Personal details of the applicant

Applicant Name(AS Mother Name Marital Status Wife/Husbg.and name

PER PANCARD)
G.Pushpavathi Lalithamma Married H.Srinivas

FATHER NAME Qualification Years in Current Years in Current

City residence
Govindaswamy Naidu B.A, B.Ed 40 40

OWN HOUSE/RENT(if DOB Total work exp Years in Current Job

rent Rent amount) 15-08-1961 35years 35years
Own house

Account No &Branch Live loan details

Salary Credited bank
Syndicate Bank 17002010045034 Syndicate Bank
K.R.Circle Branch

Permanent address/with contact no and Residence Address &Landmark With Pin code
Pin code and near Land mark. (Aadhar ,Rental agreement with recent month
D.no-192, Sri Rama Street,Fort electricity bill, Postpaid bill, Gas bill with Gas
Mohalla,Mysuru-570004 passbook , DL, Voter ID)

Phone no & Alternative no Salary of LATEST 3 months

9900282906
9964804040

Office Address Land Personal mail id Official mail id

Company Name line no &ext With
Pin code
Mahadevi higher Akkanabalaga, Pushpavathig61@gmail.co
Primary school Thyagaraja road, m
Mysuru-570004

Required loan Tenure Pan no Aadhar no

amount
500000 3yrs AIXPP4781C 956773783550

Reference contact address Reference contact no address

no
8792855421 UmaRani 9743309069
d.no-189,Sri Rama
Street,Fort
mohalla, Mysuru -
570004
DEPARTMENT Education DESIGNATION Assistant Teacher