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Fpo Template -Form Fill
FPO member information
Q01
State Code
Q02
District code
Q03
FPO code
Q04
FPO Name
Q05
Type of FPO
Lighthouse project FPO
Non-program FPO
Q06
What is the name of the respondent(s)?
Q07
What is the designation of the respondent?
Chief Executive Officer (CEO)
President
Vice- President
Secretary
Treasurer
Board of Directors (BOD)
Consultant
Member farmer
Admin in charge
Other (specify)
Q08
What is the date of registration for the FPO?
Q09
How many farmers who are registered members have paid their equity?
Q10
Of the farmers, how many are active members/shareholders of this FPO?
Q11
What proportion of member farmers give their
All of them
80-99%
60-79%
40-59%
20-39%
0-19%
None of them
Don’t know
Q11A
Entire produce to FPO for sale?
All of them
80-99%
60-79%
40-59%
20-39%
0-19%
None of them
Don’t know
Q11B
Majority of produce to FPO for sale?
All of them
80-99%
60-79%
40-59%
20-39%
0-19%
None of them
Don’t know
Q11C
Minor part of produce to FPO for sale?
All of them
80-99%
60-79%
40-59%
20-39%
0-19%
None of them
Don’t know
Q12
What are the major crops that the FPO has procured as for sale from farmers?
Paddy
Wheat
Maize
Pearl Millet /
Finger millet
po
Barley
Oat
Groundnut
Mustard
Rapeseed
Nizer
Sunflower
Soya bean
Linseed
Til
Green Pea
Black gram
Chickpea
Green gram
Horse gram
Pigeon Pea /
Kidney beans
Black gram
Lentil
Lathyrus (Chickling pea)
Potato
Tomato
Cabbage
Cauliflower
Chilli
Capsicum
Sponge /bottle /spine / snake/ ash/ pointed gourd
Bitter gourd
Ridge gourd
Leafy vegetable
Sweet Potato
Brinjal
Cucumber
Broccoli
Radish
Carrot
Coriander
Ladies finger
Coccinia (Kundru)
Elephant foot yam
Colocasia (Kacchu)
Aru
Bean
Drumstick
Beet root
Pumpkin
Cowpea
Cucumber
Guava
Mango
Lemon/Lime
Orange
Papaya
Watermelon
Litchi
Jamun
Banana
Sugarcane
Bael (wood apple)
Pomelo
Pomegranate
Pineapple
Onion
Garlic
Turmeric
Ginger
Tobacco
Jute
Dhaincha
Makhana
Water chestnut
Bamboo
Marigold
Cotton
Yam bean
mint / peppermint / menthol
castor
cumin
fennel seeds
arbi / taro
fodder
Others vegetables
Other fruits
Q13
What is the total number of members under each category?
Q14
What is the total number of male FPO Members?
Q15
What is the total number of female FPO Members?
Q16
Proportion of marginal Farmers (%)
Q17
Proportion of small Farmers (%)
Q18
Proportion of semi-medium farmers (%)
Q19
Proportion of large Farmers (%)
Q20
What key roles and responsibilities does the BOD do have for the FPO?
Determination of the dividend payable.
Determination of the quantum of withheld price and recommended patronage to be approved at General meeting.
Admission of new members.
Pursue and formulate the organizational policy, objectives, establish long-term and annual objectives, and approve corporate strategies and financial plans
Appointment of a CEO and other officers, as may be specified in the Articles of FPO constitution.
Exercise superintendence, direction and control over CEO and other officers.
Internal credit (sanction any loan or advance, in connection with the business activities of the Producer Company to any member, not being a director or his relative).
Investment of the funds/ Acquisition or disposal of property of the Company in the ordinary course of its business.
Check that proper ‘books of account’ are maintained and are placed before the annual general meeting with the auditor’s report.
others (specify)
Q21
How often does the Board of Directors have meetings?
Monthly
Quarterly
Half yearly
Yearly
Once in more than a year’s time
Don't know
Q22
When was the last meeting held?
Q23
What was the purpose of the last meeting of BODs?
Determination of the dividend payable.
Determination of the quantum of withheld price and recommended patronage to be approved at General meeting.
Admission of new members.
Pursue and formulate the organizational policy, objectives, establish long-term and annual objectives, and approve corporate strategies and financial plans
Appointment of a CEO and other officers, as may be specified in the Articles of FPO constitution.
Exercise superintendence, direction and control over CEO and other officers.
Internal credit (sanction any loan or advance, in connection with the business activities of the Producer Company to any member, not being a director or his relative).
Investment of the funds/ Acquisition or disposal of property of the Company in the ordinary course of its business.
