1239 form
1239 form
Acknowledgement
(To be handed over to SHG after submission of the Application Form)
Name of SHG
Address
Application No
Savings Account No
Date of Receipt of
Application by branch
Signature
Branch
Bank
Date
Page 1 of 19
Form No For Official Use Only
Bank
Branch Customer ID
SB Account No Loan A/c No
Loan Type (CC/TL) Cash Credit
Term Loan
Product code
Date of Sanction
Sanctioned Amount in Rs.
Loan Terms in case of
term loan
SB A/C No
Loan A/c No (if any)
Supporting Agency
(if any)
Page 2 of 19
Self Help Group Loan Application Form
To:
Affix passport
Affix passport Affix passport Affix passport
Sizephotograph
Size Photo
Size photograph Size photograph
Saving Bank A/c No. Saving Bank A/c No. Saving Bank A/c No.
Page 3 of 19
5. We hereby declare that the particulars given above are true and correct to the best of our
knowledge and belief.
6. We hereby authorize the Bank to disclose all or any particulars or details or information relating to
our loan accounts with the Bank, to any other financial institution including NABARD, Government
or any agency as may be considered necessary or desirable by the Bank. It will be in order for the
Bank to disqualify the SHG from receiving any credit facilities from the Bank and or recall the
entire loan amount or any part thereof granted on this application, if any of the information
pertaining to the group, furnished herewith is found incorrect and/or containing misrepresentation of facts.
7. We undertake that the Credit Information Bureau (India)Ltd. and any other agency so authorized
may use, process the said particulars disclosed by the Bank in the manner as deemed fit by them
and I/We shall not raise any dispute in whatsoever manner regarding information/details
furnished/to be furnished to CIBIL/other authorities and same is binding on me/us.
8.
Yours faithfully,
1.
2.
3
[Signature of Authorized Representatives of SHG with Seal]
Page 4 of 19
Resolution by SHG for taking loan from bank
Name of SHG:
Address:
Date of Formation:
Total no of Members: Name of Facilitating Agency:
----------------------------------------------------------------------------------------------------------------------------- ----------------------
Resolution for taking loan from bank
Today on …………(Date), at the meeting of ………………………………………..(name of SHG) at
……………………..(meeting place of SHG/ address) in presence of all its members, it is resolved that our
………………………………………..(name of SHG) will seek loan of Rs …....., (in words)…………………….. from ----
------bank. It has also been further resolved that Smt…………………………….(Designation ……………………);
Smt……………………………… (Designation ……………………) and Smt ………………………………..( Designation
……………………) will sign all the necessary document related to the loan application to bank on behalf of the
………………………………………..(name of SHG). We also authorize them to execute the acknowledge of debts as may
be required by the Bank.
Member-wise details of proposed investment, sources of fund & resultant Net Surplus of the family
Total
Annual
Income Annual Annual
from net repayment
Amount of Total
various income for the
loan Annual Annual
S.N. Name of member* Purpose of sources:- before proposed
Required Expenditure Surplus
investment IGAs, repaymen loan &
from SHG (Rs.) (Rs.)
Wages, t of loan existing
(Rs.)
Grants installme loan, if any
from Govt. nt (Rs.) (Rs.)
etc.
(Rs)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Total
(*) To be written in order of priority & rotation plan as decided in SHG meeting
Page 6 of 19
INTER-SE AGREEMENT TO BE EXECUTED BY THE MEMBERS OF THE SELF HELP
GROUP
3. Each member shall strive for the success of the SHG and shall not act in any manner
detrimental to the business interests of the SHG.
4. The SHG members shall be jointly and severally liable for all the debts contracted by the
SHG.
5. All assets and goods acquired by the SHG shall be in the joint ownership of all the members
of the SHG and shall ordinarily be in the constructive custody of such member as may be
authorized by the Group and shall be kept at the place of business at________________
which shall not be changed without consent of the SHG members.
10. Each of the SHG members hereby agrees to abide by and ratify all such act, deeds and
things as the authorized representatives may do in the interest of the said activities.
