Claim for Credit Guarantee Fees charged on credit up to Rs 5 lakh to enterprises owned by women SHG members — THE RESERVE BANK OF INDIA ACT, 1934

Claim for Credit Guarantee Fees charged on credit up to Rs 5 lakh to enterprises owned by women SHG members Name of Bank/ lending institution: Statement for claims for the period ……………. to …………………: credit disbursed up-to Rs 5 lakh New loan accounts opened during the period ………to Amount of Credit Guarantee Fees ……… No of Accounts Amount NB: Number (No.) and Amount in actual figures We certify that the accounts are eligible for claim of credit guarantee fess as per DoRD guidelines and bank/ lending institution has verified and flagged all these accounts as ‘SHGs under DAY - NRLM’ on CBS. We also certify that there is no duplication in the claims and credit guarantee fees has not been charged to the customer Dated Authorized Signatory & seal Statutory Auditor’s Signature & seal (This claim format, consolidated for the year, needs to be duly certified by Statutory Auditors and submitted along with the claims for the quarter ending March 31,2026 within September 30,2026)