Check that proper ‘books of account’ are maintained and are placed before the annual general meeting with the auditor’s report.
others (specify)
Q24
What key roles and responsibilities does the CEO/ Office bearers do have for the FPO?
Managing the day-to-day affairs of the FPO
Operate bank accounts
Ensure safe custody of cash and other assets of the FPO
Sign business related documents authorized by the Board’ for and on behalf of the FPO
Maintain proper books of account, prepare annual accounts, place the audited accounts before the Board and in the annual general meeting of the Members
Provide members with periodic information to appraise them of the operation and functions of the FPO
Make appointments of office bearers
Assist the Board in the formation of goals, objectives, strategies, plans and policies
Advise the Board with respect to legal and regulatory compliance
To provide timely information to the Members and Board of Directors for scheduled meetings or emergency or short notice meetings.
others (specify)
Q25
What is the salary status of the following personnel in the FPO?
Received salary on time
Salary is pending
Not applicable
Q25A
President
Received salary on time
Salary is pending
Not applicable
Q25B
Vice- President
Received salary on time
Salary is pending
Not applicable
Q25C
Secretary
Received salary on time
Salary is pending
Not applicable
Q25D
Office Bearers
Received salary on time
Salary is pending
Not applicable
Q25E
Accountant/ Treasurer
Received salary on time
Salary is pending
Not applicable
Q25F
Godown keeper
Received salary on time
Salary is pending
Not applicable
Q25G
Other (specify)
Received salary on time
Salary is pending
Not applicable
Q26
What policies and rules have the Board, and the Governing Body approved that the FPO follows as a regular practice for daily operations?
Organizational policy
Annual objectives
Corporate strategies
Financial plans
Appointment of office bearers/ CEO
Investment of the funds
Book of accounts
Others (specify)
Q27
Do you have a Chartered Accountant working for the FPO?
Yes
No
Others (specify)
Q28
What is the number of active Chartered Accountant working?
Q29
How often are financial audits conducted by a chartered accountant?
Quarterly
Half yearly
Yearly
Not been conducted yet
Others (specify)
Don't know
Q30
When was the last financial audit conducted?
Q31
Different FPOs are in different stages of development. Could you let me know which of the following would best describe your FPO today?
FPO is registered, with just sufficient farmers for the registration
FPO is registered and now mobilizing more farmers and collecting equity
Some famers are enrolled into the FPO and paid equity, we are mobilizing more farmers. The FPO has not yet started any collective work.
Some farmers enrolled with paid equity, FPO does some small collective activities like periodic meetings etc.
FPO has farmers enrolled with paid equity, and started some business transaction - Like input sale, produce aggregation etc.
FPO has farmers enrolled with paid equity, doing good business transactions Like input sale, produce aggregation etc. and clocking revenues
FPO is evolved, and now apart from basic produce aggregation and input selling, also creating value added products
Q32
Have the following stakeholders of the FPO received training and capacity building support?
Yes
No
Q32A
Office bearers of FPOs (President, Vice President, Secretary, and treasurer/ accountant)
Yes
No
Q32B
Board of Directors
Yes
No
Q32C
Members/ shareholders
Yes
No
Q32D
Others who have received any kind of training/ support--
Yes
No
Q33
What kind of training?
Q34
Who provided the training?
Samunnati
Private entity (NGO, Corporate, CSR etc.)
Govt. body (NABARD, Agri dept. etc.)
Village level institutions (Panchayat, SHGs, other FPOs in the area etc.)
Office bearers/ BoD
Q35
What is frequency of trainings received by the ___?
Monthly
Quarterly
Half-yearly
Annually
As required
Others (Specify)
Q36
Do you find the trainings helpful?
Very much helpful
Somewhat helpful
Neutral
Somewhat not helpful
Not helpful at all
Q37
Did you apply the training in your day-to-day work?
Yes
No
Q38
In what ways have you applied the trainings knowledge?
Used to improve skills (technical, financial, or managerial) of FPO members
Helpful in planning, operations, capacity building activities of FPO
Applied to improve efficiency of FPO/employees
Useful to improve the FPO governance and management
Used knowledge to train other FPO members/farmers
Useful for developing business plans, project appraisal, accounts, and finance etc.
Useful in building the problem-solving and decision-making skills
Applied to develop better values, ethics, and attitudes among the participants which make responsible CEO of FPO and farming community
To develop the application skills of management techniques for FPO
To develop the skill for identification of potential cluster for formation of FPO
To guide the utilizing the central and state sector scheme for formation of FPOs
Others (specify)
Q39
What are the challenges faced by FPO in applying the training knowledge?
