Mandatory fields. Schedule I. Self Help Group Information SHG Name(Regional 1 Language) 2 *SHG Name(English) Sl No

Size: px

Start display at page:

Download "*Mandatory fields. Schedule I. Self Help Group Information *SHG Name(Regional 1 Language) 2 *SHG Name(English) Sl No"

Martina Dixon
5 years ago
Views:

1 Schedule I Sl No Self Help Group Information *SHG Name(Regional 1 Language) 2 *SHG Name(English) 3 Type of SHG Female Group/ Male Group/ Mix Group 4 *Village 5 Taluka/Block /Cluster 6 Municipality 7 District 8 State 9 Pin code 10 *Formation Date 11 SHG Formation Agency 12 Federation Name Group formed Under which 13 Project/Scheme 14 *Individual Monthly Saving Rs. 15 Rate of on Internal % 16 Voluntary Saving Yes/No rate on Voluntary 17 Saving % 18 Total Members NGO Name /NRLM/Bank /State Govt /Agri Dept/Farmers Club/ /Federation/Micro Finance Institution /PACS/Other Nabard/State Govt/SRLM/Other 19 Meeting Frequency Weekly/Fortnightly/Monthly/Other 20 *Bank Name 21 *Branch Name 22 *SB Account Number 23 IFSC of bank branch 24 SB Account Opening Date 25 Fine Yes/No 26 Group Activity Agriculture/Non Agri/None 27 Master Data Entered by President/Secretary/Coordinator/Acco untant *Mandatory fields

2 Schedule II Member s Information Sl No Particulars 1 *Village 2 *Name of SHG *Member Full Name(English) 3 *Member Name(Regional Language) 4 5 Male/Female/Other Father Name/Husband Name 6 7 Date of Birth/Age 8 House Number 9 Education 10 Primary Occupation Agri/Dairy/ Wages /Self Employed/House Wife 11 Bank Name 12 Branch Name 13 Member s SB Account Number 14 AADHAAR Number 15 Voter Id Number 16 Ration Card Number 17 MNAREGA Card No 18 Religion Hindu/ Muslim/Chrishan/ Boudh/Sikh/Jain/Parsi/Other 19 Category SC/ST/OBC/General 20 House Type Kachha/Pakka 21 Toilet Facility Yes/No 22 Electricity Yes/No 23 Land Holding Type Self/On Rent 24 Marital Status Married/Unmarried/Divorced/Widow/Deserte d 25 Total Family Members (including member) 26 Mobile Number 27 Financial Classification BPL/APL 28 Life Insurance Yes/No 29 Health Insurance Yes/No 30 Micro Pension Yes/No 31 Date of Entry in Group Member of Joint Liability Group Yes/No Member s Exit date from Group 34 PIP number 35 Handicap Type Deaf/ Deaf & Dumb/ Blind/ Bone Deformity/ Mentally Challenged/ Others Member Status 36 *Mandatory fields President/Vice President/Secretary/Treasurer/Member

3 Schedule III Eshakti Members Up to Date Account Status SHG Name : Village: Member Name Cumlative Savings Voluntary Savings Repayment Of Internal Internal paid Repayment of CC CC Paid Repayment of Term Term Paid Repayment of Other Other Paid Total

4 Date: Fine Other Deposit Total Receipts( 1 to 12) Internal CC Term Other Return of Monthly Savings Return of Voluntary Savings Total Payments( 14 to 19)

5 Schedule IV EShakti SHG Up to Date Account Status Date: SHG Name: Village: Receipts Rs Payments Rs Members Monthly Savings Members Internal Members Voluntary Savings Members CC Members Internal Repayment Members Term Members Internal Paid Members Other Members CC Repayment Members Monthly Savings Return Members CC Paid Members Voluntary Savings Return Members Term Repayment Members Term Paid Members Other Repayment Members Other Paid Members Fine Members Other Deposit SHG SEED Fund SHG Subsidy Received SHG CC Received SHG Term Received SHG Other Received SHG Saving Account SHG Other Deposit Total Receipts SHG Subsidy Reserve Fund SHG Fixed Deposit SHG Expenses SHG CC Repayment SHG CC Paid SHG Term Repayment SHG Term Paid SHG Other Repayment SHG Other Paid SHG Profit Distributed SHG SB Account Balance SHG Cash In Hand Total Payments

6 Bank Details Schedule V SHG Name: Details Sr No * Type(CC/Term /Other ) * Source(Bank/MFI/Fe deration) *Bank Name *Branch Name NBFC Name * Account No Sanction Date Sanction Amount * Disburse Date * Disburse Amount * -Fields are Mandatory

7 Village: Repayment Details * Tenure Installment Type(Monthly/Qu arterly/half Yearly/Yearly) Subsidy Amount Subsidy Reserve Fund Purpose Rate First Installment Date InstallMent Amount Last Repaid Date Total Repaid as on last repaid date paid * Status(Active/NI L)

8 Schedule VI IA/SHPI data to be captured in the software Sl no Field Category Type 1 Name of the SHPI M 2 Category O NGO, NRLM, State Government Dept., Farmer's club, MFI, Banks, Federation, PACS. 3 Registration Number O 4 Registration date O 5 State M 6 District M 7 Address M 8 Name of the CEO M 9 Contact number of CEO M 10 Name of the Secretary M 11 Name of the MIS Operator M 12 Contact number of MIS Operator M 13 ID of the SHPI (2 s) M 14 Provision for fields to be added later on

Uniform Credit Reporting Format for Micro Finance Institution (MFI) Segment

Annex II Uniform Credit Reporting Format for Micro Finance Institution (MFI) Segment Field 1 Member Segment / when A/N 6 Must contain the value "CNSCR" to identify the Member Segment. A/N 35 Customer I