Bank/NBFI

Reporting Date (DDMMYY)

SL Branch Name Enterprise Name & Address Loan AC no

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 COVID-19 Stimulu
(Report must

Establishment Summary of the Nature of Ownership Borrowers Inform

Date of the Business Activities (Partnership, Limited
Enterprise Company, Name
(DDMMYY) Proprietorship,
others)

5 6 7 8
COVID-19 Stimulus Package: Monthly Statement of Approved Loan
(Report must be submitted on monthly basis within 5(five) days of following month)

Borrowers Information Nature of

Entrepreneur
NID No Trade license No Cell Number Gender (Women,Men,
others)

9 10 11 12 13
nt of Approved Loan
following month)

Nature of Enterprise Type of Location Loan Loan Approved

(Manufacturing, Enterprise (Rural or Application
Service or Trade) (Cottage, Micro, Urban) Date Date Limit Amount (TK)
Small, Medium) (DDMMYY) (DDMMYY)

14 15 16 17 18 19
0.00
 Annexure-GHA

Types of Existing Customers' Information

Borrower
(Existing or Previous Total Loan Previous Working CIB No of Loan
New) amount (TK) Capital Rescheduled
Outstanding(TK)

Date Status
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 Bank/NBFI Name:
Reporting Date(DDMMYY)

SL Branch Name Enterprise Name & Address Loan AC no

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36
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84
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 COVID-19 Stimulus Package: Monthly Statement
(Report must be submitted on the basis of Reporting Date within 5(five) day

NID No Trade license No Gender Nature of Nature of

Entrepreneur Ownership
(Women,Men, (Partnership,
others) Proprietorship,
Limited Company,
Sole, others)

5 6 7 8 9
hly Statement of Loan Disbursement
rting Date within 5(five) days of following month)

Nature of Enterprise Type of Location District Name Types of Sanction

(Manufacturing, Enterprise (Rural or Borrower Letter no.
Service or Trade) (Cottage, Micro, Urban) (Existing or
Small, Medium) New)

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 Annexure-GA

Limit Available for Customer G

e
n
Balance at the end d
1st Disbursement Date Limit ( TK) Tenure of month (TK) e
(DDMMYY) (Month) r
F
M
eO
am
16 17 18 19 tl
ah
el
e
er
s
0.00 0.00