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Clf Template 1 -Form Fill
Identification Information
Q01
State Name
Q02
State Code
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Q07
Cluster Level Federation Name
Q08
Cluster Level Federation Unique ID
Survey Information
A01
Name of the respondent
A02
Phone number of the respondent
A03
FIRST VISIT
A03_1
Interviewer name
A03_2
Interviewed code
A03_3
Date of the interview
A03_4
Result of the interview
Interview complete
Visit rescheduled
Interview incomplete
Refused
Respondent is out of station for an extended period
Respondent is temporarily away
Other (specify)
A03_5
Record time when you start the interview
A03_6
Record time when you end the interview
CLF Formation and leadership
B01
What is the date of formation of this M-CLF?
B02
How many VOs are currently members of this CLF?
B03
How many SHGs (are part of) this M-CLF currently?
B04
Caste composition of the M-CLF members (this will be in percentage)
SC (%)
ST (%)
OBC (%)
General (%)
Extremely backward/ vulnerable (%)
Others, specify
B05
How many days in a week is the CLF office functional?
B06
What are the regular office hours of this CLF?
B07
Name of the office bearer.
B08
Social category of this office bearer
B09
How many terms can be held by an office bearer for this position?
No definite term
Number of years
B10
Do you rotate this office bearer?
Yes
No
B11
In which year did the last rotation in position take place?
B12
Is the CLF paying honorarium to the Office bearers
Yes
No
B13
What are the training received by the office-bearer?
CLF Concept and Functioning
CLF Books Keeping
Accounting package
SOP-Financial management/Fund management
MCP/ MIP Preparation
Facilitation and Appraisal
SOP-Governance
Grading of VO
Livelihood and Income Generation
SOP – CBO HR/Cadre Review
Gender
Health
Sanitation
Village Poverty Reduction Plan (VPRP)
Gram Panchayat Development Plan (GPDP)
B14
Does the M-CLF have an EC/BOD?
Yes
No
B15
What are the functions of EC/BOD?
B16
Does the election and rotation happen as per the registration act?
Yes
No
B17
Have the OBs received any refresher training?
Yes
No
B18
If yes, please elaborate the topics of training
Governance
C01
Is the M-CLF registered?
Yes
No
C02
What is the year of registration?
C03
Under which act is the M-CLF registered?
Cooperative Society act
Society Act
Mutually aided Cooperative society or Self-supporting act
Mutual benefit trust
If other, please specify: ______
C04
Why is the M-CLF not yet registered?
The documentation/mapping of VOs is still in process
No awareness
We are still in process of registration
Others, specify
C05
Does the CLF conduct regular meetings?
Yes, monthly
Yes, fortnightly
Yes, bi-monthly
We meet as per requirements
No meetings conducted
C06
How many BOD/EC meetings were conducted in past one year?
C07
What are the different topics discussed in meetings?
Loan appraisal/business plan analysis
CIF disbursement plan
Livelihood activities
Procurement related topics
Grading of CBOs
BOR management/updating
Health related activities
Gender issues
Cadre review/HR review
Social challenges
training needs
Loan recovery
Others, specify
C08
What is the reason for irregular/no meetings?
C09
Did the M-CLF conduct AGM ?
C09_1
2022-23
Yes
No
C09_2
2023-24
Yes
No
C10
What were the topics discussed in the AGM?
Planning and strategy development for upcoming year
Increasing outreach and mobilization
Socio-economic development
Gender issues
Health and sanitation activities
Financial planning
Loan disbursement
Livelihood challenges faced and mitigation strategy
Livelihood activity planning
Others, specify
C11
Has the M-CLF prepared Annual Action Plan in past two years?
C11A
2022-23
Yes
No
C11B
2023-24
Yes
No
C12
What are the components of AAP?
Financial planning
Social development/social inclusion
Livelihood planning
Human Resource planning/development.
Strategy for achieving target households
Health and sanitation related planning/promotion
Addressing gender issues
Loan recovery/repayment
Loan disbursement
Others, specify
C13
Who all support in the development of AAP?
Community Mobiliser
Area Coordinator
Cluster Coordinator
Bookkeeper
Block staff
CLF leaders
CBO representatives
Others, specify
C14
Has the M-CLF prepared Vision Statement?
C14A
2022-23
Yes
No
C14B
2023-24
Yes
No
C15
What are the components of Vision Statement?
Long term financial goals
Social development objectives
Health, Nutrition and Sanitation goals
Achieving sustainability and rural development
Making women financially self sufficient
Improvising recovery/repayment
Others, specify
C16
Who all support in the development of Vision Statement?
Community Mobiliser
Area Coordinator
Cluster Coordinator
Bookkeeper
Block staff
CLF leaders
CBO representatives
Others, specify
C17
Have you developed a business Development Plan? (In last three years)
Yes
No
C17A
When is the last time BDP was developed?
C18
What are the components of Business Development plan?
Livelihood planning
Loan forecasting.
Financial planning
Recovery plan
HR management
Others, specify
C19
Does your CLF have an active MIS? (At CLF level)
Yes
No
C20
What is the type of MIS being maintained at M-CLF level?
