COMMON EDUCATION LOAN APPLICATION FORM FOR LOAN

AMOUNT UPTO Rs.4.00 LACS

PART-I

LOAN APPLICATION FORM

PHOTOGRAPH PHOTOGRAPH

OF OF
(Basic Information Part 1)
APPLICANT CO-APPLICANT

To,

THE BRANCH MANAGER

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I/We request for a loan of Rs.________________ under ___________________ Scheme for the
purpose ________________________________________________________.

I/We furnish our particulars as below.

APPLICANT CO-APPLICANT
NAME (in block letters)

PAN Number( REASON IF YOU DO

NOT HAVE A PAN CARD)

Fathers/Husbands Name

Relationship with

Co-Applicant / Applicant

Residential Address

Present Address: bungalow/Row

House/Flat/Other (if rented please
specify rent/month)
Period of stay at the above
Address

Tel No.:

Mobile No.:

E Mail :

Permanent Address:
bungalow/Row House/Flat/Other
(if rented please specify
rent/month)

Status of present address owned/rented/others owned/rented/others

Tel No.:

E Mail:

Status of Resident Resident/Non Resident Resident/Non Resident

AGE

DATE OF BIRTH( Proof of age)

SEX MALE / FEMALE MALE / FEMALE

MARITAL STATUS MARRIED/UNMARRIED MARRIED/UNMARRIED

Category SC/ST/OBC/GEN/Minority SC/ST/OBC/GEN/Minority

Nationality

Children Children

No of Dependants Others Others

Educational Qualification

DETAILS OF OCCUPATION / PROFESSION / BUSINESS

PARTICULARS

Name of Employer/

Nature of Business/Profession

Address with telephone number of

Employer /Business/Profession
If employed Designation and
Employee number

No of years in present
occupation/Business/profession

Length of service

Date of Retirement

INCOME STATEMENT
Gross salary/Income per month
(salary sheet / I.T. Return, form
No.16 attached)

Deductions Income Tax

Professional Tax

Provident Fund

Insurance Premium

Other statutory deductions

Net Salary / Income p.m.

Other Income if any

(Proof Attached)

DETAILS OF BANK ACCOUNTS

Name of the Bank/Branch

Type/s of the Account

(Saving/RD/FD/Current etc. please
specify)

Account Number/s

Since When

Average credit balance for last 6

months
DETAILS OF EXISTING LOAN FROM A BANK
Name of Bank/Branch

Type of Loan Availed

Amount of loan Availed

Present outstanding

Security Offered

Repayment Plan

Amount of Default if any

DETAILS OF OTHER LIABILITIES

Loans from Employer.

Loans from friends/liabilities.

Materials/Assets purchased from

the seller on credit.

Other liabilities.

Total

IF CREDIT CARD HOLDER/S DETAILS OF CREDIT CARD/S

Name of Issuing Bank/Agency

Credit Card number

Expiry Date

Credit Limit

Present O/S Amount

DETAILS OF ASSETS
Cash

Deposits with Bank

Immovable assets/Properties

With address & value

Movable assets

Investments (Specify each)

Others

(Please specify)

TOTAL

Net worth

PROPOSED PERIOD OF REPAYMENT

I/we declare that all the particulars and information given in the application /annexure are true,
accurate, complete and up to date in all respects and I/We have not withheld any information and same
shall form the basis of the loan Central Bank of India may consider to me/us. Bank is at liberty to take
any such action as it may deem fit if my/our statements are found to be untrue. I/We confirm that the
funds will not be used for speculative/illegal or anti social purposes. I/We confirm that I/we had no
insolvency proceedings against me/us nor have I/We ever been adjudicated insolvent. I/We agree that
my/our loan shall be governed by rule of Central Bank of India, which may be in force from time to time.
The Central Bank of India reserves the right to reject the loan application without providing any reason.
I/We authorize Central Bank of India or its agents to make references and enquiries relative to the
information in the application which Central Bank of India consider necessary. I/We undertake to inform
Central Bank of India regarding change in my/our residence/employment and to provide any further
information that the bank may require. I/we understand that certain particulars given by me/us are
required by the operational guidelines governing Banking Companies. I/we authorize Central Bank of
India to exchange, share, or part with all the information relating to my/our loan details/repayment
history / information to other Central Bank branches / Banks / Financial Institutions / RBI / CIBIL / Credit
Bureau / Agencies / Statutory Bodies as may be required and shall not hold Central Bank of India or/&
its agents liable for use of this information. Central bank of India reserves the right to retain the
photographs & documents submitted with this application and will not return the same to the
applicant/s. I/We also declare that I am/we are not related to any director of the bank or any other Bank.
I/We confirm that I/We have not defaulted in repayment of loan taken from your bank/other banks nor
entered in to compromise settlement as borrower/guarantor.

