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SUMMARY OF LOAN DISBURSEMENTS
BY GENDER


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Summary of Loan Disbursements by Gender

Project Area Office: District: Month:
Name of Intermediary Agency: Compiled By:
Name of Individual, Group, and/or CBO Number Of Members Amount Disbursed
Male Female Total Male Female Total
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TOTAL





For individual borrowers, indicate only the numbers and amounts disbursed by gender.
Comments:



Name, Signature and Title:



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