SHG_Proposal Form

							                                      Proposal For Micro Finance/ Mahila Sammriddhi Yojana

                      District                                                                                                  Block/ Municipality




                                                                                                                                                                                                                                     Sanctioned
                                                                                                                                       Name of bank branch
                                                            Total Members in the




                                                                                                                                                                                                                          Proposed




                                                                                                                                                                                                                                      Amount
                                        Date of Formation




                                                                                                                                                                                                                           Project
                                                                                                                                                                                                                            Cost
                                                                                         Cast status




                                                                                                                                                             A/c. No.
    Name of the




                                                                                                                           Female
                                                                   Group




                                                                                                                    Male
Sl                                                                                                                                                                      Name of Group                       Scheme
     G.P/ Ward    Name of the group                                                                                                                                                     Name of Cashier
No.                                                                                                                                                                        Leader                         Name/Activity
        No.




                                                                                         (Muslim)
                                                                                           OBC
                                                                                   OBC              SC   ST   Gen                                                                                                           Rs.       Rs.



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 11
       Quarterly




Rs.
      Instalment