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Bc Sakhi Template 1 -Form Fill
Village Information
Q01
State Name
Q02
State Code
Q03
District Name
Q04
District Code
Q05
Block Name
Q06
Block Code
Q07
Gram Panchayat Name
Q08
Gram Panchayat Code
Q09
Village Name
Q10
Village Code
Q11
Village Unique ID
Survey Information
A01
Name of the respondents
A02
Respondent identification code
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
A04
SECOND VISIT
A04_1
Interviewer name
A04_2
Interviewed code
A04_3
Date of the interview
A04_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)
A04_5
Record time when you start the interview
A04_6
Record time when you end the interview
A05
THIRD VISIT
A05_1
Interviewer name
A05_2
Interviewed code
A05_3
Date of the interview
A05_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)
A05_5
Record time when you start the interview
A05_6
Record time when you end the interview
Basic Information
B01
What is the name of your SHG?
B02
What is your age?
B03
What is your educational qualification?
Illiterate
No Schooling
Primary
Secondary
High Secondary
Diploma/ ITI
Graduation
Post Graduation
If other, please specify
B04
What is your marital status?
Unmarried
Married
Widowed
Divorced
Separated
Deserted
B05
Month/Year of Joining as BC agent?
B06
What is the primary activity of the the household?
Agriculture/cultivation on own/ leased-in/shared land
Animal husbandry
Fishing
Agriculture labor
Non-agri labor, unskilled (coolie, etc.)
Non-agri labor, skilled (mason, carpenter etc.)
MGNREGS labor
Enterprise/business /shops
Salaried Govt. job
Salaried private job
Other’s Specify
B07
What is the secondary activity of the the household?
Agriculture/cultivation on own/ leased-in/shared land
Animal husbandry
Fishing
Agriculture labor
Non-agri labor, unskilled (coolie, etc.)
Non-agri labor, skilled (mason, carpenter etc.)
MGNREGS labor
Enterprise/business /shops
Salaried Govt. job
Salaried private job
Other’s Specify
Identification/ Selection of BCAs
C01
How did you come to know the BC work/activity
Relatives/friends
Bank
SRLM staff
Other BCAs
Open Advertisement
Other’s Specify
C02
Who influenced you to become a BC Sakhi?
family
friends
Project team
other SHG member
Others(please specify)
C03
What was the process adopted to select a BC agent? (Multiple choice)
Oral Interview
Written Exam
Written Exam and Oral Interview
IIBF Exam
Directly selected
Selected Based on the recommendation
Based on prior experience as Bank Correspondent
Based on educational qualifications
Related experience such as eCRPs, bookkeeper
C04
Have you had any experience working as a CRP/Bookkeeper/Trainer?
Yes
No
C05
Please provide details of prior experience.
C06
What motivated you to become a BC Sakhi?
C07
Can you tell us the major roles and responsibilities you must undertake as BC Sakhi?
Training and Capacity Building
D01
Did you receive any training for carrying out your roles and responsibilities as a BCA before initiating work?
Yes
No
D02
How many days of training did you receive?
D03
What all is taught in training (Multiple Choice)
Basic Computer skills
Basic Banking knowledge
Introduction to BC model
Roles and Responsibilities of a BC
Services to be offered by a BC
Handling operating devices
Handling Software
Financial Literacy
Financial
Management
Maintaining records
Reporting Formats/ Templates
Communication skills
Business Potential
Cannot Recall
Other’s Specify
D04
Did you find the training helpful?
Yes, the training was very helpful
No, the training was not very helpful
Other’s Specify
D05
What were the main issues with the training sessions?
The training venue was too far off
The training content was not relevant/ did not deal with practical issues
The duration of the training was inadequate
The quality of trainers was unsatisfactory
Other’s Specify
D06
Did you take an exam after being trained?
Yes
No
D07
If yes, did you receive a certificate?
Yes
No
D08
From where did you receive the certificate?
Indian Institute of Banking and Finance (IIBF)
CSC
Respective Banks
Other’s Specify
D09
After you started working as BCA, were you ever given another training?
Yes
No
D10
After how many days/months were you given the refresher training?
D11
What was taught in the refresher training
Updates on BC policy
Updates on Banking services
Updates on Social Security schemes
Cannot recall
Others Specify
D12
If not, do you feel the need for refresher training?
Yes
No
D13
If yes, what areas would you like a refresher training on? (multiple choice)
Updates on Social Security schemes
Technical training for equipment handling
Cannot recall
D14
Do you think there has been a change in yourself after becoming a BC Sakhi?
Yes
No
D15
If yes, please elaborate
Functioning and Operations
E01
Which model of service do you follow?
Kiosk Model
E-PoS Model
If other, Please Specify (_____)
E02
Please provide the name of the bank you work with
MBGB
IDFC
CBI
PNB
BOB
ICICI Bank
If other, Specify
E03
Have you started the dual authentication/ verification process for SHG members who do not have an account in the same bank as the one you are associated with?
Yes
No
E04
If not, what are the barriers that are hindering the process of starting dual authentication?
E05
Please tick the following based on the availability of the following listed item at the outlet of Bank Sakhi
Prescribed Board displayed at the CSP
Prescribed Customer Guidelines (such as dos and don'ts) displayed.
Bank Sakhi outlet has a BC certificate displayed
Marketing collaterals of bank products available at the outlet
E06
During selection and recruitment, are you operating from the allocated place(kiosk)?
Yes
No
E07
How many days a week do you work as a BC Sakhi?
every day
3-4 days in a week
once a week
once in 15 days
others, please specify
E08
How many hours do you work per day as a BC Sakhi?
3-4 hours
5-8 hours in a week
more than 8 hours
others, please specify
E09
Which of the following hardware/ services are available at your outlet?
