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[Section 29]
[Entire Act]
State of Andhra Pradesh - Subsection
Section 29(2) in Andhra Pradesh Micro Finance Institutions (Regulation of Money Lending) Rules, 2011
| A. | Format for application for registration |
| 1. Name of the Micro FinanceInstitution/Organization : | |
| 2. Nature of the Organization: | |
| (Company/Partnership Firm/Society/NBFC/Co-Operative Society/Money Lender/HUF/Proprietary Firm / OthersSpecify) | |
| B. | Details of incorporation |
| 1. Whether Incorporated or not : | |
| 2. Date of incorporation: | |
| 3. Place of Incorporation: | |
| 4. Reference number of Incorporation: | |
| 5. Present Address of the registered office: | |
| 6. Details of persons connected with andresponsible For the day-to-day control, business and Managementof the Micro Finance Institution: |
| S.No | Name of the person | Designation Official address | Residential address | Contact number | Address | |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| C. | Details of Organization at District Level |
| 1. New Micro Finance Institution or Existing Micro Finance Institution | |
| 2. List of the office(s) of the Micro Finance Institution in the district: |
| S.No. | Name of the branch | Office Address | Name of the head of the branch operations | Contact number | Email address |
| 1 | 2 | 3 | 4 | 5 | 6 |
| 3. Names and details of employees deployed in the district. |
| SI. No. | Name | Designation | Residential Address | Contact No | EPF Code | Area allocated for operation |
| 1 | 2 | 3 | 4 | 5 | 6 | 7 |
| D. | Details of subsisting loans |
| Sl No. | Name of the Borrower/ Father/ Husband | Ration Card No. | Village/ Ward/slum | Mandal/Town | Name of the Self Help Group belonging to | Amount of loan given | Purpose for loan | Amount realized so far towards | |
| Principal | Interest | ||||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
| Number of Instalment's for repayment | Periodicity of payment Daily/ Weekly/Fortnightly/ Monthly | Mode of compounding of interest Weekly restMonthly rest Quarterly rest Half Yearly rest Yearly rest | Instalment amount | Effective rate of interest (including interest,insurance and all other charges payable by the borrower) | |
| Total number | So far paid | ||||
| 11 | 12 | 13 | 14 | 15 | 16 |
| E. | Area of Operation: Currently operating or assigned to operate during the year |
| SI. No. | Village/ slum | Mandal/Town | Name of the functionary /supervisor | Name of the branch of Micro Finance Institutionservicing the area | Number of existing borrowers |
| 1 | 2 | 3 | 4 | 5 | 6 |
| Date:Place: | Signature of the CEO. |