Single format · FV01-X2-1

Board evaluation questionnaires: the board, committees, individual directors and the chairperson

A single format from the Board Evaluation pack. s.134(3)(p) · s.178(2) · Schedule IV paras V, VII, VIII · Rule 8(4) · LODR Reg 17(10), 19(4), 25(4) · SEBI Guidance Note 05.01.2017.

Length
7 pages
Blanks to fill
222
Files
Word and PDF
Law as at
30 October 2026
Last reviewed
30 October 2026

What it covers

  1. 1Board evaluation questionnaires: the board, committees, individual directors and the chairpersons.134(3)(p) · s.178(2) · Schedule IV paras V, VII, VIII · Rule 8(4) · LODR Reg 17(10), 19(4), 25(4) · SEBI Guidance Note 05.01.2017222 blanks

Not included

What you will still need outside this format:

  • Terms of engagement for an external board evaluation facilitator.
  • The NRC's terms of reference, the remuneration policy and the Board skills matrix.
  • The full Board's report and corporate governance report: The Board's Report (FV01-H6).
  • The independent director's letter of appointment (FV07-E12) and the special resolution for re-appointment to a second term.
  • The familiarisation programme for independent directors and its website disclosure.
  • Advice on remuneration benchmarking or on removing a director following the evaluation.

Read the opening

The first part of the format, as it downloads. Blanks are highlighted.

[Name of the Company] · Annual evaluation for the financial year [Financial year evaluated]

BOARD EVALUATION QUESTIONNAIRES

Strictly confidential. Please return the completed questionnaire to [Name of the person collating the responses] by [Date for return of the questionnaires]. Responses are collated without attribution. Ratings of individual directors are seen only by [the Chairperson of the Nomination and Remuneration Committee / the external facilitator / the Chairperson of the Board].

Respondent (optional where responses are anonymous): [Name of the respondent] · Category: [Executive / Non-executive / Independent] · Date: [Date of completion]

How the evaluation is carried out

30 more paragraphs and tables follow in the full format.

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