The training was not relevant for FPO
Faced difficulty in understanding the training
Training lacked in providing the handholding support
FPO lacks financial capacity and resources to implement the knowledge acquired from training
FPO lacks infrastructure to be able to apply knowledge of trainings received.
More trainings required
Others (specify)
Q40
Which items are maintained in the non-financial books?
Members’ Profile Register
Members’ Progress Register
Minutes Book/Register
No non-financial book maintained
Others (specify)
Don’t know
Q41
Have you made Business plan this year?
Yes
No
Don’t know
Q42
Which items does your business plan include?
The purpose and objective of making business plan
Type of businesses included in the planning
Different types of products required and marketing the product with the objective of earning a profit.
Type of customers targeted
Potential competitors in the market for the same business
Guidelines on the management of the business by FPO
Different type of sources of funds available for the business
The total budget of the business
Management of cashflow in business (projected inflow and outflow of cash required in business for different activities like input-output requirement, investment, purchase etc.)
Not applicable
Others (specify)
Don't know
Q43
What according to you are the benefits of maintaining a business plan?
Helpful to set business guidelines for the FPO
Useful in recognizing the scope of income and potential areas of expenses
Helpful in becoming eligible and accessing government sponsored schemes
Helpful in generating different business ideas and value chain propositions
Helpful in creating different market strategies and identify potential competitors
Not applicable
Others (specify)
Don’t know
Q44
What is the decision-making process in most of the groups that you are a part of?
Decision making is influenced by outside bodies (Other than FPO members)
The office bearers/ BoD takes decisions and informs the other group members
The office bearers/ BoD asks group members what they think and then takes decision on their own
The group members hold a discussion and decide unanimously
Other (specify) ____
Q45
Which outside body/authority you are referring to above, that influences the decision?
Samunnati
Panchayat members or leader
Some Govt. authority such as MLA/ MP/ DM etc.
SHG members or leader
Other (specify) ____
FPO financial information and exposure
A1
Can you please share the _______ of the FPO based on the following financial year?
A2
FY (2021-2022) in INR
A2_1
Opening balance (in INR)
A2_2
Paid up share capital per member (in INR)
A2_3
Total share capital mobilized (in INR)
A2_4
Loan (in INR)
A2_5
Loan Repaid (in INR)
A2_6
Total revenue (in INR)
A2_7
Total expenses (in INR)
A2_8
Net Profit (in INR)
A2_9
Closing balance (in INR)
A3
FY (2020-2021) in INR
A3_1
Opening balance (in INR)
A3_2
Paid up share capital per member (in INR)
A3_3
Total share capital mobilized (in INR)
A3_4
Loan (in INR)
A3_5
Loan Repaid (in INR)
A3_6
Total revenue (in INR)
A3_7
Total expenses (in INR)
A3_8
Net Profit (in INR)
A3_9
Closing balance (in INR)
A4
FY (2019-2020) in INR
A4_1
Opening balance (in INR)
A4_2
Paid up share capital per member (in INR)
A4_3
Total share capital mobilized (in INR)
A4_4
Loan (in INR)
A4_5
Loan Repaid (in INR)
A4_6
Total revenue (in INR)
A4_7
Total expenses (in INR)
A4_8
Net Profit (in INR)
A4_9
Closing balance (in INR)
A5
Does the FPO have the following records
Yes
No
A5A
Share capital register
Yes
No
A5B
BOD meeting attendance register
Yes
No
A5C
BOD meeting minutes book
Yes
No
A5D
Annual General Meeting attendance register
Yes
No
A5E
Annual General Meeting minutes book
Yes
No
A5F
Member admission register
Yes
No
A5G
Member patronage register
Yes
No
A5H
Minutes book
Yes
No
A5I
Purchase register
Yes
No
A5J
Sales register
Yes
No
A5K
Stock register
Yes
No
A5L
Bank reconciliation register
Yes
No
A5M
Journal
Yes
No
A5N
Cash book
Yes
No
A5O
Ledger
Yes
No
A5P
Internal audit of accounts
Yes
No
A5Q
External audit of accounts
Yes
No
A6
What according to you are the benefits of maintaining financial books?
To know the position of cash and bank balances on a day-to-day basis and facilitate preparation of Bank reconciliation statements.
To facilitate preparation of financial statements viz. P&L A/c, Balance Sheet, and cash flow statement.
To know profit earned or loss incurred by FPO. (Bookkeeping keeps complete records of business transactions. Thus, profit or loss of business transactions can be easily ascertained/ known.)
Knowledge of assets and liabilities belonging to FPO – (When a FPO keeps the books of different business assets and liabilities in a systematic manner, it can easily know the position of assets and liabilities as on a particular date.)
