Nepal Federation of Savings and Credit Union Ltd

Newbaneswar, Kathmandu
PROBATION Application Form

;fsf];sf] gfd : ______________________________________________________

7]ufgf : ___________________________________________________________________________

kmf]g g= :____________________ km\ofS;:___________________ O{d]n: ____________________

!) ;fdfGo 8f6fx?
;+:yf btf{ ldlt: ____________________ g]km\:s"gdf cfj4tf ldlt:________________
sfo{If]qsf] gfd: __________________________________________________________

sfo{If]qsf] hDdf hg;+Vof: ___________________________________________________

sfo{If]qsf] cj:yf : zx/L If]q :___________ u|fld0f If]q : ______________ ld>Lt:____________
@) ;b:o ÷ ahf/sf] cj:yf
;b:o ;+Vof : hDdf:____________ k'?if:__________ dlxnf:___________ ;+:yfut:____________
;b:osf] pd]/:
-s_ !* aif{ eGbf sd pd]/sf : __________ hgf -v_ !* b]lv #) aif{sf : ____________ hgf
-u_ #! b]lv ^) aif{sf : ______________ hgf -3_ ^! aif{eGbf dflysf : ___________ hgf
u}/ ;b:ox?sf] art vftf ;+Vof : ___________ k'?if : _____________ dlxnf :_____________

afn artstf{ vftf ;+Vof :__ ________________ k'?if : _____________ dlxnf :_____________
#) ;fdfGo k|zf;g
sfof{no : ef8fdf lnPsf] ________________ ;+:yfsf] cfkm\g} ejg:__________________
sfof{nosf] :yfg : ;b:osf] 3/df_________ Aofj;flos :yfgdf________
cGo ePdf v'nfpg'xf];: __________________________________________________________
lgoldt sfof{no ;do :yflkt (Regular Office hours Established & Posted in the office) : 5: ________ 5}g:________

( established, from):____________________ 306f k|lt -lbg÷xKtf÷dlxgf___________

;b:ox?nfO{ k|bfg ul/g] ;]jf ;'ljwfsf] 5lj (Physical image of facilities) : pQd cf}ift ;fdfGo_______
s}lkmot : ____________________________________

;]jf s]Gb| M 5______ 5}g______, ePdf sltj6f 5________________________

s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 1
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

$_ ;fdfGo Aoj:yfkg
k|aGws : k'/f ;do : __________________ cf+lzs ;do : _________________
slxn]af6 ;fsf];n] k'/f÷cf+lzs ;dosf] k|aGws lgo'Qm u/]sf]M __________________________
k|aGws kbsf] z}lIfs of]Uotf : ___________________________________________________
k|aGwssf] dfl;s tna :____________________________________________________________
sd{rfl/ ;+Vof : k'/f ;do :_______ hgf , cf+lzs ;do : ________ hgf , hDdf : ______ hgf
sfo{ ljj/0f : ;a} sd{rfl/sf] 5 : _______ s]lx sd{rfl/sf] dfq 5 : ______ 5}g : __________

;fsf];;Fu dfgj ;+;fwg ljsf; gLlt 5 ?________________________________________

;fsf];n] s;/L sd{rf/Lx?nfO{ k|lzlIft ug]{ u/]sf] 5 < -How CU train the staff ):_________________
%_ ;fsf];sf] ;+:yfut cj:yf cf= a= @)&!÷)&@ sf]-Governace affairs of the CUs in year 20013/014)

a}7s ;b:o ;+Vof pkl:ylt (k|lt ut !@ a}7ssf] nfut lg0f{o k'l:tsf

a}7s ;+Vof) dlxgfdf ePsf] ?= -Minutes)
a}7s ;+Vof 5÷5}g
;fwf/0f ;ef
;+rfns ;ldlt
C0f pk;ldlt
n]vf tyf
;'kl/j]If0f ;ldlt
lzIff pk;ldlt
AofVof ug'{xf]; ls af]8{sf ;b:ox? tf]lsPsf] sfo{If]q tyf tf]lsPsf] ;b:otf leqsf] xf] eg]/ s;/L ljZjf;
ug{ ;lsG5 -Describe how the CU/Coop assures that leaders are representative of the entire membership in the entire
area of operation) : ______________________________________________________________________________

