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Fill
In Your Education Loan
Details |
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Name of Applicant(Student)
*
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First
Name |
Last Name |
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Address
*
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City
* |
Pin
*
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State
*
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Mobile
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Phone |
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Email
*
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Date of Birth
* |
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If maintaining account with our Bank |
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Account No.
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Branch Name
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Details of branch nearest to your place of Domicile |
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Branch Name*
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Parent/Guardian/Husband
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Relationship with applicant
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Occupation
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Annual Income Rs.
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Address
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City
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Pin
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State
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Details of Last Qualifying Examination |
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Examination Passed
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Name of the Institution
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Year of Passing
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% of marks
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Detail of basis of admission in the course
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Name of Entrance Test
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Course Details |
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Course applied
*
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Duration
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Name of the Institution
*
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Address
*
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City
*
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Pin* |
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State*
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Country
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Nature of
Course
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Course Expenses |
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Total Course expenses(Fee+Hostel expenses,etc)
* |
Rs.
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Own Contribution(Margin)
* |
Rs.
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Loan amount required |
Rs.
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Required loan amounts upto Rs 4 lacs |
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Required loan amounts above Rs 4 lacs and upto Rs 7.5 lacs |
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Required loan amount is above Rs 7.5 lacs |
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For loan amounts above Rs. 4 lacs and upto Rs.7.5 lacs, please furnish details of guarantor |
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Name of the Guarantor
* |
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Address
*
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City
* |
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Pin
*
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State
* |
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For loan amount exceeding Rs 7.50 lac, please furnish details of security offered |
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Nature of security
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Location
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Approximate value of security
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Note :- Field with (*)
mark is mandatory. |