DETAILS REQUIRED FOR INTEREST SUBSIDY CLAIM

Course Details
Sn Particulars Details
1 Undergraduate (U) / Post Graduate
(P)
2 If Post Graduate, Whether subsidy
claimed under this scheme during
under graduate (UG): Y/N
3 Professional Course – Engineering /
Medical / Law / Management /
Others (please specify the course
name)
4 Name of Institution / College /
University
5 Affiliation / Accredation of the
Institution/College/University
Other Details
Sn Particulars Details
6 Sex – M/F
7 Category – SC/ST/OBC/GEN
8 Minority –(M)uslim / (C )hristian /
(S)ikhs / (O)thers
9 District
10 State / Pin code
11 Area – (U)rban / (S)uburban /
(R)ural / (M)etro
12 Physically disabled / handicapped
(Y/N)
13 Exceptional case – Extension of
course duration in year
14 Income certificate No. / Date
15 Parents’ Income

Signature

Borrower Co-Borrower/s