| a. |
Name of
the Organisation |
: |
_____________________________________ |
| b. |
Address |
: |
_____________________________________ |
| c. |
State |
: |
_____________________________________ |
| d. |
District |
: |
_____________________________________ |
| e. |
Block |
: |
_____________________________________ |
| f. |
Phone
No. (With STD Code) |
: |
_____________________________________ |
| g. |
Fax No.(if
any) |
: |
_____________________________________ |
| h. |
Nearest
Railway Station |
: |
_____________________________________ |
| i. |
Registration
No.of the Organisation
|
: |
_____________________________________ |
| j. |
Date of
Registration |
: |
_____________________________________ |
| k. |
Date of
Renewal, if any |
: |
_____________________________________ |
| l. |
Area of
Operation
I) As per MOA
ii) For implementation of this programme
|
: |
_____________________________________ |
| m. |
Name of
the Bank of Organisation
|
: |
_____________________________________ |
| n |
Account
No. |
: |
_____________________________________ |
| o. |
Name and
Designation of Chief Functionary
|
: |
_____________________________________ |
| Sl. No. |
Details
of enclosures |
Yes/No |
Page
No. |
| (1) |
(2) |
(3) |
(4) |
| 1. |
Attested
Copy of the original Registration Certificate/Renewals,
if any. |
|
|
| 2. |
Attested
copy original Memorandum of Association/Bye-laws with
latest amendments |
|
|
| 3. |
Indicate
the provision to borrow from outside agency (pl.give para/page
No. Bye laws) |
Page No..........
Para No.
.. |
|
| 4. |
Main objectives/purpose/background
of forming the organisation - a brief note. |
|
|
| 5. |
Bio-data
of the chief functionary. |
|
|
| 6. |
Composition
of the current Managing Committee with name, designation
and address of the members (with relevant copy of resolution
of general body.) |
|
|
| 7. |
Copy of
the audited accounts and Balance Sheet of the organisation
for the last three years along-with Auditors Report |
|
|
| 8. |
Copy of
the resolution passed by Management Committee seeking
loan (amount Rs................) from NMDFC. |
|
|
| 9. |
Copies
of Annual Report of last three years. |
|
|
| 10. |
Copies
of testimonials received from funding agencies/Govt. Departments
etc., if any. |
|
|
| 1. |
Applicant
NGO has to ensure that there is specific borrowing clause
in their Memorandum of Association/Bye-laws for outside
borrowing. The Memorandum of Association/Bye-laws of applicant
NGO should provide the clause for undertaking economic
activities. These points should be highlighted while submitting
the relevant documents along-with the proposal. |
| 2. |
The reason
of deficit in any financial year out of the three previous
financial years should be explained. |
| 3. |
The application
for Credit limit/IFL has to be submitted strictly as per
prescribed format. |
| 4. |
Applicant
NGO has to ensure that specific resolution of the governing
body regarding availing of interest free loan/credit loan
from NMDFC has to be submitted. The resolution is to be
signed by all the members of the applicant NGO. |
| 5. |
Recovery
percentage of loan given by applicant NGO has to be specified. |
| 6. |
Applicant
NGO has to give details of year-wise resources of funds
utilized for credit business during |
| 7. |
It is
observed that the details regarding thrift and credit
business conducted by the applicant NGO during the past
two-three years are not reflected properly in the audited
accounts/balance sheet of the applicant NGO which should
be taken care of. |
| 8. |
The organization's
infrastructure for promoting Self Help Group may be given
as per the following format:
| Sl.No. |
Name |
Gender |
Date
of Joining |
Qualifi-cation |
Total
years of Experience in Micro Credit |
Designation |
Salary
P.M. (Rs.) |
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
| |
|
|
|
|
|
|
|
|
| 9. |
Applicant
NGO may submit its year-wise experience in self-employment
income generation activities aimed at economic empowerment
of poor target groups. |
| 10. |
If an
applicant NGO has received financial assistance for promotion
of self help groups from any other Financial Institution,
Cooperative Banks, RMK/SIDBI/NABARD, etc. details regarding
receipt and current status of utilization/recovery may
be submitted. |
| 11. |
Applicant
NGO may submit the brief description of the area where
groups are supposed to be formed; in terms of population
of minorities and activities practiced for employment
etc. |
| 12. |
Applicant
NGO may submit the details regarding preliminary work
done in the direction of formation of proposed minority
SHGs, so far. |
| 13. |
Applicant
NGO has to specify regarding the occupation of the members
of the governing body. |
| 14. |
Applicant
NGO has to state regarding the organization structure
whether it is democratic set-up or a non-elected trust. |
| 15. |
Applicant
NGO has to state the details of Books of Accounts maintained
at NGO's as well as SHG's level. |
| 16. |
Applicant
NGO has to give details regarding the duration/frequency
of meeting of SHGs. |
| 17. |
System
of thrift/credit mechanism followed by NGO/SHGs should
be commented upon by the applicant NGO. |
| 18. |
A legible
copy of documents should be submitted along-with the application. |
| 19. |
Application
form along-with relevant documents may please be submitted
in English/Hindi Version only |