________________________________________________________________________________________

;fsf];;Fu aflif{s of]hgf 5 <: 5_____ 5}g ______ /0flglts of]hgf 5 <: 5 ______ 5}g ______
kl/sNkgf tyf Wo]o ljj/0f AofVof 5 < : 5 ____ 5}g ____ , olb 5 eg] s[kof ;+nUg /fVg'xf];\ .
gLlt lgb]{lzsf 5 < : 5_______ 5}g : _____ , olb 5 eg] -if yes enumerate those) ( s[kof lj:t[t ljj/0fsf]
nflu csf]{ kfgf k|of]u ug'{xf]nf)

s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 2
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

k|lqmofut lgb]{lzsf 5 < : 5 _____ 5}g : , olb 5 eg] -if yes enumerate those) (s[kof lj:t[t ljj/0fsf]
nflu csf]{ kfgf k|of]u ug'{xf]nf)

cfGtl/s lgoGq0f lgb]{lzsf 5 < : 5 ____ 5}g : k|ltj4tf (Fidelity Bond) : 5_______ 5}g ____ .

;fsf]; ;Fu cfrf/ ;+lxtf -;DalGwt Party, ;+rfns ;ldlt, sd{rf/L_ 5 < : 5 ______ 5}g ______

olb 5 eg] -if yes enumerate those) (s[kof lj:t[t ljj/0fsf] nflu csf]{ kfgf k|of]u ug'{xf]nf)
;fsf];df p7\g ;Sg] ljjfbnfO{ kl/eflift / lgif]w ul/Psf] 5 < 5 ______ 5}g _____

cfGtl/s C0f -Insider loans) (clws[tx? tyf sd{rf/Lx?) AofVof tyf lgif]w ul/Psf] 5 < : 5 _____ 5}g : _____

lgjf{lrt kbflwsf/Lx?nfO{ C0fsf] efvf g3fpg gkfpg] Aoj:yf 5 < : 5 _____ 5}g _____

^) ljQLo Joj:yfkg
n]vfsf] clen]vx? slxn] slxn] tof/ kfl/G5 < : b}lgs ;fKtflxs dfl;s .

clGtd ljQLo ljj/0fsf] ldlt : _______________________ (s[kof ljj/0f ;+nUg ug'{xf];)

;fdfGo -d'Vo_ vftf / ;b:ox?sf] ;xfos vftfx? aLrdf km/s ePdf:
vftf ;fdfGo -d'Vo_ vftf ;xfos vftf ?= olb km/s ePdf
?= slt ?=
art
;b:o z]o/
C0f

efvf gf3]sf] C0f lgoGq0f : b}lgs __________ dfl;s : __________ cGo : ___________

clGtd efvf gf3]sf] k|ltj]bgsf] ldlt : ____________________________________________

ut @ aif{b]lvsf] C0f efvf gf3]sf] b/ (jf;nftsf] ldltsf] cfwf/df) : __________________

lgjf{lrt kbflwsf/L tyf sd{rf/Lx?;Fu C0f :

C0f ;lxtsf kbflwsf/L ;+Vof -Number of officials with loan)__________ C0f /sd _________

efvf gf3]sf] C0f ;+Vof : _______ efvf gf3]sf] C0f /sd ?.:_________________
s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 3
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

;fsf];sf] aflif{s ah]6 agfpg] u/]sf] 5 < : 5 ______ 5}g ____ .

ah]6nfO{ s;l/ lgoGq0f ug]{ ul/Psf] 5 < : ;fKtflxs dfl;s aflif{s .

cfGtl/s n]vfkl/If0f s;n] ug]{ ul/Psf] 5 < : n]vf ;ldlt:_______ cfGtl/s n]vfkl/Ifs :______
afXo n]vfkl/If0f ;DkGg ePsf] 5 < : 5 ______ 5}g .

sf]af6 : ;xsf/L n]vfkl/If0f ljefuaf6 _______ Jofj;flos -k]z]a/_ n]vfkl/Ifsaf6 .

