Rating Model for Business Correspondent Agent

SCORING SHEET

__________________________Zone
________________________Branch
Ref. No. of Advertisement: __________________________
Date of Advt., if any: _______________________________

Application No.: _____________________________________

Name of the BF/BC: __________________________________

(Minimum Qualifying Marks 18 out of 30)

S_No. Parameter Eligibility Criteria Marks Max. Marks

Marks Scored
i. Permanent Resident 5
ii. Resident for 5 years 3
1. Location 5
iii. Resident for less than 5
2
years
i. Having Excellent reputation 5
* Reputation in
2. the ii. Having Good reputation 3 5
locality/society iii. Having satisfactory
2
reputation
i. Between 18 and 40 years 2
ii. Above 40 and up to 45 years 3
3. Age 3
iii. Above 45 years 1
(All should have good sound health)
i. Graduate and above 3
th
4. Education ii. 12 Class Pass 2 3
th
iii. Up to 8 Pass 1
i. Bank of India
3
………………………. Branch
5. Banking with ii. Other banks 2 3
iii. Co-op. Bank/RRBs, etc. 1

*****
 Rating Model for Business Correspondent Agent
SCORING SHEET
S_No. Parameter Eligibility Criteria Marks Max. Marks
Marks Scored
Computer i. Yes 2
6. 2
Literacy ii. No 0
i. Agents of Small savings
schemes of GOI or
Insurance Companies/
Retired Bank- 4
employee/ Ex-
servicemen/ Retd. Govt.
Present Employee.
7. 4
Occupation ii. Rural Kiosks / Medical
Shop owner/ Fair Price
shop owner/ Individual
3
PCO operator/
Individual owning
Petrol pumps.
iii. Agri Clinics, etc. 2
i. More than 2 years 3
Experience in
8. above ii. Up to 2 years 2 3
Occupation iii. No experience 0
i. Above Rs. 50,000 2
ii. ii. Between Rs. 30,000
9. Annual Income 1 2
and Rs. 50,000
iii. iii. Less than Rs. 30,000 0
30

* Should be non-political and not afflicted to religious organizations, political parties, etc. Should not have
criminal record, which should be verified form police authorities. Individual / Organization / Persons
managing organization should not be defaulter with Banks / Societies /Financial institutions, etc.
Due diligence of this BC/BF are to be ensured by concerned Zonal/Branch authorities.

For Office Use only:

Marks Scored: ______________
The applicant was interviewed by us. Based on the marks obtained in the scoring sheet, we recommend/ not
recommend his/her engagement as BC/BF in the Bank.

___________________ _______________________ _____________________

Signature of Signature of Signature of
Committee Member-1 Committee Member-1 Committee Member-1
(Designation) (Designation) (Designation)

Date: _____________
 Application Form for Business Correspondent Agent (BOI)
(Individual Entitles)

1. BC Location (Village/Town): Location: Panchyat:

Block : District Fix your
State: Pin No: Passport size
Photo
2. Full Name (In Block Letters):
3. Father’s / Husband Name:
4. Date of Birth:
5. Gender (Please Tick): Male Female

6. Marital Status (Please Tick) Married Unmarried

7. Education (Please Tick) Below Class X Class X Class XII Graduate

PG and above

8. Permanent Address Village: P.O: P. S:

Panchyat: Block:
District: State: Pin No:

9. Communication Address Village: P.O: P. S:

Panchyat: Block:
District: State: Pin No:

10. Telephone No.(With STD Code): Residential:

Office: Mobile:
11. E-mail ID, If any :
12. PAN No:
13. Aadhaar No:
14. Currently Banking with (Bank):
15. Bank Account Number, If any:
16. Cheque Facility (Please Tick): Available Not Available
17. Proof of Name (Please Tick):
Driving License PAN Card

Any One: Voter’s ID Card Passport

18. *Proof of Address (Please Tick): Electricity Bill (Latest) NSC Copy

Telephone Bill (Latest) LIC Policy

` Letter from Landlord Gas Connection

Aadhaar
19. Present Business/Occupation,
If any :
20. Computer Literacy: Yes No

21. If you are already own a business or are working your revenue/income per month is: (Please tick the
applicable) Less than Rs. 1000 _____ Rs. 1000 – Rs. 2500 _____ Rs. 2500 – Rs. 4000 _____
Rs. 4000 – Rs. 6000_____ More than Rs. 6000 _____
22. Do you have any experience in selling financial products? If yes, give details…………………………..
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
………………………………………………………………………………………………………………….
23. Languages known (please write: Fluent/Not so fluent)
S_No. Language Read Write Speak
1. English
2. Hindi
Regional
3.
Language(Specify)
Any Other
4.
(Specify)

24. No. of years of stay in the town/village

25. Do you have any police records? If yes, give details

26. Names, address and occupation of two people to whom reference can be made :
1) ________________________________________________________________________
________________________________________________________________________
2) ________________________________________________________________________
________________________________________________________________________
 I hereby undertake /declare that:

