Cross Signed

Photograph of
Co-Applicant
/ Guarantor

O. CO-APPLICANT 2 / GUARANTOR DETAILS

A. Personal Details
1) Relationship with the Applicant: Father Mother Brother Sister Spouse Relative Others :___________________
2) Relationship Proof: Ration Card Birth Certificate Passport Marriage Certificate
3) Name:
4) Father's/Spouse’s Name:
5) Date of Birth: D D MM Y Y Y Y 6) Male Female 7) Married Unmarried Others___________________________
8) PAN No: 9 )D/L No: 10) Voter ID:
11) Passport Yes No Valid Passport No: Date of Expiry: D D MM Y Y Y Y
12) Mobile No: 13) E-mail :
14) Qualifications: UG Diploma Graduate Doctotrate PG 15) No of Dependents:
16) Current Residential Address:

City: State:
Pin Code: Country:
17) Years in the Current Residential Address: 18) Current Residence Type: Self Owned Family Rented Employer Provided
19) Landphone (Current):
20) Permanent Residential Address:

City: State:
Pin Code: Country: 21) Landphone (Permanent):
B. Bank Details (Transactional A/c)
1) Account Holder’s Name: 2) A/c No:
3) Name of Bank: 4)Branch: 5)A/c Operational Since M M YYYY
6) IFSC Code: 7) MICR Code:
C. Employment or Business Details
1) Occupation: Salaried Self Employed Retired Government Others: ______________________________________________
2) Total Years in Service/Business: 3) No. Of Years in Current Employement/Business: Years 4) Age of Retirement:
5) Designation/ Profession:
6) Name of the Current Employer or Business/Firm:

7) Nature of Business: 8) Industry:

9) Address of the Employer or Business/Firm:
City: State:
Pin Code: Country:
10) Landphone of Employer/ Business: 11) Website:
12) Emp ID: 13) Official Email ID:
14) Gross Monthly Salary/Income `: 15) Net Monthly Salary/Income `:
16) Other Monthly Income `: 17) Total Income (15+16) `:

P. FINANCIAL INFORMATION
A) Assests B) Liabilities Outstanding Amounts Monthly Installments Balance Tenure
1) Bank Balances (All A/c's) 1) Home Loan
2) Fixed Deposits 2) Personal Loan
3) Investments (Stock/Bonds/Mutual Funds) 3) Car/Two Wheeler
4) Immovable Property 4) Credit Card
5) Other 5) Other Loan (Employer)

Q. DECLARATION
1) I/We declare that all the information provided in this Loan Application Form is true, correct and complete. 2) I/We agree to indemnify AVANSE, for any losses or damages that may arise on account of any material misstatement, misrepresentation or gross negligence in providing the information
herein. Any Change in the my/our address for communication/ contact details will be informed to AVANSE immediately. 3) I/We confirm having received comprehensive and detailed information regarding AVANSE Education Loan and also all the terms and conditions, processing fees, charges,
costs payable by us in relation there to and we have understood and agree to abide by the same. We are also aware that fees paid by us are non- refundable. 4) I/We authorise AVANSE, its associate companies, agents, agencies, partners, education institutes, credit reporting agencies and any
other entities to share information and authorise to verify any information such as enrollment, residence, employment, telephone verification, CIBIL or Credit repayment history check, document verification, reference checks, etc. 5) I/We understand and acknowledge that Avanse Education Loans
would not be able to process our application until all information as per the company’s credit and underwriting norms is provided by us and till all verifications and checks are completed. Further we agree and undertake to fully co-operate with the company or its officers or its agents in complying
with the same. 6) I/We understand and acknowledge that AVANSE shall have absolute discreation to reject our application and that Avanse Education Loans shall not be responsible/ liable in any manner whatsoever to us for such rejection, or any delay in notifying us of such rejection including
any costs, losses, damages or expenses or consequences caused by such rejection of our application. 7) I/We declare that we have not availed an education loan for the further studies of the Appilcant from any other bank/ financial institution.

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Signature of Co-Applicant2/Gurantor

DD MM Y Y Y Y Place:__________

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