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Process Monitoring Template 8 -Form Fill

Identifying Information
Q01

State Name

Q02

State Code

Q03

District Name

Q04

District Code

Q05

District Unique ID

Q06

Block Name

Q07

Block Code

Q08

GPS coordinates

Survey Information
A01

Name of the respondents

A02

Designation of the respondent

A03

Respondent identification code

A04

FIRST VISIT

A04_1

Interviewer's name

A04_2

Interviewed code

A04_3

Date of the interview

A04_4

Result of the interview

A04_5

Record time when you start the interview

A04_6

Record time when you end the interview

A05

SECOND VISIT

A05_1

Interviewer's name

A05_2

Interviewed code

A05_3

Date of the interview

A05_4

Result of the interview

A05_5

Record time when you start the interview

A05_6

Record time when you end the interview

A06

THIRD VISIT

A06_1

Interviewer's name

A06_2

Interviewed code

A06_3

Date of the interview

A06_4

Result of the interview

A06_5

Record time when you start the interview

A06_6

Record time when you end the interview

Basic Information and Formation of OSF
B01

How many blocks fall under the catchment of this OSF?

B02

How many GPs fall under the ambit of this OSF?

B03

How many villages fall under the ambit of this OSF?

B04

When was the OSF formed?

B05

How many SHG members are part of the OSF?

B06

Does this OSF have a GST Number?

B07

Does PAN issue in the name of OSF?

B08

Are you a member of any SHG member in the villages under the ambit of this OSF?

B09

What is the name of the SHG?

B10

What is your age? (In completed years)

B11

Please specify your gender

B12

What is your educational qualification?

B13

What is your marital status?

B14

Do you hold any key position in the villages falling under this OSF?

Training and Capacity Building of BDSP
C01

Have there been any training provided to Business Development Service Providers (BDSP)

C02

What is the status of the training?

C02_1

Concept of OSF

C02_2

Operations of OSF

C02_3

Business plan development

C02_4

Entrepreneur training

C02_5

Maintaining a database of entrepreneurs

C02_6

Daily Operations

C02_7

E-PoS

C02_8

Record Keeping

C03

Date

C03_1

Concept of OSF

C03_2

Operations of OSF

C03_3

Business plan development

C03_4

Entrepreneur training

C03_5

Maintaining a database of entrepreneurs

C03_6

Daily Operations

C03_7

E-PoS

C03_8

Record Keeping

C04

Duration

C04_1

Concept of OSF

C04_2

Operations of OSF

C04_3

Business plan development

C04_4

Entrepreneur training

C04_5

Maintaining a database of entrepreneurs

C04_6

Daily Operations

C04_7

E-PoS

C04_8

Record Keeping

C05

Who facilitated the training?

C05_1

Concept of OSF

C05_2

Operations of OSF

C05_3

Business plan development

C05_4

Entrepreneur training

C05_5

Maintaining a database of entrepreneurs

C05_6

Daily Operations

C05_7

E-PoS

C05_8

Record Keeping

C06

Where was training conducted?

C06_1

Concept of OSF

C06_2

Operations of OSF

C06_3

Business plan development

C06_4

Entrepreneur training

C06_5

Maintaining a database of entrepreneurs

C06_6

Daily Operations

C06_7

E-PoS

C06_8

Record Keeping

C07

Was training material provided?

C07_1

Concept of OSF

C07_2

Operations of OSF

C07_3

Business plan development

C07_4

Entrepreneur training

C07_5

Maintaining a database of entrepreneurs

C07_6

Daily Operations

C07_7

E-PoS

C07_8

Record Keeping

C08

Was the training useful and content relevant?

C08_1

Concept of OSF

C08_2

Operations of OSF

C08_3

Business plan development

C08_4

Entrepreneur training

C08_5

Maintaining a database of entrepreneurs

C08_6

Daily Operations

C08_7

E-PoS

C08_8

Record Keeping

C09

Do you recall the training content?

C09_1

Concept of OSF

C09_2

Operations of OSF

C09_3

Business plan development

C09_4

Entrepreneur training

C09_5

Maintaining a database of entrepreneurs

C09_6

Daily Operations

C09_7

E-PoS

C09_8

Record Keeping

C10

Is the training session noted in the book of records?

