Time		6.	Courtesy
2.	Transfer/Demat/Issue of Duplicate Shares		7.	Promptness
3.	Exchange of share Certificates for split etc.		8.	Responsiveness
4.	Registration of Request like change of address, POA, Nomination etc.		9.	Efficiency
5.	Disbursement of Corporate Benefits like Bonus, Dividend etc.		10.	Your impression on our Registrars & Share Transfer Agents

Particulars of complaint : ( Provide Maximum Details )

Folio

Certificate No

Distinctive No

Appl. No.

DRN No.

DP ID No.

Client ID No.

Suggestions/remarks(if any)

By submitting the above details to Stone India Limited and proceeding with this form you consent to the collection, processing and use of that data by Stone India Limited. Fields marked with * are mandatory

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