Please fill up the questionnaire below to help us understand whether your organization is in compliance with law. Name Official Email Mobile Location Do you have 10 employees/workers working for you? Yes No Do you have offices in more than one location? Yes No If yes, please specify some locations: Have you constituted an Internal Complaints Committee (ICC)? Yes No Do you have documentation (supporting corporate action) to show constitution of the ICC? Yes No Does your ICC have at least 4 members? And 50% of them are women? Yes No Is the Presiding Officer/ Chairperson, a lady in the senior position in your office? Yes No Do you have an independent, unconnected, third party as a member of the ICC? Yes No Please give details (for example: The external member is from an NGO or an advocate etc.): Have you done a training / awareness session on the law against sexual harassment? Yes No Do you have a policy against sexual harassment? Yes No Have you displayed the policy, or the details of the ICC and documentation showing constitution of ICC in a conspicuous place? Yes No Have you recorded the number of sexual harassment cases in your organization? Yes No Have you reported the statistics related to sexual harassment complaints in the annual report or to the District Officer? Yes No What kind of an organization are you representing? Sole Proprietorship Unlimited Partnership Limited Liability Partnership (LLP) Private Limited Company Public Limited Company Government Company Ministry / Department of Ministry Educational Institution Any Other What is (143 -89) = Submit Your Details
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