EDUCATION LOAN Cea State Bank of India IM Campus Branch IM Bengaluru Bannerghatta Road, Bengaluru - 560076 Tel.: 080-26483181/ 26993166 E-mail : sbi.40803@sbi.co.in APPLICATION CUM APPRAISAL FORM FOR EDUCATION LOAN (SCHOLAR LOAN) CHF No: or Office Use) an Time compete [acount No.: (Por Ofce Ue) letters and tick boxes wherever applicable) Gear mo epiiae LUO Regu yr Op Nae ACN EA Name in full of the Student ‘Name in full - Parent/Guardian| TMEDDLE WANE Gathorasband) FIRST NAME SURNAME, Relationship with the student | PARTICULARS Parent/Guardian 4. Detailed Residential Address (Giouse No. Road Name, Locality, (ity, Pin, District, Stato) 2, Office Address (House No. Road Name, Locality, City, PIN, District, State) ‘2, Permanent Residential Address (House No. Road Name, Locality, (City, PIN, District, State) “4. The name in which the ‘correspondence should be addressed (Menton ist or 2nd applicant) 5. Address for correspondence of (Gick appropriate box) evidential Address Omics address Permancat Address 6, Bema address = ‘Date of Birth (DD/MMIYYYY) 8.aRe Years ‘Months ‘Years Months ‘often Residence 8 Teleone Nonber (Oice &Resieare) | Ortice TA Weta pal apne sewed oc ‘ae ype ny oe 30. Mobile No. Fax No. Fax No, 11. Bex u ’ Ta: Marital Status (Please take Single uareoa sare arsed Single if Not married)19, Residential Status Gaeta ‘ate of permanent ratura, if any) Resident NRUPIO [I pewscont =] net 1 Type ofientseaton Foot | ier ‘our a ease inate nae of he Soeuneat at (0) aay » oe » ha Po © mx © tax o @ 14. Partoulars of Tdentifoaton roo Inmate, ple, eney date oto 14. Anu Income 15, Doyou belong to sol] #F[ jou sol] st[_Jox 1 Number of dependonie aaron [ _] Others Gutaren [__] there 117, Bduoational / Professional qualifications If yee, please enclose proof thereok Cini nea oniikenaead 1. Monthly Gross Salary 2, Monthly Net Salary 1 Far of eduton fom prom | 4 Other tneome as per ET return ‘5 Annval income as por it return Oni er none 1, Name of the employer 2, Mame ofthe department 8. Designation & Employee No (ienaale) 4. No, of yours of proseat employment 8. Dae of retirement 1, Name of the Proposed Course of Study Mame ote Tato, Uae, Couey 3: Roasons for sleton of faitation University “Ranking of he Inviation or course ©: Date of commencement of oarve 7 xpectd monly income of sada fr completion ofthe arse ' Haployment polo ater competion ofcost oF THE COURSE ‘SOURCES 1. Tuition Fees 1, Details of non repayable stuidentatip/ felowsnip, ete. fvallable tothe student 2. Bewontiale Books, equipments, any Blationery, 2, Dotae of ropayablo studentship/ fellowship, ete ‘Svallable to the atudent , Detas of fanaa available ‘rom family sourees for the Maintenance expenditure “= Rasount of Toan applied for Insurance premia ftlosn and stat up period Tor the duration TOTAL (should tly with Ube woureo)] PARTICULARS Details (Bank, Branch, ete.) pe oat t arene "TOTAL (boul aly with dhe con) ‘Amount (Rupoos) Bank's Assessment T Sevag is Bak oh epost) ings Baa > Fed 2 inmowble oper 1 Oarrnt FF tlanos [our Sar) a Capita in vais i our mar), HOF sare and Sarin Amoi Concara ponerse init neo ‘Name of the afc holder ‘Type ot we sar ‘Name of Bank an branch ‘Ae Numbercovtntanainge_|atose ot parent a aoa (ome = Delo ary rend a oor esd ce Oye Mode of Repayment (iow many montha or how many B3s7) Eee] ent ot litre ana when pple aie fr beyostare ss esting ronip eS Serer PES ore ‘UWehereby apply for s loan from State Dank of India to the extent indlcatod in tho Loan Request Section ofthe {he forogoing particular and information furnished in this application form are tao, accurato and complet an thst they sal form the basi of ty lun State Bunt of tna meg dove to eanction tome / us UWo confirm that] Weave nad no ingolvency proseedings against mo/ ws Nor ‘hove. 1/ Wobeen adjudicated inastvent.1/ i further confirm that We ave eud to terms and conditions and undersiood tne contents thorn. 