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SHG Profile Data collection Form

The document is a form designed for collecting information about Self-Help Groups (SHGs), including details such as state, district, block, village, SHG name, formation date, and member details. It includes sections for bank account information, meeting frequency, training received, and individual member demographics. The form is intended to facilitate the organization and tracking of SHG activities and member participation.

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mukundramkrishna
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17 views

SHG Profile Data collection Form

The document is a form designed for collecting information about Self-Help Groups (SHGs), including details such as state, district, block, village, SHG name, formation date, and member details. It includes sections for bank account information, meeting frequency, training received, and individual member demographics. The form is intended to facilitate the organization and tracking of SHG activities and member participation.

Uploaded by

mukundramkrishna
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form for collecting SHG information

State*: District*: Block*: GP*: Village*:

SHG Name*: Date of Formation*:

SHG Type* : □New □Pre-NRLM □Revived Date of Cooption/Revival*:


Promoted By: NRLM/ State Project/ NGO/ Any Other
Bank: Branch Name: SB A/c Number: Date of Opening of Account:

Meeting Frequency*: Number of times Bank Linkage


Monthly Amount of Saving per member*: Active Loan A/C Number:
Weekly/Fortnightly/Monthly happened (0 To 10):

Micro Plan Prepared: Yes/No Basic Training Received: Yes/No Standard Bookkeeping practices: Yes/No Bookkeeper identified: Yes/No
If Yes, Name:
II. SHG MEMBER DETAILS

S Member Name* Father/Husband Name* Social DOB* Sub Category Gender* PIP Leader*
N Category* (DD/MM/YYYY) (Male/ category (Present/
(SC/ Disability* (BPL / Religion1* Female/ (POP / Poor / Past/Never)
ST/OBC/ (No/Self / APL) * (Hindu/ Muslim/ Trans) Non-Poor)
Other) Family Christian/ Sikh/
Member) Buddhist/ Jainism/
Parsi/Other)

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SN Member Name* Father/Husband Name* Social DOB* Sub Category Gender* PIP Leader*
Category* (DD/MM/YYYY) category (Present/
Disability* (BPL / Religion1 * (Male/ (POP / Poor / Past/Never)
(SC/ (No/Self / APL) * (Hindu/ Muslim/ Female/ Non-Poor)
ST/OBC/ Family Christian/ Sikh/ Trans)
Other) Member) Buddhist/ Jainism/
Parsi/Other)

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.H: Hindu, M: Muslim, C: Christian, S: Sikh, B: Buddhist, J:Jain, P: Parsi, O: Other

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State*: District*: Block*: GP*: Village*:

SHG Name*: Date of Formation*:

Bank: Branch Name: SB A/c Number:


Active Loan A/C Number:

SN Member Name* Aadhar Number Mobile No. Date of Bank Branch SB Account Number Aadhar Signature/
Seeded Thumb
joining SB A/C
in SHG* (Y/N)

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SN Member Name* Aadhar Number Mobile No. Date of Bank Branch SB Account Number Aadhar Signature/
Seeded Thumb
joining SB A/C
in SHG* (Y/N)

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Prepared By

Name: Signature: Date: Signature of Branch Manager

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