&) ljQLo gLltx?

(Please note briefly in spaces; check leading space for each section if policy is written)

&=!_ z]o/ k'Flh

Go"gtd (z]o/ k'Flh w/f}6L÷hDdf ) Ps k6ssf] e'Qmflg /sd : ____________________________

cfjlws ?kdf e'Qmfg /sd : ? ___________ k|lt dlxgf k|lt q}dfl;s -Sjf6{/_ cGo .

;+:yfut k'Flh (hu]8f sf]if, 3f6f k"lt{ sf]if, ;+:yf ljsf; sf]if, kF"hLut cg'bfg, 3/ hUuf sf]if,
cGo_:________________________________
hDdf ;DklQdf ;+:yfut k'Flhsf] k|ltzt :____________________________
May be allocated/charged off for :

;fsf];sf] ;+:yfut kF'lhsf] ljj/0f sf]if ;[hgf ug]{ >f]t /sd ?=

!_ ;fdfGo hu]8f sf]if
@_
#_
$_
%_
^_
&_
*_

&=@ nuflgdf /lx/x]sf] C0f -jf;nftsf] ldltsf] cfwf/df /sd pNn]v ul/ jf;nft ;d]t ;+nUg ug'{xf];_

hDdf efvf gf3]sf] C0f

-Ps dlxgf jf ;f] eGbf sd efvf gf3]sf] C0f /sd ? (Total outstanding balance of loan past due for 1 month and

below)______________
s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 4
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

Ps dlxgf b]lv !@ dlxgf ;Dd efvf gf3]sf] C0f /sd ? -Total Loan Balance of Delinquent Loans past due for 1
month to 12 months):____________________

!@ dlxgfeGbf al9 efvf gf3]sf] C0f /sd ? -Total Loan Balance of Delinquent Loans past due for more than 12
months)_____________________

C0f hf]lvd Aoj:yf÷v/fa shf{ Aoj:yf -Loan Loss Provision/ Provision for Bad Debts:)_____________________
&=# C0f laZn]if0f k|lqmof - Credit Approval Procedure
C0fLsf] cfDbfgL lgSof}{n ug]{ ÷x]g]{ -Income Verification) : 5 ______ 5}g ______

C0fLsf] ljutsf] /]s8{ -clen]v_ k/LIf0f ug]{ ( Past Record Verification) : 5 ______ 5}g ______

C0fLsf] e'Qmflg Ifdtf lglZrt ug]{ -Repayment Capacity Specified) : 5 ______ 5}g ______

hdfgt -With Cosignature/Guarantors) : 5 _____ 5}g ______

lwtf] (k|sf/) : ____________________________________________________________________

C0f /sd lgwf{/0f ug]{ cfwf/ : ______________________________________________________

&=$ C0fdf Aofh b/ tyf C0fdf z'Ns :

Aofh b/ s;n] to u5{ < : k|aGws __ C0f pk;ldlt __ ;+rfns ;ldlt ;fwf/0f ;ef .

Aofh b/ u0fgf ug]{ tl/sf : C0f 36\bf] b/ k|0ffln ______ ;db/ -Flate_ k|0ffln .

cGo z'Ns (slt /sd jf s] df slt k|ltztsf] b/_

C0f k|lqmofut z'Ns : _____________________________________________________________

;]jf z'Ns : _____________________________________________________________________

;++sng z'Ns : ___________________________________________________________________
cGo : __________________________________________________________________________
&=% ;+sng tyf efvf gf3]sf] lgoGq0f :
s;n] ug]{ : sd{rf/Ln] ______ :j+;]jsn] : __ .

