M/s. Centrum Microcredit Ltd.

FCU -Centre VIsit Questionnaire

* Required

  • State Name
  • Name Of The Visitors
  • Designation
  • Employee ID
  • MM slash DD slash YYYY
    Date of Visit
  • Branch Name
  • Loan Officer(Name)
  • Center ID
  • Center Name
    Reason of centre selection
  • Client Name (Met at the centre).
  • Client ID.
  • Total no. of clients in the center.
  • Total no. of OD clients
    Cross checking :Due demand v/s Collected amount by the clients
    Any Discrepancy/ mismatch.
  • Remark on Discrepancy
    Loan card is updated and signed by the LO.
    Has anyone visited this center earlier or follow up was taken?
  • No. of client paid the OD amount during the visit.
  • Total OD amount collected during the visit
  • MM slash DD slash YYYY
    Next PTP date (Promise to pay date).
    Declaration : I declare that I/We have visited the centre and reporting the best of my/our information about the visit

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