1/ Biquntod Monthly intaimont wil comprise principal und Intorest based ‘guises in ompoct ofthis appcaion 1/ We undertake to Inform aatoany csangein ny our ocupation employe Dprarids any furtuer information that te Baik nayrequie, tate Bank ofndia wil bos bert to take such action ast ay deem necessary ify? Burabore statements are found lobe untrue-1/ We egres that State Bask of india shall have the sole disretion to rect reduce loan amount / OU? Joan application withowt azsigning say reason herent T/ Wefurtuer agree tha my oar loan transuetions aba be governed by the rules a ‘Bank of india wich may ben fore from time to as. Talmo hereby give my consent to send the aplleaiion to RACPC for sunction fin order and Aisbussement on senciva from RAGPG or any Branch as per proms prescribed by Stato Bank of India, may etry out fue ransactions tthe ‘Shove mentioned Branch arHiom Branch. Signature of the student Signature of the parent Place Place Date Date References : References Name Name 2 Address Address Contact No. Contact No.STATEMENT OF PERSONAL ASSETS & LIABILITIES BORROWER (STUDENT) Name Residential Address Official Business Address: Monthly Income b, Immovable properties Place where the Land of| cal ixtent in | Mi seca Sins [BEEP mecca to | Meeegent | tee ne furnish details of Survey No.| ,°" Su | What extent acer Door No. Name of Street, etc... a ee ©) Liquid Assets Si. No. Particulars ‘Amount if encumbered to What extent 1 | Gash Bank Balanco 2 | Government Securities (Given Details) 3. | Shares (Give Details) 4 | Life insurance Policies 5 | Jewelery 6 | investment in Business ‘7 | Investment in Associates firms if any a) Liabilites Si. No. Particulars Particulars “Amonts T | Borrowing from Bank (Give Details of 2 | Security furnished) 3 | Borrowings from Multains Borrowing form other source (Give Details of persons) I Certify that the above information furnished by me is true and correct. Place : Bangalore Date : Signature (Student) oPIn ‘Total value of Assets (b+c) yrrowings against these assets ther borrowings / liabilites ‘Add : Guarantor's investment in venture financed ‘Add : Investment of Proprietor / Guarantor in any other business Net Means of Borrower / Proprietor / Guarantor ALA AL AL AL AL A (Conservative) say ... can be conservatively estimated at € ...... ‘The net means of Shri ... State Bank of India TIM Campus Branch Bangalore - 560 076. Asst. Deputy Manger (Adv) Branch Managerohana ue RTI ciSTATEMENT OF PERSONAL ASSETS & LIABILITIES CO-BORROWER / GUARANTOR Name Residential Address Official Business Address: | Monthly Income b, Immovable properties Place where the Land of Building is situated please furnish details of Survey No. [Door No. Name of Street, ete., Ancestral Extent of landin | Market Value or Self | encumbered to | area (wet or dry or acquired | What extent garden) ¢) Liquid Assets SI, No] Particulars ‘Amount if encumbered to What extent Cash Bank Balance Government Securities (Given Details) Shares (Give Details) Life Insurance Policies Jewellery Investment in Business Investment in Associates firms if any 4) Liabilites Si. No] ~ Particulars Particulars ‘Amonts 1 | Borrowing from Bank (Give Details of 2 | Security furnished) 2 | Borrowings from Multains Borrowing form other source (Give Details of persons) aeaeewn 1 Certify that the above information furnished by me is true and correct. Place ; Bangalore Date : Signature (Co-borrower / Guarantor) ‘otal value of Assets (b-+0) Less : Borrowings against these assets Less : Other borrowings /Liabilites ‘Add : Guarantor's investment in venture financed ‘Add : Investment of Proprietor / Guarantor in any other business Net Means of Borrower / Proprietor / Guarantor (Conservative) say AL ALAC AL ALA AM ‘The net means of Shri... _- can be conservatively estimated at &. State Bank of India IIM Campus Branch ‘Bangalore - 560 076. Asst. Deputy Manger (Adv) ‘Branch Manager