;Defljt z+sf:kb C0fsf] slt Aoj:yf ul/G5 -How allowance for Doubtful Loans are estimated ?) ______
;fsf];sf] ;+sng tyf efvf gf3]sf] C0f ;DalGw gLlt ? 5 _____ 5}g _____, -ePdf ;+nUg ug]{_
s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 5
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

&=^ t/ntf (gub df}Hbft Cash Reserves) :

Go"gtd gub÷nuflg df}Hbft : hDdf ;DklQsf] k|ltzt : _______

-;'q : gub tyf gub nuflgnfO{ hDdf ;DklQn] efu ug]{_
;b:ox?sf] hDdf artsf] k|ltzt : _____ -;'q : hDdf art /sdnfO{ s'n ;DkQLn] efu ug]{_
;b:ox?sf] cf}ift jrt : _______________ -;'q : hDdf art /sdnfO{ ;b:o ;+Vofn] efu ug]{_
;fsf];sf] t/n sf]if lgwf{/0f ug]{ cGo s'g} ljlw : .

&=& afx\o C0f ;fk6L :

afx\o C0f tyf ;fk6L ;DalGw s'g} gLlt 5 ? 5 ___ 5}g ___, -5 eg] gLltsf] gfd pNn]v ug'{xf];\_ ________
&=* cfDbflg -Earning_
dfl;s ?kdf cfDbflg vr{sf] ljZn]if0f ug]{ u/]sf] 5 < : 5 ______ 5}g ______
nlIft ;+rfng vr{ b/ (cf}ift ;DkQLdf) : _____________________________________
;'q : hDdf ;+rfng vr{ -Aofh vr{ / C0f ;'/If0f vr{ afx]s_ nfO{ cf}ift ;DklQn] efu ug]{*
* cf}ift ;DklQ eg]sf] o; aif{sf] ;DklQ / ut aif{sf] ;DklQsf] hf]8nfO{ b'O{n] efu ug]{
cg'dflgt v"b cfo (Aoj:yf tyf 6«fG;km/ ug'{ cufl8)____________________________________
*_ ;b:ox?nfO{ ljQLo ;]jf
*=! jrt
jrtsf k|sf/x? /sd vftf ;+Vof cjlw Aofh b/

*=@ C0f
C0fsf k|sf/x? /sd vftf ;+Vof cjlw Aofh b/

s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 6
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

*=# ;b:onfO{ cGo ;]jfx?

cGo ;]jfsf] k|sf/ o; jif{sf] cg'dflgt /sd k|:tfljt cjlw

() sfo{If]qdf cGo ljQLo k|lt:kwL{x?

;+:yfsf] ;+Vof :yfgLo k|lt:kwL{ ;+:yfsf] k|sf/ -Type of Institutions Competing Locally)

!)) cfO{k/]sf tyf cg'ej u/]sf ;d:of

;fsf]; ;+rfngsf] qmddf s] s:tf ;}4flGts ;d:ofx? cfO{k/]sf 5g\ <-What are the principal problems that you
have encountered in the operation of your CU ?)
ltlgx?nfO{ ef/sf] cfwf/df tnsf] ;'rLdf /fVg'xf]; -List them in order of gravity)
!
@.
#.
$.
!!) ;fsf];sf] cj:yf laZn]if0f
;jn kIf tyf k|lt:kwf{Tds kmfO{bfx? -Strengths and Competitive Advantages):
............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 7
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

b'j{nkIfx? -Weaknessses) :
............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

afXo r'gf}ltx? -External Threats) :

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

j[l4 tyf lj:tf/sf nflu cj;/x? -Opportunities for Growth and Expansion) :
............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

............... ............... ............... ............... ............... ............... ............... ............... ............... ............... ...............

