JLG Micro Credit Scheme Appplication Cum Appraisal Form (For Financing Individuals of A JLG)

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DAKSHIN BIHAR GRAMIN BANK

JLG Micro Credit Scheme


APPPLICATION CUM
Self-attested
APPRAISAL FORM recent
(For financing Individuals of a JLG) photograph to be
verified by
Branch Official
For office use only:
Repeat Borrower: Yes / No
Loan A/c number: ……………………………

To,
Manager BC Agent Name: ……………………………….
Dakshin Bihar Gramin Bank Linked to Village: ………………………………
………………………. Branch Under Bank Branch ……………………………

I, Sri/ Smt. ……………………………………………………………………… S/o/W/o/D/o ………….


…………………………………. aged ……… years, resident of ……………………………………..
Village and a member of........................................................................ (JLG Name) would like to
apply for a loan of ₹ 30,000.00/ 50,000.00 (Rupees Thirty/ Fifty Thousand only) for the purpose
of ……….…………………………………………………………… (Please Specify).

I furnish the following particulars:


1. My Main Occupation is ……………………………………. (Farm Sector)
2. I Belong to: SC/ ST/ OBC/ Minority Community/ Others
3. Full Address : Village ………………………………. Gram Panchay at …………………………
Post Office ……………………………. PS …………………………. District ……………………
PIN ……………………………. State …………………………
4. Savings Bank A/c Number (1) …………………………….. (2) .………………………….…
Name of the Bank (1) DBGB (2) …………………………………...
Name of the Branch (1) ……………………………… (2) …………………………………...
5. Particulars of Movable Property owned by the Family
SN Type of Asset Approximate Market Value
1 House ₹
2 Land (Agricultural / others) ₹
3 Livestock (specify) ……………… ₹
4 Agricultural Equipment ₹
5. Vehicles ₹
6. Any Other(specify)………………….. ₹

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DAKSHIN BIHAR GRAMIN BANK
6. My Family Details
SN Name Relation Sex Age Education Occupation

7. Income & Expenditure from Activity/Business


Present Sources of Earnings of Applicant (Mention Activity/Business)…………….
SN Parameter Amount
1 Monthly Income form Activity/Business ₹
2 Monthly Expenditure in Activity/Business ₹
3 Monthly Surplus from the Activity ( 1 - 2) ₹
Monthly Household Surplus (A – B): ₹ ………………………

8. Details of Existing Loan:


SN Particulars Details
1 Source (Bank/NBFC etc) 1. 2.
2 Purpose ₹ ₹
3 Amount Borrowed ₹ ₹
4 Amount Due ₹ ₹
5 EMI/EWI/EFI ₹ ₹

9. Nomination
In case of my death/permanent disability, my nominee …………………………………………….
who is my ……………………………… (relationship with customer) aged
……………………….. years, resident of …………………………………………………………...
shall be entitled to receive from and settle any claims to Bank on my behalf.

Applicant’s Name Signature


Place: Date:
Due Diligence at BC Agent Level:
JLG Scorecard Score: CIC Score:
Comments of BC Agent on:
1. Activity of Applicant:
2. Family income:
3. Reputation at Locality:
4. Credit worthiness of Applicant:
5. Credit record/ information of applicant:

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DAKSHIN BIHAR GRAMIN BANK
Credibility Check done with ________________________________________ BC Agent may
attach separate sheet along with this form for furnishing comments in detail, if necessary.

Signature of BC Agent
Device ID No. CUST ID: C/A No.:
Village:

Report of BC Agent is verified

Signature:
Area Manager/ District Manager of CSP
Name:
Place: Date:

PRE-DISBURSEMENT APPRAISAL OF APPLICATION FORM

Information furnished by the applicant as above has been checked and identity/ residence/ activity
etc. has been verified with the help of CSP/ BC Agent. Based on the information furnished:

A loan of ₹ 30,000.00/ 50,000.00 is recommended for sanction.

Signature of Recommending Official (Bank)


PF No:
As per above recommendation, loan of Rs. ₹ 30,000.00/ 50,000.00 is sanctioned.

Interest Rate: 15.00% p.a. to be reset annually


Security: Hypothecation of Assets
Repayment Schedule: 15/25 monthly instalment
Amount of Repayment: @ ₹ 560.00/ 600.00 per week to satisfy EMI of ₹ 2,240.00/ 2,400 p.m.