To facilitate auditing books of accounts.
Compliance with legal requirements.
Facilitate preparation of MIS required by the management and filing of different returns with government authorities
Others (specify)
A7
Types of Funding
Equity Grant Fund managed by SFAC (Scheme supports the nascent and emerging FPCs)
Early-stage funding under SFAC/NABARD
Guarantee Fund
Price risk cushion fund
Funding through CSR
NBFCs
Bank loan
Working capital
Term loan
Others (specify)
A8
Did the FPO avail any of the following sources of funding?
Yes
No
Don’t know
A9
Amount received under ________ in 2019-20 (INR)
A10
Amount received under ________ in 2020-21 (INR)
A11
Amount received under ________ in 2021-22 (INR)
FPO operational activities
B1
Are you involved in the procurement and its distribution of following inputs:
Yes
No
B1A
Seed/sapling
Yes
No
B1B
Fertilizers
Yes
No
B1C
Pesticides
Yes
No
B1D
Weedicides
Yes
No
B1E
Fungicides
Yes
No
B1F
Agri machinery (renting/sale/purchase)
Yes
No
B1G
Transportation of inputs
Yes
No
B1H
Any others (specify)
Yes
No
B2
What was the cost incurred during FY 2021-22? (INR)
B3
What was the income generated from sales during FY 2021-22?
B4
What is the number of farmers (both members and others) who have taken benefits during FY 2021-22?
B5
Out of the total farmers benefitted, what is the proportion of member farmers who have taken benefits during FY 2021-22?
B6
Are you involved in the procurement of following outputs:
Yes
No
B7
What was the cost incurred during FY 2021-22?
B8
What is the number of farmers (both members and others) who have taken benefits during FY 2021-22?
B9
Out of the total farmers benefited, what is proportion of member farmers who have taken benefits during FY 2021-22?
B10
Did the FPO sell its produce at __ in FY 2021-22?
Yes
No
B11
What was the income generated from sales during FY 2021-22 (INR)?
B12
Does the FPO receive interest from any of the following sources?
Saving Bank Account
Working capital
Term loan
None
B13
How much does the FPO earn annually from each of the following sources of interest?
B14
What is the operational cost/ expenditure spent against management and administration related cost?
B15
Do you own any of the following assets? (This will not include assets on rent)
Yes
No
B15A
Computer/ laptop
Yes
No
B15B
Furniture
Yes
No
B15C
Small Agri- machinery (e.g., digger, power weeder, tiler, combine harvester, sprayer, plough, harrow, weighing scale, pumps etc.)
Yes
No
B15D
Large agri- machinery (e.g., rotavator, tractor trailer, power harrow, harvester, Leveler, water bowser, ripper machine, and disc harrow)
Yes
No
B15E
Building/land
Yes
No
B15F
Storage Godown /Yard
Yes
No
B15G
Grading, primary processing and value- adding equipment (e.g., Atta Chakki, oil mill, rice mini-mill, husk remover, packet sealing guns, etc.)
Yes
No
B15H
Transportation vehicles (e.g., trucks/ auto/ tempo etc.)
Yes
No
B15I
Any others (specify)
Yes
No
B16
No. of units
B17
Which year did you buy the last asset?
B18
Total value of the fixed asset when you bought it (INR)
FPO Linkages and Partnerships
C01
Have you done the convergence with following type of Organizations?
Yes
No
C02
What type of convergence is made with the organization?
Institutional Convergence
Schematic Convergence
Human Resource Convergence
Financial Convergence
C03
What is the proportion of male members availing benefits from the convergence? (Male beneficiaries / Total male members)
C04
What is the proportion of female members availing benefits from the convergence? (Female beneficiaries /Total female members)
C05
What is the main benefit / importance of this convergence for your FPO?
Improving financial level
Bring improvement in business affairs
All the stakeholders participating in all the levels
Strengthening democratic set-up
Providing opportunity for sustainable development
Value enhancement of the farmers production
Optimize production skill development
To improve market linkages
others (specify)
Use of technology
D01
Does the FPO use technology (computer/mobile software or app) to manage its operations, finances, marketing, aggregation, or distribution?
Yes
No
D02
What are the areas where the FPO uses digital technology to conduct business operations?
Management of books (like tally)
Financial auditing
Recordkeeping of FPO members by creation of digital profile
Keeping record of and managing inventory
Recording business transactions (sale of inputs, procurement of produce, processing, trade deals etc.
Farm management systems (soil health, weather advisory, livestock and crop advisory etc.)
