ANN EX UR E-I
Self Help Group (SHG) Profile
SHG related questions
1. Name of the SHG :
2 . Address :
3. Name of the supporting NGO, if any:
4. Year of formation of the SHG :
5. Number of members of the SHG :
6. Number of male and female members:
7. Membership fee Rs. :
8. Mission of the group :
9. Activity/activities taken by the group :
10 How do you select the group leader?
Selection Election
11. What is the tenure of the group leader ?
Permanent Months Year Others (specify)
12. Does the group maintain the following ?
Attendance Register Minutes Book, Loan Register
proceeding Book
Saving Register Receipt and payment Internal Pass Books
vouchers
Cash book Any other (specify)
13. Who maintains these register ?
Group leader Literate member Facilitators Collectively
Any other
_____[Specify)_____
14. Are the registers maintained properly ? Yes No
15. Whether the SHG is
Government sponsored NGO sponsored
16. Profile of the Group members (Demographic profile)
Name of the group leader : (a) President
(b) Secretary
SI. Name of Age Sex M arital Relation Relig ion C a s te Education;
No. the Statu s w it h the aiu unm t'ii
M em bers he ad o f the
o f SH G h o u s e h o ld
— -
Note : Age : 18-25, 25-35, 35-45, 45-55, 55 and above.
Sex : Male, Female
Marital Status : Married, Unmarried, Widow, Divorce/Separated,
Others (specify).
Relation with the head of the household : Self, Father,
Mother, Brother, Sister, Husband, Others (specify)
Educational attainment : Illiterate, Literate with non-formal
education, Primary, Middle, High, HSLC and above.
Income and Saving Profile
17. Yearly incomes of the group :
18. Yearly savings of the group :
19. Are the savings raised in the group fund :
Weekly Fortnightly Monthly
20 . Whether the savings raised are
Regular Irregular
21 . Does the group charge any fine for irregular in saving :
Yes No
22 . If yes, how much ? Rs................
23. What is the mode of collection of savings ?
Collected in the group meeting I Door to door collection
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24. Does the group has a Saving Account in a Bank ?
Yes No
25. If yes, type of the financial institution/organization
Commercial Assam Gramin Co-operative Post Office Any other
Bank Vikash Bank Bank (Specify)
26. Did the group receive any credit support from the supporting
organization?
Yes No
27. If no, why ?
The role of The decision of Own fund is Any other
NGO prohibits the SHG enough (specify)
prohibits
28. . If yes, give details
SI. No. Source Amount Date of Rate of Amount Amount
receiving interest repaid outstanding
the fund
Source :
Supporting NGO Bank Any other (specify)
29. How does the group disburse the loan to its members ?
As per assessment As per assessment As per urgency of An} other (specify)
of the leader of the group any member
member
30. Is the SHG regular in repayment of loan ?
Yes No
31. Is the loan utilized fully ?
Yes No
32. If no, give reasons for non-utilization
Lack of Lack of Insufficient Lack of Non Inadequate Any
inputs skilled, fund leadership availability marketing other
technical of raw (specify)
persons materials
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Monitor of SHG
33. Is there any agency/agencies which monitor the activities of the
SHG?
Yes No
34. If yes, give the name/names of the monitoring agency/agencies
35. Are they regular in monitoring works ?
Yes No
36. If yes, do they monitor the following ?
Checking Checking the Checking organizational 1 Any Other
Accounts performance of SHG and production (specify)
in production, income management |
Meeting of the SHG
37. Number of meetings held in a month :
Once Twice Thrice More
38. Are the meeting held regularly ?
Regular Irregular
39. How many members usually attend the meeting :
100% 75% 50%
40. Does the group impose any fine for irregular attendance ?
Yes No
41. If ves. how much ? Rs.
Training facilities of the SHG
42. Have you received any training facilities from any agencies?
Yes No
43. Name of the agency who give you the training facilities :
SIRD NABARD Block NGO Any other
Office (specify)
44. Mention the period of training :
One to three One week Two weeks One Any other
days month (specify)
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45. Have you received training assistance regarding the following?
Liter- Nume- Account- Mark- Manag- Produc- Saving 8s Any
acy rcy ing eting ment tion credit Other
manage- (spec-
ment . m ...
General Questions
46. Has the SHG received any revolving fund from any other agency ?
Yes No
47. If ves. how much ? Rs.
48. Is there any dropout member in the SHG ?
Yes No
49. If yes, specify the reasons for dropout:
Irregular in Inactive Family No capacity of Any other
attending member troubles paying the (specify)
meeting monthly
contribution
50. Do you get any kind of help, suggestions from NGO/Block
office /Bank whenever required?
Yes No
51. Who operate the account and other dealings with the Bank?
Group leader Facilitators Any other (specify)
52. Does the group face any problem in opening or operating the
account ?
Yes No
53. If yes, what are the problems ?
Lack of Non co- Illiteracy Lack of Any other
knowledge operation of awareness of (specify)
Bank official members
Name of the Interviewer Name of the Respondent
with date with Date
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