Laptop/ PC/ Tablet
Printer Cum Scanner
Pin Pad device/ Micro ATM
Bio- Metric Device
Internet Connection
If other, Please specify()
E10
Please provide the number of villages you provide your services to.
E11
Please provide the approx. number of households you provide your services.
E12
Number of SHGs in your service area
E13
How many of these SHGs have ever got their transactions done by you (i.e., through BC Sakhi)
E14
Number of VOs in your service area
E15
Number of CLFs in your service area
E16
How would you define your customer segment? (Multiple Choice)
Individuals
Business Establishment
School Going Children?
Institutions/Collectives (SHGs, VOs, CLFs, etc.)
E17
What kind of services do you provide to the eligible beneficiaries?
Account Opening
Deposits
Withdrawal
Fund Transfer/ IMPS
Fixed deposit
Recurring Deposit
Promoting and selling insurance products
Promoting and selling pension products
Delivering notices for NPA on behalf of bank branches
Recovering NPAs
Generating eligible loan application
Aadhar Seeding
Payment of NREGA wages
If other, Please specify(____)
E18A
How many transactions did you carry out in the last three months?
E18A1
44682
E18A2
44713
E18A3
44743
E18B
What was your total value of transaction that took place in the last three months?
E18B1
44682
E18B2
44713
E18B3
44743
E18C
In the last three months, out of all the transactions made by you, how many of the transactions fall under each category?
E18C1
44682
Cash Withdrawal
Cash Deposits (Savings/ To own account)
Cash Transfer (to other accounts)
E18C2
44713
Cash Withdrawal
Cash Deposits (Savings/ To own account)
Cash Transfer (to other accounts)
E18C3
44743
Cash Withdrawal
Cash Deposits (Savings/ To own account)
Cash Transfer (to other accounts)
E19
How many of those transactions were made for women?
E20
How many transactions were made for the elderly?
E21
What are the top 5 services availed by men?
E22
What are the top 5 services availed by women?
E23
Do you think you have been able to help or provide support to other women in society?
Yes
No
E24
If yes, how?
E25
Are you aware that SHG/VO/CLF transactions could be conducted through the BC platform?
Yes
No
E26
Have you ever conducted SHG/VO/CLF transactions?
Yes
No
E27
How many SHGs have which have conducted at least one transaction in the last three months
E28
Total value of SHG transactions done in the last three months
E29
How many VOs have conducted at least one transaction in the last three months?
E30
Total value of VO transactions done in the last three months.
E31
How many CLFs have conducted at least one transaction in the last three months?
E32
Total value of CLF transactions done in the last three months
E33
What are the reasons you feel are responsible for such a low number of SHG/VOs/CLFs routing their transactions through you?
SHG members not willing to transact on the BC platform
Place of meeting too far away
Time of the SHG/VO/CLF meeting is inconvenient
Too busy with other customers
OD limit is too low to manage the transactions
Others (please specify)
E34
Why don’t you conduct SHG transactions?
SHG/VO/CLF meetings are held too far off or at inconvenient times
Dual Authentication has not been enabled
Individual SHG members' mapping to the SHG account hasn’t been completed
SHG members are not interested in carrying out the transactions through the BC point
Current OD limit is too low to carry out the institutional transactions
Lack of time/Too busy with existing customers
Technology issues (interoperability etc.)
Others (Specify)
E35
What assistance do you need to initiate transactions of SHGs/VOs/CLFs at the BC point?
E36
Has the BC Sakhi felt any constraints?
Yes
No
E37
Do you have someone who can help you with things if you cannot cover the required activities?
Yes
No
E38
If yes, can you specify who the people helping you out are?
Process of Fund flow
F01
What is your main source of investment?
Invested from my personal savings
Loan from SHG/VO/PLF/CLF/GPLF
Loan from Bank Assistance from Government Schemes
Borrowed money from friends/family
F02
How much did you invest to initiate the activity (INR)?
F03
Of the total investment, how much invest towards equipment
F04
Of the total investment, how much invest towards the OD limit?
F05
What is the frequency with which you get your commission?
Daily
Weekly
Fortnightly
Monthly
Quarterly
Irregular
Other
F06
What are the modalities of receiving the commission?
Get it as soon as it is due
On request/applying for the commission
Don’t know/Can’t say
F07
How do you receive the commission?
Directly transferred to my savings account
Given as cash
Don’t know/Can’t say
F08
On average, what is the range of commissions you receive in a month?
Below 10,000
10,000- 30,000
30,000-50,000
Above 50,000
F09
In which account have you received this amount?
Self
Relative SHG member
F10
Have you received any incentives or bonuses for the services you have provided?
Yes
No
Detail of expenses
G01
Sources of Revenue
G01_1
Revenue from commissions
G01_2
Assistance provided by the SRLMs
G01_3
Assistance from Banks/NABARD
G01_4
Other sources of Revenue
G02
What is expenditure incurred by the Bank Sakhi under the following heads
G02A
Establishment Cost
G02A1
Laptop/ PC / Tablet
G02A2
Printer cum scanner
G02A3
Pin Pad Device/ Micro ATM
G02A4
Biometric device
G02A5
Internet Connection
G02A6
Power Backup
G02A7
Miscellaneous
G02A8
Overdraft amount (Note to the enumerator: The overdraft allows the account holder to continue withdrawing money even when the account has no funds in it or insufficient funds to cover the amount of withdrawal)
G02B
Total Establishment Cost
G02B1
Operational Expenses
G02B2
Rent of Premises
G02B3
Electricity
G02B4
Monthly Internet Charges
G02B5
Travel Expenses
G02B6
Stationary and miscellaneous expenses
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