C10_1

Concept of OSF

C10_2

Operations of OSF

C10_3

Business plan development

C10_4

Entrepreneur training

C10_5

Maintaining a database of entrepreneurs

C10_6

Daily Operations

C10_7

E-PoS

C10_8

Record Keeping

C11

Who motivated the BDSP to attend trainings?

C12

How was the information regarding trainings communicated to the BDSPs?

C13

What major challenges does the BDSP face in attending these training

C14

Which other topics should be covered in the meetings?

Functioning and Operations
D01

Is there a bank account opened in the name of the OSF?

D02

Who operates the bank account?

D03

Is there a plan to open an account in the name of OSF?

D04

If yes, when do you think it will happen?

D05

How many enterprises are associated with you?

D06

What is the total number of employees in the enterprises associated with you in the last year?

D07

Are you planning to expand your coverage?

D08

If yes, which other enterprises are you trying to cater to?

D09

Why expand coverage to these specific enterprises?

D10

If not, why are you not planning to expand coverage?

D11

Is there any business plan prepared for enterprises associated with you?

D12

If yes, how will the business plan be prepared?

D13

If not, why not?

D14

When will their plans be prepared?

D15

What are the challenges and barriers in preparing business plans?

D16

What could be the solutions?

D17

Is any support provided to prepare these plans?

D18

If yes, what kind of support is provided?

D19

Who supported the preparation of the Business Plan?

D20

Was the location of OSF based on the criteria decided by the SHG/VO/ CLF?

D21

What factors were considered in identifying the location of OSF?

D22

What are the challenges in the operations of OSF?

D23

What other challenges do you foresee in the next three years?

D24

What possible solutions to the challenge(s) do you face and foresee?

D25

In the last 6 months, how often have you held meetings with the District Technical Expert – Enterprise Promotion

D26

What is the name of the DTE- EP?

D27

Did you receive any support from her/him?

D28

If yes, what kind of support?

D29

If not, what kind of support do you expect from DTE-EP?

D30

In the last 6 months, how often have you held meetings with the Block Technical Expert – Enterprise Promotion

D31

What is the name of the BTE- EP?

D32

Did you receive any support from her/him?

D33

If yes, what kind of support?

D34

If not, what kind of support do you expect from BTE-EP?

Process of Fund Flow and Expenses
E01

Have you received any financial support from the NRETP?

E02

How much amount have you received as establishment cost (CEF)?

E03

From where did OSF receive its funds?

E04

In which account have you received this amount?

E05

How much amount have you received as working capital (CEF)?

E06

Were you able to utilize this amount?

E07

If yes, For what purpose you have utilized the loan amount?

E08

Is there any challenge you face in the flow of funds?

E09

What could be done better to address these challenges?

E10

What is the repayment status of loans taken by associated enterprises?

E11

On average, what proportion of loans is partially repaid by the associated enterprises?

E12

How much amount has OSF repaid? (Note to the enumerator: checkbooks)

E13

What is the interest rate at which repayment of the loan is made?

E14

What is the opening balance of the OSF account over FY 2021-22?

E15

What is the closing balance of the OSF account?

E16

Profit/ Loss

E17

What is the monthly turnover of the OSF account?

E18

What is the monthly revenue of the OSF account?

E19

What is the total number of enterprises associated with the OSF?

E20

What is the average number of employees per enterprise in the OSF?

E21

What is expenditure incurred by the OSF under the following heads monthly:

E21A

Establishment Cost

E21A_1

Furniture

E21A_2

Weighing Machine

E21A_3

Digital gadgets, including E-PoS

E21A_4

Signboard

E21A_5

Fridge

E21A_6

Inverter

E21A_7

Miscellaneous

E21B

Operational Expenses

E21B_1

Rent of Premises

E21B_2

Electricity

E21B_3

Honorarium to store staff/ cadre

E21B_4

Monthly Internet Charges

E21B_5

Book of records

E21B_6

Maintenance cost

E21B_7

Transportation cost

E21B_8

Stationary and miscellaneous expenses (Note to the enumerator: list all that apply)

Review and Monitoring
F01

What is the frequency of review meetings conducted by DTE-EP?

F02

When did DTE-EP organize the last review meeting?