Online portal
Mobile Application
Excel based
Others, specify………………..
C21
If not then how do you record details?
In physical registers
We have MIS at block level
Others, specify
C22
What are the reasons for not maintaining MIS?
We do not have a MIS coordinator
We are not aware of any such thing
The MIS is at block level
Others, specify
C23
What are the indicators on which information is updated on MIS?
C24
Has the CLF undergone external/statutory audit?
C24_1
FY 21-22
Yes
No
C24_2
FY 22-23
Yes
No
C24_3
FY 23-24
Yes
No
C25
Is the report available for these three years?
C25_1
Year 1
Yes
No
C25_2
Year 2
Yes
No
C25_3
Year 3
Yes
No
C26
What is the reason for no audit?
The CA has been appointed and its in process
The process has started but the CA has not yet arrived
CA not appointed
No specific reason
C27
Has the M-CLF undergone internal audit in last financial year? (2023-24)
Yes
No
C28
Elaborate the process of internal audit
C29
Does the M-CLF has standard operating procedure guidelines?
Yes
No
C30
If yes, then what are the different community operational guidelines/SoP that the CLF staff are aware of?
Meetings by CBOs
Trainings and capacity building of CBOs
Flow of funds/grants in/to the CBOs
Credit linkages to the CBOs
Formation and functioning of sub-committees at CLF
Promotion of livelihood opportunities
Skilling of staff from CBOs
Convergence with existing schemes of the stakeholders for community development
Health and nutrition-related guidelines
Community procurement process
Repayment of loans
Other’s specify
C31
Does the M-CLF maintain byelaws?
Yes
No
C32
What is the M-CLF’s understanding of byelaws?
Organizational Management
D01
Has the CLF formed different sub-committees for managing various roles and responsibilities of the CLF?
Yes
No
D02
When was this committee formed?
D02_1
Social action committee
D02_2
Livelihood sub-committee
D02_3
Bank linkage committee
D02_4
Procurement sub-committee
D02_5
Monitoring committee
D03
Key roles and responsibilities
D03_1
Social action committee
D03_2
Livelihood sub-committee
D03_3
Bank linkage committee
D03_4
Procurement sub-committee
D03_5
Monitoring committee
D04
How many members are their in this committee?
D04_1
Social action committee
D04_2
Livelihood sub-committee
D04_3
Bank linkage committee
D04_4
Procurement sub-committee
D04_5
Monitoring committee
D05
What are the major challenges faced by this sub-committee
D05_1
Social action committee
Not active
No vision/clarity of roles
Lack of training/awareness
Lack of coordination and interest from village members
No challenges
D05_2
Livelihood sub-committee
Not active
No vision/clarity of roles
Lack of training/awareness
Lack of coordination and interest from village members
No challenges
D05_3
Bank linkage committee
Not active
No vision/clarity of roles
Lack of training/awareness
Lack of coordination and interest from village members
No challenges
D05_4
Procurement sub-committee
Not active
No vision/clarity of roles
Lack of training/awareness
Lack of coordination and interest from village members
No challenges
D05_5
Monitoring committee
Not active
No vision/clarity of roles
Lack of training/awareness
Lack of coordination and interest from village members
No challenges
D06
Does the sub-committee meet separately other than CLF meetings?
Yes, we conduct separate meetings
No, we meet with CLF meetings only
No, we do not meet at all
D07
Does the CLF conduct sub-committee review meetings?
Yes
No
D08
Please elaborate on the processes of review.
D09
What have been the changes observed in functioning of M-CLFs due to sub-committees?
D10
According the M-CLFs which sub-committees have been most effective and what are the reasons?
HR management
E01
Which of the following staff are working on CLF payroll?(Multiple response)
None
CLF Manager
Accountant
MIS coordinator
Sweeper/cleaning staff
Other’s Specify
E02
Can you tell us a description of the roles and responsibilities of the staff?
E03
Does this M-CLF review the work performance of their staff?
No
Monthly
Quarterly
Half Yearly
Annually
Do not think a review is needed
E04
If yes, what is the mechanism followed for review and what are the criteria followed for reviewing?
E05
Has this M-CLF/CLF provided annual appraisal to their staff based on the review?
Yes
No
E06
Are there any incentives/annual appraisal given to the staff?
Yes
No
E07
Is the cadre present in M-CLF
E07_1
Bank Sakhi
Yes
No
E07_2
Krishi Sakhi
Yes
No
E07_3
Community Mobiliser
Yes
No
E07_4
Udyog Sakhi
Yes
No
E07_5
Krishi Udyog Sakhi
Yes
No
E07_6
Bookkeeper
Yes
No
E07_7
ICRP-FNHW
Yes
No
E07_8
Pashu Sakhi
Yes
No
E07_9
Area Coordinator
Yes
No
E07_10
Cluster Coordinator
Yes
No
E08
How many <Cadre name> are there?
E08_1
Bank Sakhi
E08_2
Krishi Sakhi
E08_3
Community Mobiliser
E08_4
Udyog Sakhi
E08_5
Krishi Udyog Sakhi
E08_6
Bookkeeper
E08_7
ICRP-FNHW
E08_8
Pashu Sakhi
E08_9
Area Coordinator
E08_10
Cluster Coordinator
E09
Does the M-CLF pays honorarium to <cadre name>?