(i) Aforesaid information furnished by me is correct and true to the best of my knowledge and
belief and in case found at any stage that the information given by me/us is wrong, my/our
engagement as Business Correspondent will be cancelled
(ii) I/we have read the details of the scheme for engagement as Business Correspondent/Business
facilitator in the Bank of India, eligibility criteria, terms & conditions, scope of the activity
and payment of service charges, etc.
(iii) In Case my/our Name(s) is/are considered for appointment as Business Correspondent. I/we
will/shall sign the Agreement-cum-identity with Bank of India as per the draft shown to me
/us and abide by the terms of Agreement –cum-identity, rules/norms of the scheme.
(iv) I/we fully agree that submission of this application/Bio-data to the Bank shall not be
construed as a right for selection and Bank reserves its right to select/reject the case on merit.

Yours faithfully,

______________________________________________
Signature of the applicant:

(Full Name)____________________________________

Place: _________________________________________

Date: _________________________________________
Address & ID Proof*

* May be obtained from Sarpanch/Mukhiya/Gazatted Govt. Servant/ PostMaster/ Tahsildar/Police

Inspector/Govt. Teacher

This is to certify that Mr. /Ms. /Mrs. ……………………………………………… has been a resident of
(Complete permanent address)
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
for …………………. Years and holds a good character in the area. His photograph is herewith attested and
I confirm the same. His date of birth is ……………………………………………………………………….

___________________________
(Signature)

Name:
____________________________________
Address:

_______________________________________________________________________________________

_______________________________________________________________________________________
Designation (With seal):

_____________________________________
 *****
References:
1.
I hereby certify that………………….. has been a resident of …………………… Village/ town of
……………………… district in ………………………………… State of period of …………… years and
has been known to me for period of ……………….. Years.

______________________
(Signature with date)

Name of Referee
…………………………………………………………………………………………………………………
Address:
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Designation / Title:
…………………………………………………………………………………………………………………

*****

2.
I hereby certify that………………….. has been a resident of …………………… Village/ town of
……………………… district in ………………………………… State of period of …………… years and
has been known to me for period of ……………….. Years.

______________________
(Signature with date)

Name of Referee
…………………………………………………………………………………………………………………
Address:
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
Designation / Title:
…………………………………………………………………………………………………………………
 ****

For Branch/Office use:

Branch Manager’s Comments and Recommendations (including on verification of antecedents)

Due diligence exercise carried out by: ___________________________________ on _______________

Dated: ___________

(Signature of AGM/CM/SM/Branch Manager)

Seal ___________________

For Zonal Office use:

Comments of the Zonal Manager:

Based on the recommendation of the Branch Manager and the Zonal Selection Committee dated
_____________ , the engagement of the applicant as Business Correspondent (BC)/Business
Facilitator (BF) is approved / rejected, for the village _______________________ (Name of the
Village) attached to our Banks’ ________________________ Branch (Name of the Branch).

Date: _______________
____________________________________

Name:
Zonal Manager

______________________ Zone
 AFFIDAVIT (Rs.100/-)

I,……………………..................S/o /D/o / W/o, Mr. …………………………….. ........... Resident

of………………………………………………., do hereby solemnly affirm and declare as under :

1. That I am a citizen of India.

2. I am not a defaulter of any bank with loan or any other instrument.

3. My educational qualification is 12th pass or above.

4. I am not affiliated to any political party.

5. I have no criminal record against me.

6. None of my family member works in Bank of India.

7. I have applied for police verification and will submit report immediately on receipt.

8. I have capability to handle the cash and operate the technology.

9. The place mentioned location is rented / owned.

10. The place mentioned as residence is rented / owned.

11. I will open the outlet from 8 AM to 8 PM and will work on Sunday / Holidays

12. I will arrange for all banners / Board / Stationary / Register as per Bank instructions.

13. I will follow all Bank of India and CSC instructions regarding operations.

14. I will pass IIBF Exam as early as possible.

15. I will not resort to malpractices and not use private portal or other Bank’s portal

16. I am not Business Correspondent Agent/Customer Service Point of any Bank

17. I am aware that in case of any wrong information my code will be canceled.
DEPONENT
Verification:

Verified at……………………….on this day……………… that the contents of the above affidavit are
true and correct to the best of my knowledge and belief.

DEPONENT
Documents Required for Business Correspondent Agent
1. ID proof
2. Address Proof
3. Educational Proof
4. IIBF Certificate
5. Police Verification Report (Character Certificate) from SP Office not older than 6 months
6. CIBIL Report
7. PAN Card
8. Affidavit

Minimum Infrastructure Required for Business Correspondent Agent

1. 10 X 10 Office Room
2. Computer/Laptop ( i3 and above)
3. Printer
4. Internet
5. Power Backup
6. OS (Window 10)
7. Finger Print Device
8. Setting Arrangement of customers