Place: Signature of the Applicant

Date: Signature of the Co-Applicant

BASIC INFORMATION PART-II

Sl Particulars Details

a. Proposed course of Study

Course approved by
UGC,GOVT,AICTE,AIBMS,ICMR,DEPT OF
ELECTRONICS,OTHERS

DEGREE /DIPLOMA /CERTIFICATE

AWARDED AFTER COURSE COMPITION

DATE OF COMMENCEMENT OF COURSE

WHETHER THE ADMISSION OF COURSE IS

THROUGH ENTERANCE TEST/MERIT
BASED SELECTION

b. Duration of Course Years Full time Part time

c. Name and address of the College /

Institution in which the student intends
to join.

d. Name of the University/Recognised

Authority to which the college/ institute
is affiliated.

e. Has the student been admitted into the

above College /Institute / University or
accepted for the Course? If so, certified
copy of admission/ acceptance Letter
should be attached

f. Is the applicant attending any college or

Institute at present? If so, furnish full
particulars.

g. No. of earning members in the Family &

their total income.

h. Whether the student has any working

experience? If yes, please give details.

i. Whether the student will take up any

part-time employment during study? If
yes, please give details.

i. Year of retirement of father Guardian (if

in service only)

k. Summary of fees –own source and loan

require Year wise

l. Caution deposit/building fund/refundable

deposit subject to condition that the
amount does not exceed 10% of the total
tuition fee for the entire course.

m. Please specify in brief how the 1 Expected income per month

completion of the course is going to help
the student in improving his prospects of 2. Anticipated monthly expenses
earning his livelihood. 3.Amount available to repay the loan

STUDENTS ACADEMIC RECORD:

Name of the High School Higher Graduation Post Others
examination from Secondary Graduation (Please
SSC or equivalent specify)
onwards

Name of the School/

College

Medium of
instruction

Examination
authority

Month & year of

passing

Whether passed in
the first attempt

Aggregate marks
first attempt

Out of total marks

Percentage of marks

Rank/Class/Div
obtained

Scholarship/ Prizes
won for academic
distinction.

PARTICULARS OF FINANCIAL REQUIREMENT (year wise) OF THE COURSE

Studies in India Rs Studies in abroad Rs.

Admission fee Total fees for ______

per year

Term Fee for ___years Books, stationery,

instrument &
equipment

Books, stationery, Boarding & lodging @

instruments, equipment ___________ per year
examination fees for _____________
years

Boarding & lodging @ Total i.e. Equivalent in

Rs.______ per month for Rs.
________ years

Total (enclose evidence) Air passage (one way

only)

Total (enclose evidence)

SOURCE OF FINANCE:
1. Non refundable scholarship(s) at Rs._____________ p.a. for Rs.__________________
____________ years

2. Loan scholarship(s) and or other repayable financial Rs.__________________

assistance from other sources

3. Contribution of Parent/ Guarding and /or other Members of Rs.__________________

the family / relatives towards total expenses
4. Amount of loan required from the bank Rs.__________________

5. Earning of the student(if any) Rs.__________________

Total Rs.__________________

Particulars of Insurance Policy (ies) (In the case of father/ guardian/ Co-applicant/Applicant only)

Names of the insured Policy No Date Date(s) of Amount of Date of last

Maturity yearly premium
premium paid

ADDITIONAL INFORMATION TO BE FURNISHED BY STUDENTS UNDERTAKING STUDIES ABROAD

a. Amount of foreign exchange required.

b. Foreign currency

c. Rupee equivalent

d. Have you obtained the necessary passport,

/visa etc? Yes/No.(if yes, give reference)

e. Do you intend to take up any part time

employment during the course of studies
abroad? If so, give particulars.

f. What are your likely Prospects on your return

to India?
DECLARATION:
We hereby declare that the information furnished against the foregoing items is true to the best of
our knowledge and belief.
We also undertake to inform the bank immediately any change in our employment details, address,
telephone number including mobile no. etc. for both local and permanent address,

Signature of Father/Guardian/Co-Applicant

Place Signature of student

Date Signature of Guarantor (if required)

Documents required at the time of processing and sanction of
Education Loan(Loan up to Rs.4.00 lacs)

1. Application Form in Part-I and Part-II-All columns to be filled in properly.

2. Identity proof – Passport / PAN card / Voter’s card / Driving License (Any one of above)
3. Residential Proof (should not be older than three months): Passport/ Driving License/
Electricity Bill/Any official Communication (Any one)
4. Educational Qualification Certificates: Marks sheet of class X, XII, Graduation, Post
Graduation etc.
5. Estimation/fee structure of college-Proforma Invoice/Bill of Laptop/Motor cycle, if required.
6. Proof of income-Salary certificate/ IT returns last 3 years/Assessment orders (of the
Parents/Guardian/Co-Applicant, where applicable).
7. Caste certificate in case of SC/ST/Minority student, if wishes to avail interest concession.
8. Passport size photograph 3 numbers
9. Copy of admission or selection letter in college /educational institute with year wise and item
wise break up of expenditure.
10. Course approved by UGC, GOVT., AICTE, AIBMS, ICMR, DEPTT. OF ELECTRONICS, OTHERS (i-20
for abroad).
11. Bank account statement for last 6 months.
12. Passport/visa (if required).
12. Copy of letter confirming scholarship/Free ship, student ship etc.
13. Duration of course (document evidence).
14. Kindly bring with you one copy of above documents, duly singed by you along with the
originals for verification.