E09_1
Bank Sakhi
Yes
No
E09_2
Krishi Sakhi
Yes
No
E09_3
Community Mobiliser
Yes
No
E09_4
Udyog Sakhi
Yes
No
E09_5
Krishi Udyog Sakhi
Yes
No
E09_6
Bookkeeper
Yes
No
E09_7
ICRP-FNHW
Yes
No
E09_8
Pashu Sakhi
Yes
No
E09_9
Area Coordinator
Yes
No
E09_10
Cluster Coordinator
Yes
No
E10
How much money is paid per month to one <cadre>?
E10_1
Bank Sakhi
E10_2
Krishi Sakhi
E10_3
Community Mobiliser
E10_4
Udyog Sakhi
E10_5
Krishi Udyog Sakhi
E10_6
Bookkeeper
E10_7
ICRP-FNHW
E10_8
Pashu Sakhi
E10_9
Area Coordinator
E10_10
Cluster Coordinator
E11
What is the source of payment of honorarium to <cadre>?
E11_1
Bank Sakhi
CLF fund
District staff
Block staff
others ‘specify
E11_2
Krishi Sakhi
CLF fund
District staff
Block staff
others ‘specify
E11_3
Community Mobiliser
CLF fund
District staff
Block staff
others ‘specify
E11_4
Udyog Sakhi
CLF fund
District staff
Block staff
others ‘specify
E11_5
Krishi Udyog Sakhi
CLF fund
District staff
Block staff
others ‘specify
E11_6
Bookkeeper
CLF fund
District staff
Block staff
others ‘specify
E11_7
ICRP-FNHW
CLF fund
District staff
Block staff
others ‘specify
E11_8
Pashu Sakhi
CLF fund
District staff
Block staff
others ‘specify
E11_9
Area Coordinator
CLF fund
District staff
Block staff
others ‘specify
E11_10
Cluster Coordinator
CLF fund
District staff
Block staff
others ‘specify
E12
Does the CLF review the <cadre’s >performance?
E12_1
Bank Sakhi
Yes
No
E12_2
Krishi Sakhi
Yes
No
E12_3
Community Mobiliser
Yes
No
E12_4
Udyog Sakhi
Yes
No
E12_5
Krishi Udyog Sakhi
Yes
No
E12_6
Bookkeeper
Yes
No
E12_7
ICRP-FNHW
Yes
No
E12_8
Pashu Sakhi
Yes
No
E12_9
Area Coordinator
Yes
No
E12_10
Cluster Coordinator
Yes
No
Review and monitoring
F01
How often does the CLF review the activities of the member VOs?
Fortnightly
Monthly
Once in two months
No predetermined frequency
Never reviewed, specify reason……………
If others (Specify__)
F02
What VO activities are reviewed by the CLF?
Books of records /Quality of bookkeeping
MCP plan
Utilization of the CIF
Democratic financial transactions in VO
Financial transactions between VO and CLF
Social Issues
VO Bank-Linkage
Promotion of livelihood activities by VO
Performance of the VOs
If others (Specify__)
F03
Does this CLF prepare a monthly progress report?
Yes
No
F04
What major points are covered in the monthly progress report?
Progress of CLF level financial and non-financial transaction
Repayment status of VOs prepared and used for review
Progress of convergence and other activities at the CLF level
Progress of Farm / Non-Farm livelihood activities
F05
Does this CLF conduct grading of VO?
Yes
No
F06
How many VOs had to be graded in Jan 2023-Dec 2023?
F07
How many VOs have been graded in 2023 by this CLF?
F08
What is the frequency of grading VOs?
Annual
Quarterly
Monthly
Others, sepcify
F09
How many VOs are in each of the grades?
F09_1
Grade A
F09_2
Grade B
F09_3
Grade C
F09_4
Grade D
F10
Reason for grading VOs as Grade C and D?
F11
What is the CLF doing to improve the grading of VOs
F12
Does the CLF perform PG grading
Yes
No
F13
Does the CLF perform SHG grading?
Yes
No
F14
How many SHGs had to be graded in Jan 2023-Dec 2023?
F15
How many SHGs have been graded?
F15_1
Grade A
F15_2
Grade B
F15_3
Grade C
F15_4
Grade D
F16
Is the M-CLF graded?
Yes
No
F17
Who grades the M-CLF?
Block team
District team
Others, specify
F18
What is the frequency of grading M-CLF?
Annually
Half-yearly
Quarterly
Monthly
Others, specify
F19
What are the grades received by M-CLF in the last grading?
A
B
C
D
Books of Records
G01
Check if the following book of records is available or not?