11. The authorized representatives shall take decisions in the day to day working of the SHG and
each representative shall actively involve herself and co-operate in looking after the day-to-
day affairs of the SHG activities in particular to attend to the following activities.
- Every member of the SHG hereby authorizes the representatives to apply for the loan on
behalf of the SHG and execute necessary agreements/documents on behalf of the SHG for
the purpose. The authorized representative may collect loan amounts from the bank on
behalf of SHG, deposit the same in the savings account of the SHG in case of Term Loans
for on-lending to members in accordance with the decision of the SHG and also deposit
recovery of loan installment from members in the loan account/s of SHG with the bank.
14. It is agreed that no new person shall be inducted as a member of the SHG without consent of
all the existing members.
IN WITNESS WHEREOF the aforesaid members of the SHG have set their respective hands
hereunto at the place __________________ and on _______________ day of _____________
month ___________ year first herein appearing.
WITNESSES:-
1.
2.
(Note: The SHG shall not consist more than 20 persons).
Page 9 of 19
Financial Statement of ………………………………....(name of SHG) as on ………(date)
Liabilities Assets
Particulars Amount Particulars Amount
Outstanding C/C of Bank Cash in hand
Outstanding T/L of Bank Deposit with Bank
Outstanding loan of
Deposit with Federation
VO/Federation
Loan outstanding from
Savings of members
members
Other Liabilities Other Assets
(Specify……………………………) (Specify …………..……….)
Surplus
Total Total
Details of Corpus
Total
We certify that the above statement is true and can be verified from the books of accounts maintained by our
Self Help Group.
Page 10 of 19
Format 1: SHG Grading format for Fresh Linkage( Term loan and CCL/DL)
A. Basic Information:-
Page 11 of 19
Format 2: SHG Grading format for Repeat Linkage (Cash Creedit/Demand Loan)
A. Basic Information:-
Name of the SHG:
Village: ………………Gram Panchayat:……………Block:………………District:…………………
Date of formation of the SHG:…….……………..
Date of first/previous credit linkage -----------------------and Loan A/C No :………………..
Period considered for Grading: From…………………to…………………….
(Usually last12 months)
B. Details of Grading /Evaluation Exercise:
S.N. Indicator Allotted Formula for determining Marks Marks
Marks obtained
1 Regularity of Meeting:
(a) Regularity of holding meetings No. of meetings held X10
5
by SHG No. of meetings required to be held as per rule of SHG
(b) Regularity of Attendance of Average no. of members attended the meetings X10
members in the meetings 5 Total no. of members of the SHG
2 Regularity of Savings by Amount of savings deposited by the members X 10
10
members Amount of savings required to be deposited as per rule of SHG
3 *Velocity of Lending to More than 1.5 : 10
members from Group Corpus More than 1.0 up to 1.5 - 7
10 More than 0.5 up to 1.0: 5
More than 0.2 up to 0.5: 2
Up to 02: 0
4 Regularity in Repayment of Amount of recovery against Demand X 10
loan by members 10 Amount of Demand (required to be paid as per repayment
schedule)
5 Updated Record keeping:
a) Meeting Resolution Book 2
b) Cash Book 2
c) Savings Ledger 2 Maintained up to date :- Full marks
d) Loan Ledger 2 Maintained , but not up to date:- Half Marks
e) Individual Pass Book 2 Not maintained:- 0 (no Mark)
f) Total 10
Operations in Cash Credit A/c and Credit history:
a) Number of transactions in last i) 12 or more:- 20
12 months ( Debits other than 20 ii) 6 to less than 11 :- 10
interest + Credits) ii) Less than 6 :- 5
b) No of months (during last 12 i) All 12 months :- 20
6 months)in which interest served 20 ii) 6 to 11 months:- 10
on time iii) Less than 6 months:- 5
c) Occasions of overdrawing
i) Never :- 10
inCC A/c due to charging of
10 ii) On 2 occasions :- 5
interest etc. during last 12
months iii) On more than 2 occasions :- 0
Total 100
*Velocity of lending from Group Corpus= Amount lent to the members from Group Corpus
Average amount of Group Corpus
A Grade: 80 or more marks
B Grade: 70-79 marks
C Grade: 60-69 marks
D Grade: less than 60 marks
Only A & B graded SHGs are to be considered for enhancement of CC/DL limit
Page 12 of 19
Format 2: SHG Grading format for Repeat Linkage (Term Loan)
C. Basic Information:-
Name of the SHG:
Village: ………………Gram Panchayat:……………Block:………………District:…………………
Date of formation of the SHG:…….……………..
