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Process Monitoring Template 7 -Form Fill

Village Information
Q01

District Name
Q02

District Code
Q03

Block Name
Q04

Block Code
Q05

Gram Panchayat Name
Q06

Gram Panchayat Code
Q07

Village Name
Q08

Village Code
Q09

Village Unique ID
Survey Information
A01

FIRST VISIT

A01_1

Interviewer name
A01_2

Interview code
A01_3

Date of the interview
A01_4

Result of the interview
A01_5

Interview start time
A01_6

Interview finish time
A01_7

GPS coordinates
A02

SECOND VISIT

A02_1

Interviewer name
A02_2

Interview code
A02_3

Date of the interview
A02_4

Result of the interview
A02_5

Interview start time
A02_6

Interview finish time
A02_7

GPS coordinates
A03

THIRD VISIT

A03_1

Interviewer name
A03_2

Interview code
A03_3

Date of the interview
A03_4

Result of the interview
A03_5

Interview start time
A03_6

Interview finish time
A03_7

GPS coordinates
Basic Information of the Producer Group
B01

What is the name of the PG?
B02

When was the PG formed?
B03

Who formed the PG?
B04

Who all supported in the formation of the PG?
B05

What are the main activities of the PG?
B06

Is the PG linked to a PE?
B07

Which month and year was it linked to the PE?
B08

Is the PG linked to a CLF?
B09

Does this PG have a management committee?
B10

If yes, what are the major roles and responsibilities of the management committee?
B11

How often has EC/Management Committee members changed since the formation of PG?
B12

Have any members left the PG since inception?
B13

If yes, what were the key reasons?
B14

Is there a Udyog Sakhi engaged with PG?
B15

In which all other cadre level positions does she render her services to your PG?
B16

What are the roles and responsibilities of a Udyog Sakhi?
B17

On Average, how much does your PG pay as service fee to the Udyog Sakhi every month?
B18

Is there an Krishi Sakhi engaged with PG?
B19

In which all other cadre level positions does she render her services to your PG?
B20

If yes, can you tell us the roles and responsibilities of the Krishi Sakhi?
B21

Is there an Pasu Sakhi engaged with PG?
B22

In which all other cadre level positions does Pasu Sakhi render her services to your PG?
B23

If yes, can you tell us the roles and responsibilities of the Pasu Sakhi?
B24

Is there an Van Sakhi engaged with PG?
B25

In which all other cadre level positions does Van Sakhi render her services to your PG?
B26

Is there an Matsya Sakhi engaged with PG?
B27

In which all other cadre level positions does Matsya Sakhi render her services to your PG?
B28

Please include all details of the members in the management

B28_1

Name of Member
B28_2

Age

B28_3

Educational Qualification
B28_4

Primary source of income for the hh
B28_5

Is the member an SHG member?
B28_6

Since when has the member been part of any SHG?
B28_7

Does this member hold any position in SHG/VO/CLF? (If SHG member)?
B28_8

Is this person in charge of opertaing the bank account of the PG?
B28_9

What have been your responsibilities been in the past 12 months in the PG?
B29_1

How many members have joined this PG?
B29_2

How many members have left this PG?
B29_3

What are the reasons for leaving the PG?
B29_4

Among the PG members how many belong to SC/ST community?
B29_5

What is the membership fee per member taken for joining the PG? (INR)
B29_6

What is the membership fee taken from the members from SC/ST/PVTG community? (INR)
B30

Is there a mechanism to review the performance of the PG?
B31

If yes, can you tell us who reviews the performance of the PG's?
B32

How frequently this PG have been reviewed?
B33

Can you tell us the processes undertaken to carry out the following activities?
B33_1

Market Intelligence
B33_2

Price Negotiations / Supply terms
B33_3

Collection and aggregation of produce
B33_4

Quantitative Reconciliation (purchased quantity, sales quantity, returns etc.)
B33_5

Management of packing material
B33_6

Payment to the members
B34

Has the management committee of the PG reviewed the activities of Krishi Udyog Sakhi?
B35

Can you briefly explain the process followed for reviewing the Krishi Udyog Sakhi?
B36

Has the PG started paying for the services of Krishi Udyog Sakhi?
B37

How frequently does this PG pay Krishi Sakhi?

B38

On average, how much amount per month has been paid to the Krishi Udyog Sakhi?
Training and Capacity Building
C01

Did the management committee of this PG receive any training?
C02

Who trained the management committee of this PG?
C03

What are the topics on which the management committee received training?
C04

How many days of training have been received by the management committee of this PG?
C05

Has the management committee of this PG received any refresher trainings?
C06

In which all topics did the management committee receive refresher trainings?
C07

How many days of refresher trainings have been received by the management committee of this PG?
Books of records
D01

Has the PG received this register?