G01_1
Membership Register
Yes
No
G01_2
Meetings Register
Yes
No
G01_3
Minutes Book
Yes
No
G01_4
Savings Register
Yes
No
G01_5
General Ledger
Yes
No
G01_6
Daily Expenses Register
Yes
No
G01_7
Cash Book
Yes
No
G01_8
Loan Register
Yes
No
G01_9
Receipt Book
Yes
No
G01_10
Voucher Book
Yes
No
G01_11
Stock register
Yes
No
G01_12
Financial statements
Yes
No
G01_13
CLF Passbook
Yes
No
G01_14
Cheque Issue Register
Yes
No
G01_15
DCB Register
Yes
No
G01_16
Issuance of share certificate
Yes
No
G02
Check if the book of records is updated or not?
G02_1
Membership Register
Updated till last meeting
Partly updated
Incomplete
G02_2
Meetings Register
Updated till last meeting
Partly updated
Incomplete
G02_3
Minutes Book
Updated till last meeting
Partly updated
Incomplete
G02_4
Savings Register
Updated till last meeting
Partly updated
Incomplete
G02_5
General Ledger
Updated till last meeting
Partly updated
Incomplete
G02_6
Daily Expenses Register
Updated till last meeting
Partly updated
Incomplete
G02_7
Cash Book
Updated till last meeting
Partly updated
Incomplete
G02_8
Loan Register
Updated till last meeting
Partly updated
Incomplete
G02_9
Receipt Book
Updated till last meeting
Partly updated
Incomplete
G02_10
Voucher Book
Updated till last meeting
Partly updated
Incomplete
G02_11
Stock register
Updated till last meeting
Partly updated
Incomplete
G02_12
Financial statements
Updated till last meeting
Partly updated
Incomplete
G02_13
CLF Passbook
Updated till last meeting
Partly updated
Incomplete
G02_14
Cheque Issue Register
Updated till last meeting
Partly updated
Incomplete
G02_15
DCB Register
Updated till last meeting
Partly updated
Incomplete
G02_16
Issuance of share certificate
Updated till last meeting
Partly updated
Incomplete
G03
Please record the date last updated
G03_1
Membership Register
G03_2
Meetings Register
G03_3
Minutes Book
G03_4
Savings Register
G03_5
General Ledger
G03_6
Daily Expenses Register
G03_7
Cash Book
G03_8
Loan Register
G03_9
Receipt Book
G03_10
Voucher Book
G03_11
Stock register
G03_12
Financial statements
G03_13
CLF Passbook
G03_14
Cheque Issue Register
G03_15
DCB Register
G03_16
Issuance of share certificate
G04
Please specify the reason for not updating the book of records
G04_1
Membership Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_2
Meetings Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_3
Minutes Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_4
Savings Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_5
General Ledger
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_6
Daily Expenses Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_7
Cash Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_8
Loan Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_9
Receipt Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_10
Voucher Book
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_11
Stock register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_12
Financial statements
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_13
CLF Passbook
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_14
Cheque Issue Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_15
DCB Register
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
G04_16
Issuance of share certificate
Bookkeeper is not skilled to write the book despite training
Skilled but not getting time to fill
Book Keeping has stopped after unresolved issues of record or other matter
Feels updating is not necessary
Not trained - has not received any training
Needs new books of record (the existing record are filled)
Book of Records were given late to CLF
Book format has changed, and training is yet to be given
Bookkeeper has not been appointed
Book Keeper appointed but not interested/irregular
Any other
Infrastructure in M-CLFs
H01
Availability of asset with M-CLF
H01_1
Desktop computer/Laptop
Yes
No
H01_2
MS Office software with OS
Yes
No
H01_3
UPS (Power backup)
Yes
No
H01_4
Printer
Yes
No
H01_5
LCD Projector
Yes
No
H01_6
Screen for projector
Yes
No
H01_7
Tables
Yes
No
H01_8
Chairs
Yes
No
H01_9
Computer Table
Yes
No
H01_10
Steel Almirah for office
Yes
No
H01_11
Accounting Software (Eg. Tally)
Yes
No
H01_12
Separate hall for training/training center
Yes
No
H01_13
Refrigerator
Yes
No
H01_14
Notice Board
Yes
No
H02
Number of assets available
H02_1
Desktop computer/Laptop
H02_2
MS Office software with OS
H02_3
UPS (Power backup)
H02_4
Printer
H02_5
LCD Projector
H02_6
Screen for projector
H02_7
Tables
H02_8
Chairs
H02_9
Computer Table
H02_10
Steel Almirah for office
H02_11
Accounting Software (Eg. Tally)
H02_12
Separate hall for training/training center
H02_13
Refrigerator
H02_14
Notice Board
H03
Present Condition of asset
H03_1
Desktop computer/Laptop
Good and working
Not working/ junk
H03_2
MS Office software with OS
Good and working
Not working/ junk
H03_3
UPS (Power backup)
Good and working
Not working/ junk
H03_4
Printer
Good and working
Not working/ junk
H03_5
LCD Projector
Good and working
Not working/ junk
H03_6
Screen for projector
Good and working
Not working/ junk
H03_7
Tables
Good and working
Not working/ junk
H03_8
Chairs
Good and working
Not working/ junk
H03_9
Computer Table
Good and working
Not working/ junk
H03_10
Steel Almirah for office
Good and working
Not working/ junk
H03_11
Accounting Software (Eg. Tally)
Good and working
Not working/ junk
H03_12
Separate hall for training/training center
Good and working
Not working/ junk
H03_13
Refrigerator
Good and working
Not working/ junk
H03_14
Notice Board
Good and working
Not working/ junk
H04
Does this CLF have a dedicated office space?
