| ACKNOWLEDGEMENT |
Customer Copy
Application Inward No:
.................................
CANARA
BANK
................................................................
.......................................................Branch |
| |
Received from Sri/Smt/Kum/M/s
................................................................................
Residing
at
............................................................................................................
............................................................................................................................
an
Applation dated..........................for Rs
....................... under educationalLoan
scheme.
|
Proposal in brief:
Additional detail/requiements
to be submitted: |
| |
Date
: ................................
Place :
............................... |
BRANCH MANAGER
with Branch
Seal | |
| | | |
| |
| APPLICATION FOR EDUCATIONAL LOANS |
| Place : |
Date : |
From
:
Name and address of the applicant/s
:
...........................................................
...........................................................
|
To :
The Manager/Senior Manager,
Canara
Bank
...............................................
Branch. | |
1] Application :
I/We hereby
apply for an Educational loan of
Rs...........................................................
as
detailed below, to prosecute higher education by
me/................................................ |
| Tuition Fees, cost of books, examation fee
etc., |
: |
Rs
............................... |
| Maintenance exepences |
: |
Rs
............................... |
| Total |
: |
Rs
............................... |
| Amount of loan required |
: |
Rs
...............................
| | |
| I/ We hereby furnished the other detail as under
: |
| |
| 2] Personal Background of the
Student: |
| a) |
Name
in full :
............................................................................................. |
| b) |
Date of birth and age :
.......................................... Male/Female
................... |
| c) |
Nationality :
.............................................................................................. |
| d) |
Whether the aplicant belongs to SC/ST ? (Required
for Banks statistical purposes)
............................................................................................................... |
| e) |
| Whether the applicant belongs to any of
these communities? if so, appropriated category
may be ticked. |
| Sikhs |
Muslims |
Christians |
Zoroastrians |
Neo-Buddhists | | |
| f) |
Whether related to any employee of the bank /
Director of the Bank/any other bank. If yes detail :
............................................................................................... |
| g) |
Is he/she married? If Yes, details of spouse :
..................................................
............................................................................................................... |
| h) |
Fathers name in full :
.................................................................................. |
| i) |
Guardians name in full and relationship with him
:
.............................................
............................................................................................................... |
| j) |
| Address of Father/Guardian (with telephone
No. if any) |
| i) Permanent: |
..................................................................................
.................................................................................. |
| ii)Temporary: |
..................................................................................
.................................................................................. | | |
| k) |
| Saving bank Account detailss of the
applicant |
| i) Account Number: |
.................................................................................. |
| ii) Date of opening: |
.................................................................................. | | | |
| | | |
| |
3] Educational Qualifications
: |
| Examination |
Institutin/University From which passed |
Year of passing |
Attempts made |
Percentage of marks |
Class / Grade obtained |
| |
|
|
|
|
| |
| Please enclose marks list of the last examination
cleared as also testimonials from the school / two professors
from the Collage last attended. |
4] Particulars of Scholarships / Prizes won for
academic distinction : |
| Examination |
Specify the academic distinction for which the
Scholarship/prize was awarded. |
Name
of the Scholarship/ Prize |
Amount of Scholarship/ Prize |
Duration of Scholarship
From --------
To |
| |
|
|
|
| |
5] Father’s/Guardian’s financial status/ family
particulars : |
| a) |
Occupation (Give full particulars) :
................................................................... |
| b) |
Annual Income :
...........................................................................................
(attach
salary certificate or any other proof) |
| c) |
Age : .................. |
| d) |
| If in service, |
| i) Name and address of the employer
: |
............................................................ |
| ii) the age of reirement : |
.............................. | | |
| e) |
Number of dependents :
................................................................................ |
| f) |
Details of income of any other member of the
family, if earning :
...........................
.................................................................................................................
|
| g) |
| Details of present borrowings
: |
| Sl.No. |
Date of Loan |
Bank / FI |
Amount |
Present Liability |
Overdues |
Security |
| |
|
|
|
|
|
| | |
| h) |
Net Worth :
.......................................... | |
| | | |
| |
6] Particulars of the course for which the loans is
required : |
| a) |
Name
of the course :
.....................................................................................
..................................................................................................................
|
| b) |
| Duration of the course : |
| i) Date of commencement : |
................................................... |
| ii) Likely date of completion
: |
................................................... | | |
| c) |
Institution / University :
..................................................................................
...................................................................................................................
|
| d) |
| Other particulars : |
| i) Details of tuition fees
: |
| First year of the course |
: |
Rs.
.......................... |
| Second year of the course |
: |
Rs.
.......................... |
| Third year of the course |
: |
Rs.
.......................... |
| Fourth year of the course |
: |
Rs.
.......................... |
| Fifth year of the course |
: |
Rs.
.......................... |
| |
|
Total Rs.
.......................... | | |
| ii) |
| Essential books |
: |
Rs.
.......................... |
| Stationery |
: |
Rs.
.......................... |
| Equioment, if any |
: |
Rs.
.......................... |
| |
|
Total Rs.
.......................... | | |
| iii) Examination fees : |
| First year of the course |
: |
Rs.
.......................... |
| Second year of the course |
: |
Rs.
