Application Form For Union Education Loan

UNION EDUCATION APPLICATION FORM
DETAILS INFORMATION
Ack. Date:
Name of the applicant
Name of co-applicant
Address of the applicant & Co-applicant
Whether SC/ST/OBC etc.
(If yes, enclose certificate)
Yes No Nationality:
Date of Birth
D D M M Y Y Y Y
Whether related to any employee / Director of Bank:
Yes No
Age (Enclose Certificate as proof of age)
Sex
Male Female
Marital Status
Single Marrie…………Yrs…………….Months d
Father / Guardian
Name & Address
Occupation
Monthly Income
Rs……………………………………………………………………….
(If guided by RBI Subsidized scheme, enclose income certificate of Parent)
AFFIX RECENT
PHOTOGRAPH OF
APPLICANT WITH
SIGNATURE
1. Please write or type in BLOCK LETTERS
2. Put a tick mark against appropriate item
3. Ensure that all information is correctly filled in. If any detail is not
applicable, please write “N.A”
4. Enclose all required supporting documents and project report
Purpose of loan: Loan Amount:
EDUCATIONAL QUALIFICATION
Examination Passed Year
Marks
Obtained (%)
Division Details of Scholarship, if any
DETAILS OF THE COURSE PROPOSED Full time course: Yes No
Name of course
Duration of
Course
Name & Address of College / University Prospects
DETAILS OF ESTIMATED EXPENDITURE PER ANNUM
Year Tuition Fee (Rs.)
Cost of text books /
instruments (Rs.)
Hostel (Rs.)
Examination
(Rs.)
Others
(Rs.)
Total (Rs.)
1
2
3
4
5
FINANCIAL REQUIREMENTS
a. In India
Nature of facility Amount (Rs.) Purpose Repayment condition
b. Abroad
Nature of facility Amount (Rs.) Purpose Repayment condition
DETAILS OF COLLATERAL SECURITIES OFFERED (for loans above Rs.7.5 lacs only)
Sl. No. Details of Security Market Value (Rs.)
In case of studies aboard, whether the admission is secured in the foreign university? Yes No
Whether the 'In principle' sanction to release the foreign exchange is obtained from the authorized dealer / RBI?
Yes No
SB A/c. No. Date of opening
Expected Income per month after
completion of course
Rs.
PARTICULARS OF THE GUARANTOR (For loan amount greater than 4 lacs and up to Rs. 7.5 lacs)
Name & Address
Occupation /
Profession
Monthly
Income
Net Worth
Liability
Direct (Rs.)
Indirect
(Rs.)
Total
(Rs.)
I/We am/are willing to stand as guarantor/s
Place :
Date : Guarantor(s) Signature
DECLARATION
1. The particulars furnished above are true and correct. 2. The advance will be used for the purpose for which it is granted.
3. Any change in my address for communication/contact will be intimated to you. 4. My/Our banking business will be
confined to your bank only and I/We will not borrow from any other bank/source during the pendency of the advance with
you, without your consent in writing.
Place :
Date : Applicant's Signature Co-applicant's Signature