Yes
No
H05
If yes, what is the ownership status of the office space
taken on rent by the CLF
allocated by government to the CLF
government building being informally used by CLF
own building of the CLF
other (please specify)
Livelihood activities by M-CLFs
I01
Is this M-CLF designated to have a community-managed training center?
Yes
No
I02
Has this CLF been able to develop a community-managed training center?
Yes
No
I03
Has the M-CLF been able to earn revenue from the CMTC
Yes
No
I04
To whom does the M-CLF provide services to?
Block members
District members
NGOs
Technical agencies
SRLMs
Others, specify
I05
What kind of events take place in the CMTC?
Block level meetings
PRI/panchayat meetings
CLF meetings
SRLM meetings
training of CRPs
Training of CBOs
Training of block level officials
Others, specify
I06
What are the various charging policies for the CMTC?
Per day basis
Per meeting basis
Per hour basis
Others, specify
I07
Please give the charge for the following activities.
I07_1
One day meeting/training
I07_2
Hourly meetings
I07_3
Trainings
I08
What are the other facilities do you offer?
Food
Beds/cots
Bedsheets
Fans/coolers
Others, specify
I09
What is the revenue earned by the M-CLF in the last year?
I10
What are the expenses incurred for CMTCs?
I11
What are the various expenses incurred?
I12
What is the income/profit?
I13
From where you collected the maximum revenue for CMTCs?
I14
Is CLF running a business of its own?
Yes
No
I15
If yes , what is the business run by M-CLF?
I16
What are the future plans of the M-CLF for the business?
I17
What is the revenue earned from the business? (Last year)
I18
What is the income generated from the business?(Last year)
Services by M-CLF and convergence practices
J01
What kind of financial services does the CLF offers to SHGs?
Offering loans -CIF
Linking SHGs with banks
Raising SHGs capacities on financial literacy
Providing handholding support for business plan preparation
Linking the SHGs with government schemes and benefits
Others, specify
J02
What are the social development services offered by the CLF?
Promoting social inclusion
Outreaching socially marginalized communities to help them avail benefits
Organizing campaigns and seminars to promote equity and empower communities
Promotes best practices for Health, nutrition and sanitation
Fighting against social dogmas and discrimination
Others, specify
J03
What are the economic/livelihood services offered by the M-CLFs?
Technical inputs/assistance and trainings
Monitoring and guidance for livelihood activities
Identifying suppliers/dealers
Logistical support
Procurement of raw material
Procurement of orders
Providing equipment/machinery on rent
Others, specify
J04
What are the convergence practices adopted by the M-CLF
Training on livelihood activities in convergence with line departments/state department
Promoting MGNREGA
Promoting HNS activities
Establishing agri-nutri/plantations in larger areas/CLF office/government areas.
Promoting social security and pension schemes
Assisting SHG members in availing insurance and pension
Others, specify
J05
Does the M-CLF members attend VHSND meetings?
Yes
No
J06
Does the M-CLF conduct a participatory entitlements assessment?
Yes
No
J07
Does the M-CLF attend GP meetings?
Yes
No
J08
Does the M-CLF participate in GPPRP making?
Yes
No
J09
What is the Objective of the M-CLF?
Livelihood diversification
Financial inclusion
social development
Increasing political participation
Enhancing decision making power
Rural development
Women empowerment
Socio-economic empowerment of women
Financial management
K01
Whether the signature of the CLF President, Secretary, and Treasurer are taken for opening the bank account?
Yes
No
K02
Does the M-CLF have a trained accountant?
Yes
No
K03
Does the M-CLF have any financial management practices in place?
Yes
No
K04
If yes, please mention the practices. Also, why do you think these practices are important and need to carried out?
K05
Type of CLF bank account
Savings
Current
K06
How many bank accounts are opened and linked with your CLF?
K07
Has basic training been provided to manage a community investment fund (CIF)?
Yes
No
K08
Do any two signatories, the CLF President, Secretary, and Treasurer, mandatorily authorize all bank transactions?
Yes
No
K09
How do they know the amount and purpose to whom payment is being made?
K10
Do all three signatories mandatorily sign all deposit and withdrawal slips, NEFT, RTGS receipts, etc.?
Yes
No
K11
Are the hard copies of all transactions preserved as supporting documents?
Yes
No
K12
Whether the decision for the transactions are recorded in minute books?
Yes
No
K13
Do you have any rules for handling the cash in the CLF?
Yes
No
K14
If yes, briefly explain the process followed by this CLF for handling the cash?
K15
Are all cheques in a safe lock (with two keys) in the CLF office?
Yes
No
K16
Is one key for the safe lock kept with the CLF secretary and the other with the CLF treasurer/ manager?
Yes
No
K17
Are any cheques kept in the personal custody of the CLF president, secretary, treasurer, accountant, manager, or member?
Yes
No
K18
Are all cheque transactions recorded in the appropriate book of records maintained in the CLF office?