Input business (placing orders for Agri inputs, outreach to farmers)
Output business (receiving orders for procurement, outreach to farmers)
Net Banking
Others (Specify)
D03
How does the FPO use the data captured using digital technology?
Used to track the access to input/ output procurement of members
Used to track the sales and profit earned by members
Used to estimate the fundings required on members
Used to monitor the usage of technology by members
Used to make projections of financial requirements of members and FPO for next financial year
Used to track the access to market and market linkages of members
Used to keep track of women members growth
Used to track the net banking usage by members
Used to learn about the challenges faced by members on different levels of input-output procurement, market access, linkages to credit and banking services etc.
Used to learn about the profiles of members and their needs in different seasons
Used to track frequency of sale/ purchase with point of sale/ purchase
No use as such
Others (specify)
D04
What do you think are the advantages of using technology for business operations?
No advantage
Reduction in time and labor involvement
Strengthen operations throughout the supply chain (Marketing, procurement, distribution and sales)
Effective business planning
Ease of outreach to members/farmers
Increase in productivity and profitability
Financial inclusion of farmers (use of bank accounts, net banking etc.)
Exposure of farmers to technology-based innovations (smartphones, internet etc.)
Others (specify)
FPO membership impact on farmers
E01
What has been the Impact of FPO membership on Male farmers based on the following parameters?
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E01A
Adoption of farm advisory provided to the member farmers (Use of inputs, promotion of cropping practices, weather advisory, market advisory etc.)
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E01B
Change in farmer productivity/crop yield
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E01C
Income
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E01D
Access to information
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E01E
Cost of cultivation (INR)
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E01F
Other (specify)
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E02
What has been the Impact of FPO membership on Female farmers based on the following parameters?
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E02A
Adoption of farm advisory provided to the member farmers (Use of inputs, promotion of cropping practices, weather advisory, market advisory etc.)
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E02B
Change in farmer productivity/crop yield
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E02C
Income
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E02D
Access to information
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E02E
Cost of cultivation (INR)
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E02F
Other (specify)
Significantly increased
Slightly increased
No change
Slightly decreased
Significantly decreased
E03
Did the FPO provide the following type of loans to its members?
Yes
No
E04
What proportion FEMALE farmers received the loan?
E05
What proportion MALE farmers received the loan?
E06
Do the farmers receive the following benefits from the FPO?
Yes
No
E07
What proportion of FEMALE farmers received the following benefits?
E08
What proportion of MALE farmers received the following benefits?
E09
What has been the change in awareness level on financial literacy of FPO members?
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E10
What has been the change in awareness level on use of financial products like loan, insurance, banking on FPO members?
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E11
What has been the change in bargaining power on FPO members?
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E12
What has been the change in terms of women empowerment on FPO members?
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E13
How has the usage of smartphones changed among FPO members?
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E14
How has the awareness and usage of digital technology changed among farmers?
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E15
How much do you agree with the following statement?
E15A
The member farmers of the FPO are very proactive
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E15B
FPO BOD/CEO have full visibility about what member farmers produce
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E15C
FPO member farmers reach out to us for support when required
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E15D
There are an only a few active members in the FPO and others are relatively inactive
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E15E
Most of the FPO farmers have worked individually and found their own respective markets
Very much increased
Slightly Increased
No change
Slightly decreased
Very much decreased
E16
In your opinion, what factors shall improve access to credit for women farmers?
Factors for improving access to credit by SMF and women farmers
Guarantee fund support
Social collateral-based credit products
Formalization of Land lease documents
Credit score mechanism (digital tools) for SMF
Close loop financing products
Warehouse receipt financing tools
Digital fintech products (specify if any)
Ease of paper-works
Lowering the interest rates by MFIs/NBFCs
Any others (specify)_______
Future Strategy and potential scope of work
F01
What are the future plans and the potential areas of improvement for the FPO?
Grant support for training exposure and system development
Access to dept capital
Access to term loan
Need working capital to support and run businesses
Facilitating marketing tie-ups between buyers of produce and POs
Promoting convergence with schemes of various Ministries, Govt. Departments, Missions, etc., for creation of necessary infrastructure facilities
To set up of marketing infrastructure facilities
Creation of risk fund/credit guarantee fund
Organizing capacity building programs for the Producer Organization Promoting Institutions
Promote technology transfer and linkages with Agri-tech startups which can increase agricultural productivity
Bringing more program and policies promoting women working in agriculture
Others (specify)
F02
What support do you need from the following stakeholders to effectively implement the future strategies of the FPO?
Govt. institution and schemes
Private donor bodies
Private buyers
NBFCs
Banks
Other village institutions (SHGs, Panchayat body etc.)
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