.......................... |
| Third year of the course |
: |
Rs.
.......................... |
| Fourth year of the course |
: |
Rs.
.......................... |
| Fifth year of the course |
: |
Rs.
.......................... |
| |
|
Total Rs.
.......................... | | | | |
7] |
| (i) |
| Details of estimated monthly maintenance
xpenditure during the period of the course
: |
| Rent |
: |
Rs.
.......................... |
| Board |
: |
Rs.
.......................... |
| Clothes |
: |
Rs.
.......................... |
| Sundries / travel |
: |
Rs.
.......................... |
| |
|
Total Rs.
.......................... | | |
| (ii) |
| Estimated maintenance expenditure during
the period of the course : |
| {(i) x 12 x duration of the course in
years} ............................ Rs
| | |
| | | |
| |
| 8] Sources of finance (apart
from Bank loan now applied for) : |
| a) |
| Non-repayable scholarship / studentship /
fellowshio or other financial
assistance. |
| @ Rs. .................. p.a for
.................... years |
| Commencing from :
........................... |
Rs.
........................................ | | |
| b) |
| Repayable loan scholarship or other
financial assistance (State terms of repayment)
: |
Rs.
........................................ | | |
| c) |
| Funds available fron family source
: |
| @ Rs. .................. p.a for
.................... years |
| |
Rs.
........................................ | | |
| |
| |
Total Rs.
........................................ | | |
| 9] |
| a) |
Please state in brief how the completion of the
course is going to help the student in improving his
prospects of earning.
|
| b) |
| Expected income per month |
: |
Rs.
.......................... |
| Anticipated monthly expenses |
: |
Rs.
.......................... |
| Balance |
: |
Rs.
.......................... |
| Amount available for repayment of
loan |
: |
Rs.
.......................... | | | |
| |
| 10] Any other information : |
| |
| 11] Details of Securities offered
: |
| Nature |
Name of the Owner |
Type of ownership |
Details* |
Value (Rs.) |
| |
|
|
|
| |
*In case of NSCs/Deposit Receips, etc, Number, Maturity
Date, ect.
*In case of Immovable properties, boundaries,
survey No. etc. |
| |
12] Particulars of Co-obligant / Guarantor
:
(Wherever
third party has offered security, he/she should stand as
Co-obligant / Guarantor). |
| a) |
| Name |
| i) |
Relationship with applicant/other
Co-obligants / Guarantors :
..........................
........................................................................................................... |
| ii) |
Is he / she related to any
employee/Director of the bank/ any other bank..
If yes, details :
................................................................................................
............................................................................................................
| | |
| b) |
| | | |
| |
| a) |
Occupation :
................................................................................................ |
| b) |
Particualrs of account with us and other Banks :
|
| c) |
Monthly income :
....................................................... |
| d) |
Net worth :
............................................................... |
| e) |
Direct / Indirect liability :
............................................. | |
| |
| 13] Repayment Schedule : |
Loan is proposed to be repaid as under :
In
..................... equated monthly instalments of Rs
................................ each commencing from
................................................
I/We
certify that, to the best of my / our knowledge and belief,
the information furnished herein is true/correct. I/We promise
to abide by the terms and conditions governing the grant of
loan and to utilise loans for the purpose for which is is
granted.
I/We further undertake the following terms and
conditions : |
| a) |
I /
We will not participate in any unlawful activity, which
would debar me from prosecuting the studies and shall
follow all the rules and regulations laid down by the
educational institution. |
| b) |
I /
We will not enter into a pecuniary obligation or
financial liability during the currency of the loan
without the permis-sion of theBank |
| c) |
I / he / she will strive to secure a suitable
employment after the comlection of the course. As soon
as I / he /she secures employment, I / he / she will
furnish the Bank with full particulars of such
employment, including income therefrom. |
| d) |
I will not take-up employment during the period
of the course, except with the prior permission of the
Bank. |
| e) |
If I am taking up a part time employment, I will
produce a certificate fron the head of the institution
to the effect that the employment will not affect my
studies. |
| f) |
I will keep the bank infomed, from time to time,
change of address, if any. |
| g) |
I will not, without the Bank’s written prior
permission, change the course of studies or the place of
study or the educational institution. |
| h) |
I will furnish periodical progress reports fron
the educatinal
institution. | |
| I am
willing to stand as co-obligant / guarantor. |
| |
| Signature of the
Co-obligant/Guarantor |
Singature of the
Applicants/s | |
| | | |
| |
| Documens to be enclosed |
| |
| i) |
Mark
sheet of last qualifying examination for school and
graduate studies in India. |
| ii) |
Proof of admission to the course. |
| iii) |
Schedule of expenses for the course.
( If
purchase of computer is involved, Certificate from the
Institution with recommendations to be enclosed).
|
| iv) |
Two copies of passport size photographs from
borrower / Co-obligant / guarantor. |
| v) |
A copy of passport/voters ID Card/ any other
proof of residence. | |
| |
| For salaried persons : |
| i) |
Latest salary particulars. |
| ii) |
Employmet
details. | |
| |
| For Self-Employed/Professionals and
Businessmen/Agriculturist. |
| Proof of income/copy of the land records. |
| |
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