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Form for Financial Institutions
Financial Institution Data Collection Form
🟩 SECTION A: INSTITUTIONAL INFORMATION
Name of Institution
Institution Type
-- Select --
Commercial Bank
Community Bank
Microfinance
SACCO Apex Body
Mobile Money/Fintech
Other
Date of Registration in Tanzania
Head Office Location
Total Employees in Tanzania
Total Loan Portfolio (TZS)
Loan Portfolio in Extractives (Amount)
% of Total in Extractives
🟦 SECTION B: OPERATIONAL FOOTPRINT
Mining Regions Your Institution Operates In
Lake Zone
Central Zone
Northern Zone
Southern Highlands
Coastal & South-East
National Coverage
Which ASM Categories Do You Target?
Individual miners
Cooperatives
Women miners
Youth
Processors
Equipment suppliers
Service providers
Do You Work with Any of the Following Intermediaries?
NGOs
RMOs
Service Providers
Digital Platforms
Cooperatives
None
Do You Have Dedicated Staff for ASM Clients?
Yes
No
🟨 SECTION C: PRODUCT SUITE AND CREDIT OPERATIONS
Services Offered to ASM Clients
Working capital
Leasing
Savings
Insurance
Mobile services
Number of Loans (Last 12 Months)
Total Disbursed (TZS)
Average Loan Size (TZS)
Repayment Rate (%)
Default Rate (%)
Repayment Term (Months)
% of Female Borrowers
Group vs. Individual (e.g. 70 / 30)
Collateral Accepted
Land
License
Assets
Group guarantee
Gold
Output pledge
Top 3 Reasons Loans Are Rejected
🟧 SECTION D: RISK, READINESS & INNOVATION
Internal Policies for ASM Financing
Alternative Data Used for Credit Scoring Miners
Mobile
Production
Community reference
Risk-Sharing Pilots or Programs (if any)
Are Any of Your Products Linked to the ASM Value Chain?
Yes
No
Are You Open to Embedded Finance (e.g., tied to equipment or gold)?
-- Select --
Yes
No
Under discussion
🟪 SECTION E: DIGITAL ACCESS & GENDER DATA
Do You Track Gender-Disaggregated Data?
-- Select --
Yes
No
Planning to
Digital Tools Deployed for ASM
Mobile onboarding
Credit apps
Profiling platforms
Do Your Agents Use Mobile Tools for Miner Engagement?
-- Select --
Yes
No
Developing
What Digital Gaps Block Financial Access for ASM?
🟥 SECTION F: POLICY INPUTS & SOVEREIGN FUND
Do You Support a Miners' Bank or Sovereign Fund?
-- Select --
Yes
No
Neutral
Top 3 Roles the Sovereign Fund Should Serve
Lending
Guarantees
Coop support
Infra
Training
Refinance
Would You Partner or Co-finance via the Sovereign Facility?
-- Select --
Yes
No
Depends on structure
Key Fiscal or Regulatory Reforms Needed
🟦 SECTION G: LESSONS & CASE STUDIES
Successful Programs or Models for ASM Finance
Final Policy Suggestions to BoT or the Taskforce
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