Reliance Broadcast Network
Shareholders Satisfaction Survey 2011

It is our constant endeavor to improve the standard of our investor services & to extend the best possible services to our shareowners and we seek your feedback on the same. Please fill the below response form and click 'SUBMIT' button provided at the end of the form.

Name of sole / first Holder *:
Folio Number * :
	or
DP ID No.* :
Client ID No.* :
No. of Shares Held :
Mobile No.* :
Telephone No.* :
E-mail Id *:
Kindly rate our services in following areas >     Excellent   Good Needs improvement   1. Responses to queries/complaints     2. Your Overall rating of our investor service     3. Presentation of information on Company's     website : www.reliancebroadcast.com           4. Quality & Contents of Annual Report October 1, 2010 - March 31, 2011     5. Timely receipt of Annual Report     6. Do you have any grievance which has not been addressed so far:         Yes   No               If yes, please furnish details in brief               7. Your suggestions and comments for improvement in our services                             Enter Captcha (captcha letters are case sensitive)                                           * Mandatory Fields