Date of First credit linkage -----------------------and Loan A/C No :………………..
Period considered for Grading: From…………………to…………………….
(Usually last 12 months)
D. Details of Grading /Evaluation Exercise:
S.N. Indicator Allotted Formula for determining Marks Marks
Marks obtained
1 Regularity of Meeting:
(a) Regularity of holding meetings No. of meetings held X10
5
by SHG No. of meetings required to be held as per rule of SHG
(b) Regularity of Attendance of Average no. of members attended the meetings X10
members in the meetings 5 Total no. of members of the SHG
2 Regularity of Savings by Amount of savings deposited by the members X 10
10
members Amount of savings required to be deposited as per rule of SHG
3 *Velocity of Lending to More than 1.5 : 10
members from Group Corpus More than 1.0 up to 1.5 - 7
10 More than 0.5 up to 1.0: 5
More than 0.2 up to 0.5: 2
Up to 02: 0
4 Regularity in Repayment of Amount of recovery against Demand X 20
loan by members 10 Amount of Demand (required to be paid as per repayment
schedule)
5 Updated Record keeping:
a) Meeting Resolution Book 2
b) Cash Book 2
c) Savings Ledger 2 Maintained up to date :- Full marks
d) Loan Ledger 2 Maintained , but not up to date:- Half Marks
e) Individual Pass Book 2 Not maintained:- 0 (no Mark)
f) Total 10
Operations in Term Loan A/c and Credit history:
i) All due installments on time :- 25
ii) Paid 75% of due installments on time:-
a) Repayment of Term Loan in
15
last 12 months 25
iii) Paid less than 50% of due
6 5
installmentsontime:-
c) Occasions of overdues in
i) Never :- 25
Term Loan A/c due to charging
25 ii) On 3 occasions :- 15
of interest etc. and not timely
repaid during last 6 months iii) On less than 3 occassions :- 5
Total 100
*Velocity of lending from Group Corpus= Amount lent to the members from Group Corpus
Average amount of Group Corpus
A Grade: 80 or more marks
B Grade: 70-79 marks
C Grade: 60-69 marks
D Grade: less than 60 marks
Only A & B graded SHGs are to be considered for enhancement/sanction of next dose of term loan
Page 13 of 19
Branch Office
1. The Bank has agreed to grant and the borrower has agreed to borrow by way of Term Loan
Cash / Credit (clean) up to the limit of Rs. ____________/- (Rupees ________________-only)
and the Bank has opened (SPECIFY THE KIND OF LOAN ACCOUNT)_________________
A/C No._______________________________ of date __________________- in the name of
the Borrower in its book of accounts.
Page 14 of 19
2. *In case the facility availed is Cash Credit the Borrowers will operate the Cash Credit account
satisfactorily and within the limit and the Borrower shall repay the interest charged in the Cash
Credit account from time to time or on demand without demur.
3. *In case loan availed is Demand Loan, without prejudice to the right of the Bank to recall the
loan on demand the Borrower undertakes to repay the loan with interest and other within the
period stipulated in terms of sanction.
4. *In case the credit facility availed of by the borrower is a Term Loan the same shall be
repayable in installments in the manner specified herein-below in the repayment schedule. (to
be specified) Besides the borrower will pay interest at the rates that may be prescribed for
such lending by RBI/NABARD from time to time.
(*Delete whichever is not applicable)
5. It is clearly understood by and between the parties hereto that in the event of the borrower's
failure to utilize the proceeds of the credit facility for the purpose for which the same has been
made available by the bank to the borrower, the borrower shall repay immediately on demand
without demur together with interest without prejudice to Bank's right to initiate other legal
action.
