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Signature of BDO
MONITORING FORMAT FOR Quarterly/Monthly/Annual REPORTING ON SHGPhysical & Financial Progress of (SHGs) for the period----------------------------------Name of Block /Cluster..
Sl.No Integrated SHG Code No Name of SHG/Village Circle Category Male/ Female/Mixed No of Members Date of SHG Formation Grading Status Types of Activity undertaken Participating Bank Amount of Funds/Loans received Indicate sources of funds/loans Promoted & monitored by
savin
Graded Yes/No
Points awarded
SHG REPORT
Cluster: ______________________________________Name of Cluster Facilitator. Block: ____________________District..
S L.No. Name of Village Name of SHG Date of formation Regular date of Meeting Savings per member Total Savings as on ________ Total Loan taken from outside Total Loan given to members Total Repayment of loan (amount) Activities taken up/objectives Remarks
1 2 3 4 5 6 7 8 9 10 11 12
Remarks: Facilitators may note any requirement, e.g. Training required by SHG (A cluster may consist of 10-12 villages under the charge of one facilitator)
N.
Date : .
(10) Loan Repaid (ka ram ba la siew noh) (11) Total Outstanding loan
(Ka ram ba dang sah bym pat siew)
(9) Purpose
(Ka daw ia ka jing shim ram)
Principal
(Bai Trai)
Interest
(Ka sut)
2 3 4 5 6 7 8 9 10 11 12 13 14 15
Code: Loan purposes (Ki daw ia ka jing shim ram) Consumption-A (Jinglut ba man ka sngi) Agriculture & Allied activities-B (Ka rep ka riang) Livestock-C (Ban ri jingri) Small Business/Non farm-D (Ban seng kam khaii) Any other-E (Kiwei kiwei pat)
--------------------------Signature of BDO