F03

Does OSF share information on funding and profits with its member in monthly meetings?

F04

Does OSF submit a Monthly Progress Report to DTE-EP?

F05

Does OSF submit Work Done Report to DTE-EP monthly?

F06

Does OSF submit the Receipt and Payment Register monthly to DTE-EP?

F07

Does OSF submit the Profit and Loss account against the annual action plan to DTE-EP?

F08

What is the frequency of submitting a Profit and Loss account to DTE-EP?

F09

When were the last Profit and Loss accounts submitted to DTE-EP?

F10

Who maintains the book of records?

F11

How are these audited?

F12

Whom do they report?

F13

What is the frequency of these meetings?

F14

What is usually discussed in those meetings?

Maintenance of Records
G01

Check if the following book of records is available or not?

G01_1

Stock Purchase Register

G01_2

Daily Stock Register

G01_3

Sales Register

G01_4

Stock Return Register

G01_5

Cash Book

G01_6

Receipt and Payment Register

G01_7

Cheque Issue Register

G01_8

Member's Passbook

G02

Check if the book of records is updated or. not?

G02_1

Stock Purchase Register

G02_2

Daily Stock Register

G02_3

Sales Register

G02_4

Stock Return Register

G02_5

Cash Book

G02_6

Receipt and Payment Register

G02_7

Cheque Issue Register

G02_8

Member's Passbook

G03

Please record the date last updated

G03_1

Stock Purchase Register

G03_2

Daily Stock Register

G03_3

Sales Register

G03_4

Stock Return Register

G03_5

Cash Book

G03_6

Receipt and Payment Register

G03_7

Cheque Issue Register

G03_8

Member's Passbook

G04

Please specify the reason for not updating the book of records

G04_1

Stock Purchase Register

G04_2

Daily Stock Register

G04_3

Sales Register

G04_4

Stock Return Register

G04_5

Cash Book

G04_6

Receipt and Payment Register

G04_7

Cheque Issue Register

G04_8

Member's Passbook

G05

Which of the following sheets are prepared by OSF Management Committee with the help of BDSP?

G06

What is the frequency of preparing these sheets?

G07

What kind of support is required?

G08

Does BDSP help enterprises or individual entrepreneurs with the following?

G08_1

Business ideation and conceptualization of growth

G08_2

Hand holding to initiate/grow the business

G08_3

Business plan development

G08_4

Entrepreneur training

G08_5

Ensure regulatory compliances such as Udyog Adhar, FSSAI, PAN, GST, etc.

G08_6

Ensure financial BoR such as Ledger, Cash Book, Day Book, Bank Book

G08_7

Track business performance against benchmarks

G08_8

Facilitate insurance for the entrepreneur

G09

Does the business plan developed by the BDSP have the following?

G09_1

Loan requirement specified

G09_2

Repayment duration specified

G09_3

Repayment schedule specified

Non-farm enterprises in the OSF
H01

Is OSF members engaged in any non-farm business? (e.g., Tailoring, Beekeeping, Painting, handloom, etc.)

H02

Which non-farm business unit do you have?

H03

What is the procedure for releasing funds to NFE?

H04

What could be done to improve it?

H05

Have you started this non-farm business by using the support received from NRETP?

H06

Did you receive any training for setting up or expanding this non-farm business?

H07

Who provided you with this training?

H08

Did you receive financial support for setting up the non-farm business?

H09

Who provided you with this financial support?

H10

Apart from the training and financial support, have you received any other support from NMMU for setting up the non-farm businesses associated with the OSF?

H11

What other support have you received?

H12

Did you receive financial support expanding the non-farm business?

H13

Who provided you with this financial support?

H14

Apart from the training and financial support, have you received any other support from NMMU for expanding the non-farm businesses associated with the OSF?

H15

What other support have you received?

H16

What was the gross receipt from the non-farm business over the last 12 months?

H17

How much did it cost to operate the non-farm businesses in the last 12 months for the following?

H17_1

Rent of equipment, property (INR)

H17_2

Cost of electricity, water, and transport (INR)

H17_3

Cost of labor (INR)

H17_4

Cost of materials & miscellaneous inputs (INR)

H17_5

Loan (Principal + Interest) (INR)

H17_6

Any other costs, including taxes (INR)