Vidya Lakshmi Common Education Loan Application Form

Student ID 3213919

Application ID 1753190

Bank Name State Bank of India

Bank Scheme Name SBI STUDENT LOAN SCHEME

Preferred Bank IFSC Code SBIN0000707

Preferred Bank Branch Name ROORKEE

Date of Application 09-Oct-2022

1. Personal Information

Field Name Student Parent / Husband Co-obligant / Guarantor

Title Mr. Mr.

First Name SOYEB MEHARBAN

Middle Name

Last Name ALI ALI

Father’s /Husband’s First Name MEHARBAN MOHABBAT

Father’s /Husband’s Middle Name

Father’s /Husband’s Last Name ALI ALI

Date of Birth 06/03/2003 23/05/1965

Category Minority Minority

Sex Male Male

Marital Status Single Married

Educational Qualification INTERMEDIATE 8 CLASS

Marks obtained in Highest

67.0 50.0 0.0
qualification %

Occupation Student Employee

Income from all sources (Rs) 2000.00 8000.00

PAN No.# DJEPA7181Q CAZPM5876P

State Uttarakhand Uttarakhand

Address Line 1 VILL BHANGERI MAHAWATPUR VILL BHANGERI MAHAWATPUR

Address Line 2 POST MILAP NAGAR POST MILAP NAGAR

Village / Area/ Locality ROORKEE ROORKEE

Block/Taluka /Sub-district/Town Haridwar Haridwar

PIN 247666 247666

Contact No. 8923481539 9897401746

e-mail Id [email protected] [email protected]

Present Banker Details

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Branch IFSC SBIN0000707 SBIN0000707

Banker STATE BANK OF INDIA STATE BANK OF INDIA

Bank Branch ROORKEE ROORKEE

Account Type Savings Account Savings Account

SB / OD A/c No. 36689307089 41329820765

Direct/Indirect liability details (Rs)

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 Management Quota

Name of the Institution GANGA INSTITUTE OF ARCHITECTURE AND TOWN PLANNING

Name of the Course BACHELOR OF ARCHITECTURE(B.ARCH(AR))

Duration of the Course 05 (Years) 00 (Months)

Date of Commencement 12/09/2022 Date of Completion 09/08/2027

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 70000 70000 70000 70000 70000 350000.00

Exam fees 0 0 0 0 0

Books Stationery 0 0 0 0 0

Equipment/Computer 0 0 0 0 0

Hostel Expenses 65000 65000 65000 65000 65000 325000.00

Sundries/Travel 0 0 0 0 0

TOTAL 135000 135000 135000 135000 135000 675000.00

Own Source / Scholarship 0 0 0 0 0

Loan Required 135000 135000 135000 135000 135000 675000.00

5.Details of securities offered 675000

6.Prospects of earning after completion of the course

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

Repayment proposed
60 11000.00

7.Uploaded Documents:

Marksheet

Proof Of Admission to the course

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Schedule Of Expenses for the course, as given by institution

Undertaking letter in the absence of PAN & Aadhaar

Applicant Photo

Parent 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.

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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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