Yes
No
K19
Do CLF President, Secretary, and Treasurer sign the advance or blank cheques?
Yes
No
K20
Are any cheques issued but not handed over to the payee for over 60 days?
Yes
No
K21
Are there any cheques that were issued but not deposited in the bank for over 60 days?
Yes
No
K22
Are all office expenses carried out according to rules and regulations set by the Mission guidelines?
Yes
No
K23
What are the lending norms set by CLFs for onward lending VO/ SHG/ PG?
Loan management system in place
Updated Book of Records
percentage of SC/STs in SHG/VOs more than or equal to 60%
Repayment history of the VO/SHG
Categorization of SHG/VO is Grade A
Idle funds
outstanding amount of VO/SHG
discussion based on business model/ plan for PGs/PCs
Fulfillment of the Panchsutra norms
Regular rotation of office bearers as per norms
Linked VO and SHGs promoting convergence activities
If Other, please specify: ________
K24
What is the type of repayment on these CLF loans?
Regular installments
Lumpsum amount
Partial repayment
K25
What is the mode of repayment on the CLF loans?
NEFT/ RTGS/ online transaction
Cheque
Cash repayment, is there an upper limit for cash transaction…………..
K26
Are all bills scrutinized thoroughly for CLF name, transaction date, item name, quantity, rate, total amount, signature, and authorization of the vendor who raised the bill?
Yes
No
K27
Does the CLF maintain a ‘Bill Register’ to record date-wise details like bill no?& date, name of the payee, purpose, amount, etc., out of the bills received and bills raised?
Yes
No
K28
Is there a verification process and authorization matrix in place, and settlement of bills is done through that process?
Yes
No
K29
Does your CLF raise vouchers for the bills that are to be settled?
Yes
No
K30
Are all bills settled through RTGS, NEFT?
Yes
No
K31
Are all bills settled through Crossed Cheques only?
Yes
No
K32
Is there a system in place ensuring that the exact name of the payee as per the duly verified and approved bill is written on the cheque and voucher?
Yes
No
K33
Are those cheques crossed as ‘A/c. Payee’ and recorded in the ‘cheque register’ and placed before the signatories along with voucher?
Yes
No
K34
Did that cheque get scanned, and was the recipient's signature obtained before handing it over?
Yes
No
K35
Is it ensured that the authorized persons of CLF enter every bank transaction, irrespective of through cheque, NEFT, RTGS, etc., in the cheque register and get initial from authorized bank signatories?
Yes
No
K36
Are all transactions entered in books of records/ registers signed by the President, Secretary, and Treasurer?
Yes
No
K37
In every CLF meeting, are the members of CLF allowed to access and scrutinize the books of records?
Yes
No
K38
Does CLF Accountant carry out the task of Bank Reconciliation every month?
Yes
No
K39
Are the deposits and withdrawals noted in the bank statements scrutinized regularly on a weekly or monthly basis?
Yes
No
K40
Are cash transactions allowed under your CLF?
Yes
No
K41
If yes, what is the maximum limit?
K42
Are you aware that the occurrence of cash transactions, if any, will be considered severe financial lapses, and necessary actions will follow?
Yes
No
K43
Is there any instance of cash transaction beyond the approved limit?
Yes
No
K44
Are there any objections reported in the audit reports?
Yes
No
K45
If yes, are the objections low, moderate, or high risks?
Low risk
Moderate risk
High risk
K46
How has the CLF management addressed the risk involved?
Funds received and utilization
L01
Have you ever received the since 2019?
L01_1
CIF
Yes
No
L01_2
ICF (infrastructure capitalization fund)
Yes
No
L01_3
Viability Gap Fund
Yes
No
L01_4
Working Capital for PG
Yes
No
L01_5
Insurance Support Fund
Yes
No
L01_6
Training funds
Yes
No
L01_7
Livelihood funds
Yes
No
L01_8
Convergence funds
Yes
No
L01_9
Startu-up fund
Yes
No
L02
Source of fund
L02_1
CIF
Block
District
SRLM
Others, specify
L02_2
ICF (infrastructure capitalization fund)
Block
District
SRLM
Others, specify
L02_3
Viability Gap Fund
Block
District
SRLM
Others, specify
L02_4
Working Capital for PG
Block
District
SRLM
Others, specify
L02_5
Insurance Support Fund
Block
District
SRLM
Others, specify
L02_6
Training funds
Block
District
SRLM
Others, specify
L02_7
Livelihood funds
Block
District
SRLM
Others, specify
L02_8
Convergence funds
Block
District
SRLM
Others, specify
L02_9
Startu-up fund
Block
District
SRLM
Others, specify
L03
What is the date on which [fund] received last time (MM/YY)
L03_1
CIF
L03_2
ICF (infrastructure capitalization fund)
L03_3
Viability Gap Fund
L03_4
Working Capital for PG
L03_5
Insurance Support Fund
L03_6
Training funds
L03_7
Livelihood funds
L03_8
Convergence funds
L03_9
Startu-up fund
L04
Did you receive this fund in 2023-24?
