If you have saved a form earlier, please enter the ID provided to retrieve it.

• Your Saved Form ID

Institutional Details

• Name of the organisation
• Address
  Address Line City State
• Telephone
• E-mail address
• Year of establishment
• Year of initiation of microfinance activities
• Legal status Section 25 Company Trust of Registered Societies Cooperative/MACS NBFC Other
• Details of contact person for Awards nomination
  Name Position Phone Landline E-mail

• Outreach and Impact

  Indicators	2007-08	2008-09	2009-10	2010-11
  Total number of clients/members
  Number of active borrowers
  Clients below poverty line
  Number of loan officers
  Indian Poverty Line (IPL) for rural areas is INR 327 and urban areas is INR 454 per capita per month .

• Financial Performance

  Indicators	2007-08	2008-09	2009-10	2010-11
  Loan outstanding
  Loans disbursed
  Total equity
  Total assets
  Total liabilities
  Total income from microfinance operations
  Effective rate of interest (%)
  % of the gross loan portfolio dedicated towards the primary loan product
  Gross loan portfolio (y-o-y)
  Cumulative repayment rate (%)
  PAR 30 days (%)
  1. Figures in actual numbers – please do not convert in lakhs or crores.2. Please submit figures from audited financial statements.3. Please put 'NA' if data for any year is not available.

• A brief about the evolution of the organisation (max 300 words)
  This can include details such as
  - When did you start microfinance activity
  - Mission and vision of the organisation
  - Lending methodology
  - Number of branches
  - Future projections about the organisation - client outreach, loan disbursement, focus areas (pro poor, health, sanitation etc.) and strategy 1 words remaining.
• Brief description of the products and services offered by the organisation. Also indicate how do you include the objective of poverty alleviation in your microfinance operations? (max 300 words)1 words remaining.
• Briefly outline any process, product or technological innovation adopted/introduced by the organization (max 300 words)
  Please describe the innovation, scalability, adaptability potential of the idea in diverse geographic and economic conditions of India.1 words remaining.
• Provide a short description about why this microfinance institution should receive this award (max 100 words)1 words remaining.
• Please indicate if your organization endorses any of the following Responsible Finance initiatives
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  Microfinance Transparency - Please indicate if you have submitted data to Microfinance Transparency Credit Bureau initiated by Microfinance Institutions Network and the International Finance Corporation
  Do you check the credit history of microfinance clients during the loan appraisal process?
        Please explain the process both in terms of a repeat client and a new client
        
        Indicate other steps taken to ensure that multiple lending does not occur, if any.
        
  Sa-Dhan’s Core Values, Code of Conduct and Compliance Mechanism
  MFIN's Code of Conduct
• Please highlight the contribution to the sector by your organization at the time of crisis? (max 100 words)
  This can include details such as:
  - Role of your organization in remedial measures taken collectively by the industry
  - Inclusion of client protection principles in the capacity building and training modules for loan officers
  1 words remaining.