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Online Loan Application for Edu LOAN: Part - A (Mandatory)
No Application For Edit
Online Loan Application for Edu LOAN: Part - B (Mandatory)
Application No.
Type of Course Pursuing
*
select
Management
Engineering
Medicine
Vocational
Others
Admission Secured in College/ University (Name)
*
Admission secured through
*
Merit Channel
Management Quota
Total Estimated Expenditure for the Course
*
Amount of loan required
*
Branch preference, where Loan is required
State
*
select
A.P.
ALWAR
AP
AR
AS
ASSAM
BH
BIHAR
CG
CH
CHANDIGARH (UT)
CHANDIGARH UT
CHATTISGARH
CHHATISGARH
DELHI
DL
ERNAKULAM
GJ
GO
GUJARAT
H.P.
HARYANA
HP
HR
JAMMU
JD
JHARKHAND
JK
KA
KARNATAKA
KE
KERALA
M.P
M.P.
MAHARASHTRA
ME
MH
MP
OR
ORISSA
PB
PUNJAB
RAJASTHAN
RJ
TAMILNADU
TELANGANA
TN
TP
TRIPURA
U.P
U.P.
UL
UP
UTTAR PRADESH
UTTRANCHAL
W.B.
WB
WEST BENGAL
b) District
*
select
c)Branch Office
*
select
Online Loan Application for Edu LOAN: Part - C (Optional)
Application No.
Father's/Guardian's Financial status/FamilyParticulars:
Name
Relationship with the student
Occupation/Profession
select
Service
Business
Address: a) State
select
ANDAMAN & NICOBAR ISLANDS
ANDHRA PRADESH
ARUNACHAL PRADESH
ASSAM
BIHAR
CHANDIGARH
CHATTISGARH
CHHATTISGARH
DADRA & NAGAR HAVELI
DAMAN & DIU
GOA
GUJARAT
HARYANA
HIMACHAL PRADESH
JAMMU & KASHMIR
JHARKHAND
KARNATAKA
KERALA
LAKSHADWEEP
MADHYA PRADESH
MAHARASHTRA
MANIPUR
MEGHALAYA
MIZORAM
NAGALAND
NCT OF DELHI
ODISHA
PUDUCHERRY
PUNJAB
RAJASTHAN
SIKKIM
TAMIL NADU
TRIPURA
UTTAR PRADESH
UTTARAKHAND
WEST BENGAL
b)District
select
c)Sub-District
select
d)Town/Village
select
e)House No.
Office Address
Pin Code
Mobile No.
E-mail Id
Residential Status
select
Resident
NRI
Applicant Statement of Assets and Liabilities, if any
Liabilities
Assets
Outstanding Loans/Advances
Amount
Immovable properties
Amount
Bank
Land
Employer
Building
Provident Fund
Moveable properties
Relatives and friends
Cash
Others
Deposits with Bank
Investment in govt. securities
Others
Total
Total
Years at current residence
Income per month from all sources
Date of Birth
Date of retirement
Number of Dependants
PAN No.
Passport/Voter ID/Driving Licence Number
Additional details of the Applicant
Educational Qualifications (from S.S.C onwards up to date)
Examination Passed
Institution/University
Year of passing
Percentage of marks
Class / Division / Grade obtained
Details of the fees and charges for proposed course
Examination
Tuition Fees(Rs)
Boarding and Lodging Expenses (Rs)
Books /computer/Travel/other charges(Rs)
Total
1st year of course
2nd year of course
3rd year of course
4th year of course
Total
Sources of finance apart from bank loan
Non-repayable scholarship/studentship/fellowship or other financial assistance
@ Rs.
p.a. for
years commencing from(dd-mm-yyyy)
Rs.
Repayable loan scholarship or other financial assistance
Rs.
Funds available from family sources@Rs.
per year for
years
Rs.
Total
Rs.
Requirement of Bank Finance
Rs.
Whether availed Education loan or any other loan from any Bank or Financial Institution. If "yes", please give brief particulars of loan availed .i.e.
Date, Amount, Name of Branch and the amount outstanding
Declaration :
The information given in the loan application is true and nothing has been concealed. The undersigned undertakes to inform the Bank any change in residence/ office address and to provide any further information that the Bank may require. The undersigned is aware of the charges/ fee to be levied by the Bank and agrees to pay upfront fee, documentation charges, etc. as applicable and charged by the Bank. The undersigned hereby agree to be bound by these terms and conditions or by the revised additional terms and conditions which may at any time hereafter be made while the loan obtained by me/us is still outstanding. Applicant authorises the bank to contact through mobile/SMS/email for the purpose of above Loan Application. Bank reserves the right to call for any other information/documents, if necessary, and/or reject the proposal without assigning any reason thereof
Online Loan Application for Edu LOAN: Final Submit (Mandatory)
Online Loan Application for Edu LOAN: Final Submit (Mandatory)
Application No.
@Copy right PNB