L04_1
CIF
Yes
No
L04_2
ICF (infrastructure capitalization fund)
Yes
No
L04_3
Viability Gap Fund
Yes
No
L04_4
Working Capital for PG
Yes
No
L04_5
Insurance Support Fund
Yes
No
L04_6
Training funds
Yes
No
L04_7
Livelihood funds
Yes
No
L04_8
Convergence funds
Yes
No
L04_9
Startu-up fund
Yes
No
L05
What is the amount received in 2023-24?
L05_1
CIF
L05_2
ICF (infrastructure capitalization fund)
L05_3
Viability Gap Fund
L05_4
Working Capital for PG
L05_5
Insurance Support Fund
L05_6
Training funds
L05_7
Livelihood funds
L05_8
Convergence funds
L05_9
Startu-up fund
L06
What is the current amount of fund left with M-CLF?
L06_1
CIF
L06_2
ICF (infrastructure capitalization fund)
L06_3
Viability Gap Fund
L06_4
Working Capital for PG
L06_5
Insurance Support Fund
L06_6
Training funds
L06_7
Livelihood funds
L06_8
Convergence funds
L06_9
Startu-up fund
L07
How did the CLF utilize the fund?
L07_1
CIF
L07_2
ICF (infrastructure capitalization fund)
L07_3
Viability Gap Fund
L07_4
Working Capital for PG
L07_5
Insurance Support Fund
L07_6
Training funds
L07_7
Livelihood funds
L07_8
Convergence funds
L07_9
Startu-up fund
Operating revenue, income and expenditure
M01
Does this M-CLF have the following?
M01A
2021-22
M01A_1
Audit report
Yes
No
M01A_2
Financial statements/bills/vouchers
Yes
No
M01A_3
Other relevant registers to record the following data
Yes
No
M01B
2022-23
M01B_1
Audit report
Yes
No
M01B_2
Financial statements/bills/vouchers
Yes
No
M01B_3
Other relevant registers to record the following data
Yes
No
M01C
2023-24
M01C_1
Audit report
Yes
No
M01C_2
Financial statements/bills/vouchers
Yes
No
M01C_3
Other relevant registers to record the following data
Yes
No
M02
Sources of income
M02A
2021-22
M02A_1
Membership fee from VOs
Yes
No
M02A_2
Membership fee from SHGs
Yes
No
M02A_3
Interest from CIF loans
Yes
No
M02A_4
Interest from startup fund
Yes
No
M02A_5
Interest from other loans to VO/SHG/PG
Yes
No
M02A_6
Interest from bank
Yes
No
M02A_7
Interest on FDs
Yes
No
M02A_8
Income from CMTC
Yes
No
M02A_9
Service charges if any from VO/SHG/PG etc
Yes
No
M02A_10
Income from other sources
Yes
No
M02A_11
Institutional fees
Yes
No
M02A_12
Share capital from VO/SHG
Yes
No
M02A_13
Audit fees
Yes
No
M02A_14
Penalties
Yes
No
M02A_15
Salaries to payroll workers
Yes
No
M02A_16
Salaries/wages to cadres (CRPs)
Yes
No
M02A_17
Honorarium to Bookkeepers/OBs
Yes
No
M02A_18
Training expenses
Yes
No
M02A_19
Meeting expenses
Yes
No
M02A_20
Transportation costs
Yes
No
M02A_21
Electricity bills
Yes
No
M02A_22
Maintenance costs
Yes
No
M02A_23
Stationary costs/printing costs
Yes
No
M02A_24
Rent expenses (office/machinery)
Yes
No
M02A_25
Bank charges
Yes
No
M02A_26
Interest paid if any
Yes
No
M02A_27
Other expenses
Yes
No
M02A_28
Furniture/asset cost
Yes
No
M02A_29
Audit charges
Yes
No
M02A_30
Opening balance
Yes
No
M02A_31
Closing balance
Yes
No
M02A_32
Cash in bank
Yes
No
M02A_33
Cash in hand
Yes
No
M02A_34
CIF loan outstanding
Yes
No
M02A_35
PG loan outstanding
Yes
No
M02A_36
CIF loan disbursed
Yes
No
M02A_37
PG loan disbursed
Yes
No
M02A_38
VGF disbursed
Yes
No
M02A_39
Other loans/funds disbursed
Yes
No
M02A_40
Other loans outstanding
Yes
No
M02B
2022-23
M02B_1
Membership fee from VOs
Yes
No
M02B_2
Membership fee from SHGs
Yes
No
M02B_3
Interest from CIF loans
Yes
No
M02B_4
Interest from startup fund
Yes
No
M02B_5
Interest from other loans to VO/SHG/PG
Yes
No
M02B_6
Interest from bank
Yes
No
M02B_7
Interest on FDs
Yes
No
M02B_8
Income from CMTC
Yes
No
M02B_9
Service charges if any from VO/SHG/PG etc
Yes
No
M02B_10
Income from other sources
Yes
No
M02B_11
Institutional fees
Yes
No
M02B_12
Share capital from VO/SHG
Yes
No
M02B_13
Audit fees
Yes
No
M02B_14
Penalties
Yes
No
M02B_15
Salaries to payroll workers
Yes
No
M02B_16
