G.T - Grehayon Tohbil

N.B. (*) Fields are required

1. NGO Name *
2. Total Branch No. and Working Area *
3. Total Members No. (Including Main Branch) *
4. Chief Executives Name *
Chief Executives Mobile * (01xxxxxxxxx)
Chief Executives E-Mail *
5. Income Source *

6. Registration Information :

a) MicroCredit Regularity Authority *
b) NGO Affairs Bureau *
c) Directorate of Social Services *

7. ৩১-১২-২০১৯ A statement of the NGO's savings and loan status at the end of the business day

a) Savings :

i) Total Savings Status
ii) Number of Members
iii) Number of Associations/Group Numbers

9. NOG's Total Assets ৩০-০৬-২০১৯ Date :

Major Sectors
a) Total Loan Status
b) Fixed Assets (excluding land and building)
c) Land and Building
d) FDR/Bonds/Prizebonds(if any)
e) Bank and Hand Cash
f) Others

Micro Loan :

i) Amount of total receivable loan
ii) Amount of total debt received
iii) Collection Rate

Housing Loan :

i) Amount of loan receivable at ground level
ii) Amount of Housing Loans Received
iii) Housing loan status at ground level
iv) Collection Rate
v) Number of borrower

vi) Housing fund amounts to repayable loans
vii) Housing fund is the amount of debt repaid
viii) The rate of repayment
ix) The loan status of the housing fund

8. Total Loan (Micro Loan + Housing Loan) :

i) Amount of loan receivable at ground level
ii) Amount of Housing Loans Received
iii) Field loan status at the field level

iv) Collection Rate
v) Number of borrower

10. Last 3 Years Profit Loss :

11. Last 3 Years Loan Status :

12. Last 3 Years Capital Fund :

13. Last 3 Years Loan Loss Provision

14. Debt-to-capital ratio (Debt-Inquiry Ratio) :

Type of loan repayment of Housing Fund by the NGO (Last 3 Years)

16. Regarding submission of performance report (last 3 years data)

Stage	Installment	Receipt Installment Payment Date	Filing Performance Report Date	Time Spent for Filing Performance Report	Remarks

17. Others Activities of The Organization :

18. Income Source :

Remarks :