LoanApplicationForm

Vidya Lakshmi Common Education Loan Application Form
Student ID 3784758
Application ID 2090284
Bank Name State Bank of India
Bank Scheme Name SBI STUDENT LOAN SCHEME
Preferred Bank IFSC Code SBIN0005321
Preferred Bank Branch Name Jeedimetla IDA
Date of Application 30-Jun-2023
1. Personal Information
Field Name Student Parent / Husband Co-obligant / Guarantor
Title Kumari Mr.
First Name SINGARAM SINGARAM
Middle Name
Last Name KEERTHI MALLESH
Father’s /Husband’s First Name SINGARAM SINGARAM
Father’s /Husband’s Middle Name
Father’s /Husband’s Last Name MALLESH YADAIAH
Date of Birth 04/12/2001 24/05/1974
Category OBC OBC
Sex Male Male
Marital Status Single Married
Educational Qualification BSC AGRICULTURE
Marks obtained in Highest

72.0 0.0 0.0
qualification %
Occupation Student Business
Income from all sources (Rs) 180000.00
PAN No.# KVOPS6798Q
State Telangana Telangana
Address Line 1 5-25-188/1 5-25-188/1
Address Line 2 SRI RAM NAGAR SRI RAM NAGAR
Village / Area/ Locality GAJULARAMARAM GAJULARAMARAM
Block/Taluka /Sub-district/Town Rangareddy Rangareddy
PIN 500055 500055
Contact No. 9390337154 9949862222
e-mail Id [email protected] [email protected]
Present Banker Details
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Branch IFSC SBIN0005321 SBIN0020245
Banker State Bank of India STATE BANK OF INDIA
Bank Branch Jeedimetla IDA IDPL COLONY
Account Type Savings Account Savings Account
SB / OD A/c No. 39762694800 621983155945
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 Merit
Name of the Institution SAGAR GROUP OF INSTITUTIONS
Name of the Course ARGRI BUSINESS MANAGEMENT
Duration of the Course 02 (Years) 00 (Months)
Date of Commencement 17/07/2023 Date of Completion 31/08/2025
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 225000 225000 450000.00
Exam fees 0 0
Books Stationery 0 0
Equipment/Computer 39000 12500 51500.00
Hostel Expenses 72500 72500 145000.00
Sundries/Travel 0 0
TOTAL 336500 310000 646500.00
Own Source / Scholarship 0 0
Loan Required 336500 310000 646500.00
5.Details of securities offered JOB
6.Prospects of earning after completion of the course
No. of Installments Amount (Rs) p.m.

Repayment proposed
36 5000.00
7.Uploaded Documents:
Marksheet
Proof Of Admission to the course
Schedule Of Expenses for the course, as given by institution
Undertaking letter in the absence of PAN & Aadhaar
Applicant 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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Vidya Lakshmi Common Education Loan Application Form

Bank Name State Bank of India

Bank Scheme Name SBI STUDENT LOAN SCHEME

Preferred Bank IFSC Code SBIN0005321

Preferred Bank Branch Name Jeedimetla IDA

Date of Application 30-Jun-2023

Field Name Student Parent / Husband Co-obligant / Guarantor

Title Kumari Mr.

First Name SINGARAM SINGARAM

Last Name KEERTHI MALLESH

Father’s /Husband’s First Name SINGARAM SINGARAM

Father’s /Husband’s Middle Name

Father’s /Husband’s Last Name MALLESH YADAIAH

Date of Birth 04/12/2001 24/05/1974

Category OBC OBC

Sex Male Male

Marital Status Single Married

Educational Qualification BSC AGRICULTURE

Marks obtained in Highest

Occupation Student Business

Income from all sources (Rs) 180000.00

PAN No.# KVOPS6798Q

State Telangana Telangana

Address Line 1 5-25-188/1 5-25-188/1

Address Line 2 SRI RAM NAGAR SRI RAM NAGAR

Village / Area/ Locality GAJULARAMARAM GAJULARAMARAM

Block/Taluka /Sub-district/Town Rangareddy Rangareddy

PIN 500055 500055

Contact No. 9390337154 9949862222

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

Present Banker Details

Banker State Bank of India STATE BANK OF INDIA

Bank Branch Jeedimetla IDA IDPL COLONY

Account Type Savings Account Savings Account

SB / OD A/c No. 39762694800 621983155945

Direct/Indirect liability details (Rs)

If yes, details of relationship

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

Whether under: Merit / Management Quota Merit

Name of the Institution SAGAR GROUP OF INSTITUTIONS

Name of the Course ARGRI BUSINESS MANAGEMENT

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

Date of Commencement 17/07/2023 Date of Completion 31/08/2025

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 225000 225000 450000.00

Equipment/Computer 39000 12500 51500.00

Hostel Expenses 72500 72500 145000.00

TOTAL 336500 310000 646500.00

Own Source / Scholarship 0 0

Loan Required 336500 310000 646500.00

5.Details of securities offered JOB

6.Prospects of earning after completion of the course

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

Proof Of Admission to the course

Undertaking letter in the absence of PAN & Aadhaar

Signature of the Signature of the Signature of the

For office use