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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 U.P U.P. UL UP UTTAR PRADESH UTTRANCHAL W.B. WB WEST BENGAL
b) District *	select
c)Branch Office *	select

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) Application No.