D01_1

Cash Book
D01_2

Daily Business Register – Daily Procurement
D01_3

Daily Business Register – Daily Sales
D01_4

Member Ledger
D01_5

Member passbook
D01_6

Assets Register
D01_7

Membership fees register
D01_8

Voucher
D02

Has the PG started using the register?

D02_1

Cash Book
D02_2

Daily Business Register – Daily Procurement
D02_3

Daily Business Register – Daily Sales
D02_4

Member Ledger
D02_5

Member passbook
D02_6

Assets Register
D02_7

Membership fees register
D02_8

Voucher
D03

When is the last date of update of the register?

D03_1

Cash Book
D03_2

Daily Business Register – Daily Procurement
D03_3

Daily Business Register – Daily Sales
D03_4

Member Ledger
D03_5

Member passbook
D03_6

Assets Register
D03_7

Membership fees register
D03_8

Voucher
Funding and support
E01

Has the PG received any support from the CLF or PE for setting up infrastructure since its inception?
E02

Have there been any training/CB programmes for the PG staff and members by CLF/PE?
E03

Has the PG received any working capital for procurement of produce from farmers from the CLF?
E04

What was the loan amount?
E05

How much interest was charged?
E06

What was the purpose for which the loan was procured?
E07

Has there been an assessment of working capital done?
E08

If yes, how was the working capital assessed and ?
E09

By whom was this assessment done
E10

Do you think the assessment conducted was adequate?
E11

Can you tell us who manages the funds allocated to the PG?
E12

Who takes the final call on the funds usage?
E13

Who operates the bank account?
E14

How often is the bank balance reconciled?
E15

Has this prepared profit and loss statement for the last year?
E16

Has this PG distributed the profits among the PG members?
E17

What are the reasons for not distributing the profits in the last year?
Production and Infrastructure
F01

Does the PG market any produce in the markets?
F02

What are the products produced by this PG in the last year?
F03

Which season is [Product] grown in?
F04

Price per unit of the [Product] (INR)
F05

Unit of the [Product]
F06

How many units of the [Product] were sold in the market?
F07

Which were the markets where the [product] was sold?
F08

How far in kms is the nearest market where [Product] was sold?
F09

How far in kms is the farthest market where [Product] was sold?
F10

How did the PG members market the [Product] in the markets?
F11

Do the members face any challenges with respect to access to transport to the market?
F12

Where is [Product] stored?
F13

Does the PG have access to a storage facility?
F14

How far is the storage facility from the village? (kms)
F15

What is the mode of transport to access the storage facility?
F16

Do the members face any challenges with respect to access to storage?
F17

Do the Krishi Udyog Sakhi help the PG in marketing the produce?
F18

What are the activities of the Krishi Udyog Sakhi in marketing of produce to the market?
Farm Value Chain Development
G01

Is the PG using any equipment/machinery for value addition?
G02

If yes, who procured this equipment?
G03

if yes, who is the owner of this asset.
G04

Does the PG have an SOP in place for the procurement of commodities
G05

If yes, what are the processes mentioned in the SOP?
G06

Who all were included in the process of preparing the SOP?
G07

Did the PG receive any support from SRLM to develop a procurement manual and for the procurement process initially?
G08

Is any training or guidance provided for using the equipment?
G09

How satisfied are you with training?
G10

Has this PG established Village Level Aggregation Centre (VLAC)?
G11

What facilities are available at the Village Level Aggregation centre?
G12

Has the PG members started utilising the facilities of the Village Level Aggregation Centre?
G13

Has the PG requested any equipment for value addition?
G14

Mention the name of the equipment requested by the PG?
G15

Did the PG receive the [Equipment] requested?
G16

Name the supplier of the [Equipment]
G17

Is this equipment rented or purchased?
G18

What is the price paid/rent for this equipment? (INR)
G19

Has the PG received training for handling/use/repair of equipment?
G20

Who received the training?
G21

Year of training (YYYY)
G22

Frequency of trainings
G23

How satisfied are you with the trainings?
G24

Is there a need for a refresher training?
Management of the PG and Relations with the CLFs
H01

Name of Scheme
H02

Type of support
Submission of business plans to the CLF
I01

Have you submitted any business plan?
I02

Where did you submit the business plan?
I03

When did you submit the business plan?
I04

Has this PG reviewed or modified business plan?
I05

What have been the changes made to the business plan?
I06

Who supports in the development of the Business plan?
I07

What is the role of CLF in development of business plan?
I08

Can you tell us how long did it take for the CLF's to accept your business plan? (Months)
I09

How long after the approval by the CLF's did you get the funds? (Months)
I10

Did you experience any delays or challenges in getting the approved funds?
I11

What proportion of the proposed fund was sanctioned by the CLF's?
I12

Did the CLF's provide any reasons for withholding some amount?
I13

If yes, what was the reason provided.
I14

Has the PG been able to square account with the CLF after the business cycle?