!@) cfj4tf k|lqmof

;fsf];sf]tkm{af6 xfn;fn tnsf s'g}df lgjf{lrt kbflwsf/L 5g\ < -Is your CU/Coop now represented through an
elected official of the ?)
5}g 5 kb
lhNnf jrt ;+3df
s]Gb|Lo :t/sf] ;+3df
/fli6«o ;xsf/L a}+s
;fsf];n] tnsf s'g} lgsfosf] lgjf{lrt k|ltlglwTj u/]sf] 5 < -Has your CU/Coop been represented through an
elected official of the ?)

5}g 5 kb
lhNnf jrt ;+3df
s]Gb|Lo :t/sf] ;+3df
lhNnf ;+3df Chapter

;fsf]; cGo s'g} ;+3x?df cfj4 ePsf] ? 5 5}g_______

s] t+kfO{sf] ;fsf];n] lg/Gt/ ?kdf s]Gb|Lo ;+3df k|ltlglwTj u/]sf] 5 -Is your CU/Coop adequately represented
in the National Federation/League affairs ?) 5___ 5}g___

;fsf];n] lgoldt ?kdf s]Gb|Lo ;+3sf] ;fwf/0f;efx?df ;xeflutf hgfPsf] ? 5 ____ 5}g ____
s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 8
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

s]Gb|Lo ;+3af6 k|fKt ;]jfx? ;fsf];sf] dfWodaf6 ;b:ox?n] s;/L kmfO{bf k|fKt u/]sf 5g\ < -Please state how
your member are benefits by your national federation/league through your credit union/cooperative?)

____________________________________________________________________________________

____________________________________________________________________________________

To; ;fsf]; dfkm{t s]Gb|Lo ;+3n] ;fsf];sf ;b:ox?nfO{ pQd ;]jf s;/L k|bfg unf{ eg]/ tkfO{ ;f]rfO{
/x]sf] 5 -How do you think the national federation/league could better serve your members through your credit
union/cooperative?)

____________________________________________________________________________________

____________________________________________________________________________________

s]Gb|Lo ;+3af6 s] yk ;]jfx? k|fKt ug]{ rfxgf /fVg'x'G5 . What additional services would you like to receive from
the federation ?

____________________________________________________________________________________

____________________________________________________________________________________

s]Gb|Lo ;+3af6 k|fKt ePsf ;]jfx? lsg To; ;fsf];n] pkef]u u/]sf] 5}g Why don't you use available services
from the National Federation ?

d'Nosf] sf/0f -Price) , u'0f:t/sf] sf/0f (Quality) , ;'ljwfsf] sf/0f-Convenience) , cGo sf/0f
Others .

s]Gb|Lo ;+3df nufpg' kg]{ cfjZos z]o/ k'Flh /sd slt xf] <- What is the required Share Capital at your
federation/league ?) .

s]Gb|Lo ;+3df :j]lR5s art /sd slt 5 < -How much is the voluntary deposits at the national federation/league ?)
_________________

;fsf];n] s]Gb|Lo ;+3nfO{ slt ;b:otf z'Ns a'emfPsf] lyof] -How much dues (membership) your CU/Coop paid to
the National federation/league in) : _________________________

aif{ Year /sd Amount

@)^^÷)^&
@)^&÷)^*
@)^*÷)^(
@)^(÷)&)
@)&)÷)&!
@)&!÷)&@

s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 9
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

;fsf];n] s]Gb|Lo ;+3sf] z'Ns cBfjlws u/]sf] 5 < Are you updated on your dues payment to the federation/league
? 5 _____ 5}g .
gePdf lsg ? ______________________

tkfO{n] xfn k|fKt ul//x]sf] Joj;flos ;]jf sfod ul//fVg s]Gb|Lo ;+3nfO{ e'Qmfg ug]{ z'Nsdf a[l4 ug{ rfxgf
5 < -Would your CU/Coop be willing to increase its dues payments to your national federation/league in order to
maintain the current level of the trade association services that you receive ?) 5 ______ 5}g .
olb gePdf lsg ____________________________________________________________________
s]Gb|Lo ;+3nfO{ ltg'{kg]{ C0f (cG/nuflgsf]) : af+ls /sd ______________________
rfn' xf] < M xf] xf]O{g .