Signature of Branch Manager


PF No:
Place:
Date:

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DAKSHIN BIHAR GRAMIN BANK

LETTER OF UNDERTAKING
To, Dated. ……..…………
The Manager,
Dakshin Bihar Gramin Bank,
………………………………Branch.
Dear sir
In connection with the loan sanctioned to me/ us by…………………………… branch of
Dakshin Bihar Gramin Bank, I/We do hereby undertake that:
(i) At my/ our request as contained in the application, Bank has granted the following facilities:
Term Loan: ₹ 30,000.00/ 50,000.00 only
(ii) I/We shall pay interest in respect of the Term Loan @ 15% p.a. calculated on the daily
balances in the loan a/c with monthly rest in accordance with the practice of the bank. I/We
shall keep the Term Loan A/c performing in nature all the time during pendency of the loan by
paying instalment/ principal/ interest regularly.

(iii) Term Loan will be repaid in 15/25 EMI/EWI of ₹ ₹ 2,240.00/ 2,400 p.m, effecting through
weekly repayment @ ₹ ₹ 560.00/ 600.00.
(iv) I/We shall pay interest at enhanced rate, as may be fixed by the bank in case of my/ our
default.
(v) I/We shall at all times keep items of security as are of insurable nature, insured against loss
or damage by fire and other risks, as may be required by the bank.

Yours faithfully,

Name:

Address:……………………………………………

Demand Promissory Note

Place:
Rs…………………………………………………. Date:

On demand, I/ We jointly and severely promise to pay Dakshin Bihar Gramin Bank at their Head
Office at Patna or at ……………………….. branch or order, notwithstanding non-presentment the
sum of Rs............................... for value received with interest thereon @
______________________ percent per annum with.................. rests till the date of payment in
full.

Revenue
Stamp

Name __________________________________________
Adress __________________________________________
__________________________________________

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DAKSHIN BIHAR GRAMIN BANK

Job Scorecard Value


SCORE RANGE Parameter Value
QUESTIONNAIRE
Residential Accommodation - House Type
Residential Accommodation - Ownership
Education Level of main applicant
Number of Earning Members
Total household members (including Earning
Members)
Children of School going age, going to which
type of School?
Any permanently ill members / Drug Addict /
Drunkard in the family?
Ration Card

Life Insurance Policies

Monthly Household Income (in Rupees)


Monthly Household Savings (in Rupees)
Average Monthly Balance (last three months) (in
Rupees)
No. of Deposit Transactions in last three months
No. of Withdrawal Transactions in last three
months
End Use of Loan
Business Premises Ownership
Manager Recommendation
Justification for Strong Recommendation

Signature of BC Agent
Device ID No.
Village:

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DAKSHIN BIHAR GRAMIN BANK

Getting Norms by BCA

Minimum Age Norms Met (21 Yrs) ? Yes


Maximum Age Norms Met (60 Yrs) at Loan Maturity ? Yes
Group Size is b/w 4 to 7 ? Yes
Group is Gender Homogenous (All Male / All Female) ? Yes
Group Members belong to same Village ? Yes
Group Members personally know each other ? Yes
Any of the member is politically connected ? No
Any member in the JLG is aggressive in nature ? No
Saving Account opened / will be opened with CSP/Bank
Yes
Branch ?
Members agree for Weekly Repayment schedule ? Yes
Members agree for Joint Liability to repay ? Yes
All Members have own house / parental house ? Yes
All Members have proper KYC Documents ? Yes
End Use of Members is as per Norms ? Yes
CICs Scorecard Norms Met ? Yes
Monthly Income per month is greater than Rs.5000 ? Yes
PROCEED

Getting Norms by BM for Account Opening & Disbursement

CRM of JLG has been made in Corporate ID Yes


CUST ID of BCA has been used as introducer in
Yes
Corporate CRM (corporate ) of JLG
CUST ID of each member has been added in related
party of CRM (corporate) of JLG
Loan of each member has been opened in Corporate
ID of JLG and name of Loan account is
“JLG Name” & “Individual Name”
For example, if name of JLG is “Ram JLG” and its
member are A, B, C & D, then a new Corporate
CRM will be opened in name of “Ram JLG” and Yes
loan account of each member will be opened in
name of “Ram JLG, A”, “Ram JLG, B”, “Ram JLG,
C” and “Ram JLG, D” in that Corporate CRM.

Loan Scheme Code TLJLG


Interest Table Code TLJLG
Tenure 15/25 Month
Processing Fee (1% of Rs. 30,000.00) debited Rs. 300
Proceed for
disbursement

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