Salaries/wages to cadres (CRPs)
Yes
No
M02B_17
Honorarium to Bookkeepers/OBs
Yes
No
M02B_18
Training expenses
Yes
No
M02B_19
Meeting expenses
Yes
No
M02B_20
Transportation costs
Yes
No
M02B_21
Electricity bills
Yes
No
M02B_22
Maintenance costs
Yes
No
M02B_23
Stationary costs/printing costs
Yes
No
M02B_24
Rent expenses (office/machinery)
Yes
No
M02B_25
Bank charges
Yes
No
M02B_26
Interest paid if any
Yes
No
M02B_27
Other expenses
Yes
No
M02B_28
Furniture/asset cost
Yes
No
M02B_29
Audit charges
Yes
No
M02B_30
Opening balance
Yes
No
M02B_31
Closing balance
Yes
No
M02B_32
Cash in bank
Yes
No
M02B_33
Cash in hand
Yes
No
M02B_34
CIF loan outstanding
Yes
No
M02B_35
PG loan outstanding
Yes
No
M02B_36
CIF loan disbursed
Yes
No
M02B_37
PG loan disbursed
Yes
No
M02B_38
VGF disbursed
Yes
No
M02B_39
Other loans/funds disbursed
Yes
No
M02B_40
Other loans outstanding
Yes
No
M02C
2023-24
M02C_1
Membership fee from VOs
Yes
No
M02C_2
Membership fee from SHGs
Yes
No
M02C_3
Interest from CIF loans
Yes
No
M02C_4
Interest from startup fund
Yes
No
M02C_5
Interest from other loans to VO/SHG/PG
Yes
No
M02C_6
Interest from bank
Yes
No
M02C_7
Interest on FDs
Yes
No
M02C_8
Income from CMTC
Yes
No
M02C_9
Service charges if any from VO/SHG/PG etc
Yes
No
M02C_10
Income from other sources
Yes
No
M02C_11
Institutional fees
Yes
No
M02C_12
Share capital from VO/SHG
Yes
No
M02C_13
Audit fees
Yes
No
M02C_14
Penalties
Yes
No
M02C_15
Salaries to payroll workers
Yes
No
M02C_16
Salaries/wages to cadres (CRPs)
Yes
No
M02C_17
Honorarium to Bookkeepers/OBs
Yes
No
M02C_18
Training expenses
Yes
No
M02C_19
Meeting expenses
Yes
No
M02C_20
Transportation costs
Yes
No
M02C_21
Electricity bills
Yes
No
M02C_22
Maintenance costs
Yes
No
M02C_23
Stationary costs/printing costs
Yes
No
M02C_24
Rent expenses (office/machinery)
Yes
No
M02C_25
Bank charges
Yes
No
M02C_26
Interest paid if any
Yes
No
M02C_27
Other expenses
Yes
No
M02C_28
Furniture/asset cost
Yes
No
M02C_29
Audit charges
Yes
No
M02C_30
Opening balance
Yes
No
M02C_31
Closing balance
Yes
No
M02C_32
Cash in bank
Yes
No
M02C_33
Cash in hand
Yes
No
M02C_34
CIF loan outstanding
Yes
No
M02C_35
PG loan outstanding
Yes
No
M02C_36
CIF loan disbursed
Yes
No
M02C_37
PG loan disbursed
Yes
No
M02C_38
VGF disbursed
Yes
No
M02C_39
Other loans/funds disbursed
Yes
No
M02C_40
Other loans outstanding
Yes
No
Repayment by VOs
N01
As on 31st January 2024
N01_1
Expected payment of Principal amount (in INR)
N01_2
Expected payment of Interest amount (in INR)
N01_3
Actual collection of Principal amounts (in INR)
N01_4
Actual collection of Interest amount (in INR)
N01_5
Closing Balance (Cash in Hand) (in Rs)
N01_6
Closing Balance (Cash in Bank) (in Rs)
N01_7
Total Amount overdue for more than 30 days (only principal)
N01_8
Total Amount overdue for more than 90 days (only principal)
N02
As on 29h February 2024
N02_1
Expected payment of Principal amount (in INR)
N02_2
Expected payment of Interest amount (in INR)
N02_3
Actual collection of Principal amounts (in INR)
N02_4
Actual collection of Interest amount (in INR)
N02_5
Closing Balance (Cash in Hand) (in Rs)
N02_6
Closing Balance (Cash in Bank) (in Rs)
N02_7
Total Amount overdue for more than 30 days (only principal)
N02_8
Total Amount overdue for more than 90 days (only principal)
N03
As on 31st March 2024
N03_1
Expected payment of Principal amount (in INR)
N03_2
Expected payment of Interest amount (in INR)
N03_3
Actual collection of Principal amounts (in INR)
N03_4
Actual collection of Interest amount (in INR)
N03_5
Closing Balance (Cash in Hand) (in Rs)
N03_6
Closing Balance (Cash in Bank) (in Rs)
N03_7
Total Amount overdue for more than 30 days (only principal)
N03_8
Total Amount overdue for more than 90 days (only principal)
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