香港董事学会董事委任服务有关需求问卷.doc

Board Appointment Questionnaire 12-2012 Page PAGE 1 of 2 香港董事學會董事委任服務問卷：有關公司對非執行董事的要求 The Hong Kong Institute of Directors Board Appointment Service Questionnaire on Company Specification For NED (Non-Executive Director) 請徵求公司清楚填寫此問卷共二頁及簽署附頁公司承擔文件中文或英文版本， 如貴公司有公司簡介刊物，請附一份，遞回：香港灣仔軒尼詩道48號上海實業大廈2104 香港董事學會 Please complete and return this Questionnaire (2 pages) and the Company Undertaking attached, in either English or Chinese, together with a copy of corporate brochure, if any, to:- The Hong Kong Institute of Directors, 2104 Shanghai Industrial Investment Building, 48 Hennessy Road, Wan Chai, Hong Kong 電話Tel: (852) 2889 9986 傳真Fax: (852) 2889 9982電郵Email: executive@ ************************************************************************************************* 公司名稱Name of company: __________________________________________________________ 公司地址Address: ___________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 電話Tel: _______________________________ 傳真Fax: __________________________________ 公司類別： __ 上市公司 __ 私人公司 __ 公營/法定/非牟利組織 Category of company:- __ listed company __ private company __ public/statutory/not-for-profit organization 4. 業務性質Business nature: _____________________________________________________________ 5. 欲委任非執行董事數目No. of non-executive directors to be appointed: ________________ 欲徵求獨立非執行董事Independent non-executive director to be appointed? 是Yes / 否No. 期望非執行董事所扮演角色（請參閱「董事委任服務」大綱） Expected role(s) played by non-executive director (Please refer to Board Appointment Service Outline.) ___ 智者Wise-man ___ 聯絡人Contact person ___ 檢察員Monitor ___ 專才Specialist ___ 先鋒 Catalyst ___ 監察者 Watchdog ___ 世界瞭望站 Window on the world ___ 大使 Ambassador ___ 保密顧問 Confidant ___ 仲裁者 Judge ___ 賦予地位者Status provider ___ 魯仲連 Safety valve ___ 其他 Other: _____________________________