Education Loan Application

Online Education Loan Application - For Students

Whether applicant is gainfully employed Yes No Sorry, you are not eligible for education loan.

For Professional Courses only

Sl No

Applicant's Details

Information

Full Name of the applicant

Marital Status Yes No

Applicant's full address

Current :

Permanent / Domicile :

Address 1
Address 2		City
Pin		State

Same as current address
Address 1
Address 2		City
Pin		State

Phone No(with STD Code).	Mobile No.	Email ID
Note: Bank is not responsible for non receipt of any reply due to wrong email ID.

Name of our branch nearest to your place of Domicile & its distance km. [Not exceeding 10 kilometer radius]

Details of DD/PO Purchased for Rs 500/- from VIJAYA BANK only [Preferably from the branch where the Educational Loan would be availed]

DD/PO Printed NO.		Issuing Branch Code NO.
DD/PO Variable NO.		Name of Branch
Date of Issue	[DD/MM/YYYY]

Date of Birth

Age Years Months

Whether admission to College/Institution secured
If yes, name of College/Institution & Place/City.

Yes No
Name of Institution		Website url
Place/City

Education qualification of the student: ( Include details of 1)SSLC/HSC, 2)PUC/PLUS TWO, 3)Recent Qualification )

Sl No.	Examination passed	Year of passing	% age of Marks	Name of the Institution
1.
2.
3.

Details of proposed course: Full time Evening(correspondence course not considered)

Name of course	Duration of course (in years)	Name & address of College/Institution

Course/Institution-Approved: Yes No	If 'Yes'- by

Details of estimated expenditure for the entire course:	Studies In India Studies Abroad (Diploma Courses Not Considered)
Duration of course (in years)		Margin amount
Tuition fee(Rs)		Upto Rs.4 lakhs : NIL
Cost of text books/instruments(Rs)		Above Rs.4 lakhs :	Studies in India : 5%
Hostel Fee(Rs)			Studies Abroad : 15 %
Examination fee (Rs)
Others (Rs)
Total (Rs)
Loan amount required (Rs)

Details of tangible collateral securities* offered (If the loan amount exceeds Rs.7.50 lakh)

Sl No	Name of Property Holder	Property Address& Description	Present Market value (Rs in lakh)
1
2
* Land, Building, Govt. Securities, NSC, LIC Policies, KVP, etc. NOTE: Studying in India- If loan amount required exceeds Rs.7.50 lacs and upto Rs.10.00 lacs - Tangible Collateral security is mandatory. Studies Abroad - If loan amount required exceed Rs.7.50 lacs and upto Rs.15.00 lacs - Tangible Collateral security OR third party guarantee is mandatory. Studies abroad - If loan amount required exceed Rs.15.00 lacs and upto Rs.20.00 lacs - Both Tangible Collateral security for full value of loan and third party guarantee is mandatory.

In case of studies abroad, whether the admission is secured in the foreign university.
Yes No
If 'yes' details of foreign university

Details of Bank account of applicant or parent/guardian with Vijaya Bank if any:

Type of A/C	A/C no.	Name	Date of opening [DD/MM/YYYY]	Present balance

Parent/Guardian Details [Joint Borrowers]

Relationship

Name & address

Name		Age
Address1
Address 2		City
Pin		State

Occupation

Annual income (Rs.)

Net worth (Rs.)

Particulars of the guarantor (in case of loan amount is exceeding Rs.4 lakh)
[Other than Name provided under 14. ]

Name & address

Name		Age
Address1
Address 2		City
Pin		State

Occupation/Profession

Annual Income

Net worth

Liability

With Vijaya Bank(Rs)

With Others (Rs)

Total(Rs)

Declaration

The particulars furnished above are true and correct.
I under take to submit a DD of Rs 500/- along with the necessary documents at the Branch, which will not be refunded in case the loan sanctioned is not availed by me.
The advance will be used for the purpose for which it is granted.
Any change in my address for communication/contact will be intimated to you.
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 [DD/MM/YYYY]