6. The borrower shall pay interest on the loans to be calculated on the daily balances in the loan
account and be debited thereto at monthly/quarterly rests or as the Bank may decide.
7. The borrower should utilize the proceeds of the credit facility for the purpose of lending to is
members to improve the socio-economic conditions of their members and their families. That
the loan will not be used for any Speculative purpose / activities prohibited by law.
8. The borrower shall repay the Term Loan facility availed of together with interest payable as
per the interest rates that may be fixed by bank from time to time for such lending
9. The borrower shall be liable to repay the facility on demand together with the interest and
other charges payable by the borrower to the bank in accordance with the rules of the Bank.
REPAYMENT SCHEDULE:
For Term Loan:
Principal loan is to be repaid in ………..equal monthly / quarterly / half-yearly installments. Interest
debited to the A/C is to be repaid / deposited promptly.
or
Principal loan alongwith interest is to be repaid in ------- equal monthly/quarterlyhalf yearly
installments over a period of -------- months/years.
In witness where of the parties hereto have affixed their signature on the ______________date and
the ______________ month and _____________ year first herein above written.
1.
2.
3.
[Signature of Authorized representatives [Signature of Authorized representative (Office bearers) with
office seal] (Branch Manager) with office seal
Page 15 of 19
DEMAND PROMISSORY NOTE FOR USE BY BANKS WHILE FINANCING
Cash Credit/Demand Loan limits to SELF-HELP GROUPS
Place……………………………
Date:…………………………..
Rs…………………………………
On demand we ………………….(name of the SHG) and the members jointly and severally promise to
pay.……………………….. Bank or order at ………………………………………………………………….
the sum of Rupees………………………………………………………………………………………with
interest thereon at the rate of …………….percent per annum -----(below / above/ at) EBLR/ MCLR /
Lending Rate of the Bank which is at present ……………………% per annum with
…………………………………rests for value received.
Revenue
stamp
Name of SHG:
Page 16 of 19
Appraisal Note cum Sanction Order of Bank Branch for financing Self-
Help-Group:
* Credit Linkage (CC / DL/TL) / *Renewal of CC limit /*Enhancement of CC limit / *Repeat TL
(*Strike out which is not applicable)
Assessment of SHG
1. Whether the SHG has completed 6 months from the date of formation / 12 months from the date
of last sanction: Yes / No (*Strike out which is not applicable)
2. Whether the SHG has been Graded /Evaluated: Yes / No (*Strike out which is not applicable)
3. Whether the SHG has passed the Grading / Evaluation Exercise: Yes / No (*Strike out which is
not applicable
Liabilities Assets
Particulars Amount Particulars Amount
Outstanding C/C of Bank Cash in hand
Outstanding T/L of Bank Deposit with Bank
Outstanding loan of
Deposit with Federation
VO/Federation
Loan outstanding from
Savings of members
members
Other Liabilities Other Assets
(Specify……………………………) (Specify …………..……….)
Surplus
Total Total
Existing Corpus of SHG =Rs …………………………………………[ Total Assets – Outstanding loans (if any)]
Page 17 of 19
Assessment of eligibility CC/DL Limit / TL to be sanctioned to the SHG:
Terms of Sanction:
Sanctioned a new Cash Credit limit / Renewed / Enhanced the existing Cash Credit limit
Rs…………………Rupees……………………………………….only ) under the following terms & conditions:-
or
(c) Purpose of the credit facility: On-lending to the members of the SHG
(d) Rate of interest: ……..% p.a.to be calculated on reducing balance method with monthly rest or
-------% p.a. upto Rs. 3 lakhs and @----- p.a.on rest amount over Rs. 3 lakhs . The SHG will be
eligible to get the benefit of interest subsidy if it fulfil the norms as specified by Government in
this regard.
(e) Service charge: As per guidelines for PSL for weeker sections. (Loan to SHG is treated as
advance to weaker section).
(f) Repayment:
……………………………. ……………………………..
1.
2.
3.
Date:
Place:
Page 19 of 19