ut # aif{df s]Gb|Lo ;+3af6 lng'ePsf] C0f :

C0f ;+Vof C0f /sd .

s]Gb|Lo ;+3jf6 To; ;fsf];df ut !@ dlxgsf] cjlwdf s] slt k6s sf] s;jf6 e|d0f eof] -What visits
during the past 12 months have you received from the national/federation/league's officers/staffs) ?

kb Position eof] ePg e|d0f k6s Number of Visit

Yes No

n]vfkl/Ifs Auditor

s]Gb|Lo ;+3sf] ljsf;sf nflu To; ;fsf];sf] tkm{af6 s] l;kmfl/; ug'{[x'G5 < -What changes would you
recommend for improving the federations/league) ?

b]zdf ;fsf];sf] ljsf;sf nflu To; ;fsf];sf] tkm{af6 s] l;kmfl/; ug{'[x'G5 < What changes would you
recommend for improving CU system in the country ?

!#_ ;]jfsf] k|lqmof pkof]u tyf cfjZostf (Systems Service Utilized and/or needed)
;]jfsf] >f]t ;]jf Services /fd|f] l7s} sdhf]/ -pkl:ylt
g/x]sf]_
-slxn] cfjZos x'g]_
Needed
Source of Good Fair Poor
Non- When ?
Service Existent
;fsf]; :yfkgfdf ;xof]u -Help organize CU)
d;nGb cfk'lt{ -Stationery & supplies)
k|fljlws ;xof]u -Technical Assistance)
s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 10
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

n]vf Aoj:ykgdf -Accounting Assistance)

lzIff tyf tflnd -Education & Training)
k|ltlglwTj -Representation)
lgodg lgsfodf dWo:ytf -Liaison with
authorities)
la1fkg tyf k|j4{g -Advertising and
Promotion)
afXo n]vfk/LIf0f -External Audit)
ladf sfo{qmd -Insurance Program)
z]o/ nuflg tyf cGt/nuflg -Share
Investment & Interlending)
art tyf nuflg Deposit/Savings Investment
cGt/nuflgaf6 C0f -Loan from Interlending)
sfg"gL ;]jf -Legal Services)
cGo Others

!$_ ;b:otf, z]o/, jrt, / C0fdf nIo tyf pknAwL :

aif{ ;b:otf art z]o/ C0f

nIo pknAwL nIo pknAwL nIo pknAwL nIo pknAwL
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s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 11
 Nepal Federation of Savings and Credit Union Ltd
Newbaneswar, Kathmandu
PROBATION Application Form

!%_ ;b:o tyf art a[l4 ug{sf] nflu d'Vo cj/f]wx? -Constraints) s] s] 5g\ <
;b:otf a[l4 ug{ cj/f]wx? artdf a[l4 ug{ cj/f]wx?

!^_ C0fsf k|sf/x? :

pTkfbgd'ns (Productive) cg'Tkfbgd'ns (Non- lgDg cfoj{usf] nflu n3'ljQ
aif{ productive) (MFI for Poor)
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kmf/d eg]{sf]M r]s ug]{sf]M

x:tfIf/ :........................................... x:tfIf/ :...........................................

gfdM.................................................... gfdM....................................................

kbM...................................................... kbM......................................................

ldltM ………………………………… ldltM …………………………………

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s'g} klg ;'rgf pknAw u/fpg] qmddf yk kfgf cfjZos k/]df k|of]u ug{ ;lsg]5 - g]km\:s"g 12