VIJAYA BANK
Branch :
APPLICATION - CUM - PROCESS NOTE FOR LOANS TO STUDENTS
 
To
The Branch Manager
Vijaya Bank


Dear Sir,

I request you to grant me loan / advances for undergoing the course detailed below :

 
Sl No Details Information
1. Name of the applicant  
2. Address of the applicant


3. Whether SC / ST / OBC etc.
 
 Yes
 
 No [If yes, enclose certificate]
4. Date of birth  
5. Age ________ Yrs _______ Months
[Enclose Birth Certificate as proof of age]
6. Father / Guardian
a. Name & address  
b. Occupation  
c. Monthly income Rs._____________
[If guided by DRI, enclose income certificate]
7. Education qualification
Degree Year Marks obtained (%) Division Details of scholarship, if any
         
         

8. Details of the proposed course
Name of course Duration of course Name & address of college Prospects
       
       
 
9. Details of estimated expenditure per annum
Year Tuition fee (Rs) Cost of text books / instruments (Rs) Hostel Fee (Rs) Examination
fee (Rs)		 Others (Rs) Total (Rs)
1            
2            
3            
4            
5            
6            
Total  
10. Financial requirements
a. In India
Nature of facility Amount (Rs) Purpose Repayment condition
       
b. Abroad
Nature of facility Amount (Rs) Purpose Repayment condition
       
11. Details of securities offered
Sl No Details of security Market value (Rs)
     
     
12. In case of studies abroad, whether the admission is secured in the foreign university and whether the ‘in principle’ sanction to release the foreign exchange is obtained from the authorised dealer / RBI ?
 
13.
SB A/c No:   Date of opening  
14. 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]
 
15. Particulars of the guarantor
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]
16. [For the Branch Use]
Report of the Branch Manager and particulars of advance sanctioned / recommended:
Nature of advance Amount Rs. Rate of interest Details of security / guarantor/s Repayment conditions
         
         
 
1. The applicant is not closely related to me.
2. The applicant has a good academic record.
3. The training / course has good employment potential.
 
Date: ASST. BRANCH MANAGER BRANCH MANAGER
17. Space for use by sanctioning authority
Particulars of sanction / Rejection
 
Place:
Date: 		[SANCTIONING AUTHORITY]
RECEIPT
Received the application from Sri / Smt. / Kum. ____________today for consideration.
 
Place:
Date: 		[Signature of application receiving authority]