Vidya Lakshmi Common Education Loan Application Form

Student ID 3224725

Application ID 1772106

Bank Name State Bank of India

Bank Scheme Name SBI STUDENT LOAN SCHEME

Preferred Bank IFSC Code SBIN0013532

Preferred Bank Branch Name SHIVAJINAGAR AURANGABAD

Date of Application 25-Oct-2022

1. Personal Information

Field Name Student Parent / Husband Co-obligant / Guarantor

Title Mr. Mr.

First Name Vivek Vinod

Middle Name Vinod Bansidharrao

Last Name Limbalkar Limbalkar

Father’s /Husband’s First Name Vinod Vinod

Father’s /Husband’s Middle Name Bansidharrao Bansidharrao

Father’s /Husband’s Last Name Limbalkar Limbalkar

Date of Birth 13/01/2000 13/05/1973

Category Minority Minority

Sex Male Male

Marital Status Single Married

Educational Qualification BBA Docter

Marks obtained in Highest

77.23 0.0 0.0
qualification %

Occupation Student Business

Income from all sources (Rs) 450000.00

PAN No.# BJKPL5125R ADHPL9623N

State Maharashtra Maharashtra

kasaliwal ranwara D2/13, garkhed kasaliwal ranwara D2/13, garkhed

Address Line 1
Prisar aurangabad,mah Prisar aurangabad, mah

kasaliwal ranwara D2/13, kasaliwal ranwara D2/13, garkhed

Address Line 2
aurangabad,mah Prisar aurangabad,mah

Garkheda parisar aurangabad Garkheda parisar aurangabad

Village / Area/ Locality
maharashtra maharashtra

Block/Taluka /Sub-district/Town Aurangabad Aurangabad

PIN 431001 431001

Contact No. 8482889265 9921851287

e-mail Id limbalkarvivek@gmail.com jvivan679@gmail.com

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 Present Banker Details

Branch IFSC SBIN0013532 SBIN0013532

Banker STATE BANK OF INDIA STATE BANK OF INDIA

Bank Branch SHIVAJINAGAR AURANGABAD SHIVAJINAGAR AURANGABAD

Account Type Savings Account Savings Account

SB / OD A/c No. 40442799964 62367282066

Direct/Indirect liability details (Rs) 0 3

2. Whether related to Chairman /Directors / employee of our Bank or any other Banks. No

If yes, details of relationship

3. Particulars of course, for which loan is required.

Whether under: Merit / Management Quota Merit

Name of the Institution IIEBM, INDUS BUSINESS SCHOOL

Name of the Course POST GRADUATE DIPLOMA IN MANAGEMENT (PGDM)

Duration of the Course 02 (Years) 00 (Months)

Date of Commencement 16/06/2022 Date of Completion 12/07/2024

Cost of Finance Details

4. Cost of Course / Source of Finance: (All amounts are in (Rs))

Particulars Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Total

Tuition fees 320000 320000 640000.00

Exam fees 0 0

Books Stationery 0 0

Equipment/Computer 0 0

Hostel Expenses 110000 0 110000.00

Sundries/Travel 0 0

TOTAL 430000 320000 750000.00

Own Source / Scholarship 0 0

Loan Required 430000 320000 750000.00

5.Details of securities offered House

6.Prospects of earning after completion of the course

No. of Installments Amount (Rs) p.m.

Repayment proposed
60 0.00

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7.Uploaded Documents:

Marksheet

Proof Of Admission to the course

Schedule Of Expenses for the course, as given by institution

ITAO / IT Return (latest)

Copy of land records

Applicant Photo

Parent Photo

Co-obligant / Guarantor Photo

I / We declare that all the particulars and information given in the application form are true, correct and complete and binding on me / us. Further,
the above particulars shall form the basis of any loan Bank may decide to sanction to me / us. The loan amount will be used for the purpose for
which it is granted.

Signature of the Signature of the Signature of the

Student Parent/Guardian Co-obligant/Guarantor

Place:

Date:

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 For office use

Credit Report No. Date : Customer ID/Application ID:

Details of security including

Rate of Repayment Whether eligible under CSIS
Nature of limit Amount (Rs.) Margin(Rs.) Personal Guarantee/Co-
Interest* conditions Scheme / (Yes/No)
obligation.

Other terms and conditions:

The Bank may revoke in part or in full or withdraw/stop financial assistance at any stage by giving reasonable notice to the borrower. Credit
facilities sanctioned are to be availed within 6 months from the date of this letter, failing which; the limits will automatically stand cancelled.

Manager/Senior Manager / Accepted all the terms and

Chief Manager /Asst Gen Manager conditions of sanction Borrower/s

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