Dun & Bradstreets

Business Optimism Index

Business Expectation Survey Respondent Form For the Quarter (October December 2011) Country: India
Name Designation Name of Company Address Telephone Fax Line of Business : : : : : : :

Basic Goods /

Capital Goods /

Intermediate Goods / Services

Consumer Durables /

Consumer Non Durables /

Please indicate your expectations about your companys performance in the Forthcoming quarter (Oct Dec 11) and also the actual performance in the Current quarter (Jul Sep 11) with regards to the following six parameters in terms of Increase, Decrease or No change. Please Tick () under the appropriate column. Actual Expected Jul Sep 2011 Vs Jul Sep 2010
Increase Decrease No change Increase

Oct Dec 2011 Vs Oct Dec 2010

Decrease No change

Volume of Sales New Orders received Net Profits after Taxes Level of Selling Prices of your Products Level of Stock1 Total number of Employees For Internal Use: SIC Code: Company Code: Date: __________________ Duns No.: Region: HCR No.:

Signature: ______________________
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Please send the filled questionnaire by Wednesday 28 September, 2011 to: Seema Changam (ChangamS@mail.dnb.co.in)/Tejal Hadkar (HadkarT@mail.dnb.co.in) nd Address: Dun & Bradstreet Information Services India Pvt. Ltd., ICC Chambers 2, 2 Floor, Near Saki Vihar Telephone Exchange, Saki Vihar Road, Powai, Mumbai - 400072. Phone: 022 - 6680 1300 Extn: 334 / 337 Fax: 022-2847 6281 / 82 Email: eag@mail.dnb.co.in Website: http://www.dnb.co.in/boiquestionnaire/
The questionnaire is designed to elicit information for Dun & Bradstreets Business Optimism Index, and will be used only for that purpose.

Respondents from the services sector are not required to answer this question 1

Dun & Bradstreets Business Optimism Index