Welcome to Syndicate Bank - Education Loan

1. Personal Background of the student:

Fields marked with (*) are mandatory

a) Name in full *

b) Date of Birth *

(dd/mm/yyyy)

c) Nationality *

d) Marital status *

Married

UnMarried

e) No. of Dependents

f) Employment Status*

Employed

UnEmployed

g) Employment Details :

h) Applicant’s PAN No./Passport No. (if any)

PAN No.	Pass port No.

i) Applicant’s current address:*

Road*	City*	pin*

Phone No

Email ID

j) Applicants permanent address:

Road*	City*	pin*

k) Name of Parent/Guardian: *

l) Occupation of Father/guardian: *

m) Occupation of Mother/guardian: *

n) Age of parent/guardian: *

o) Annual Income of Parent/Guardian *

p) PAN No./Pass Port No. of Parent/Guardian, if any

PAN No.	Pass port No.

q) Address of parent/guardian:

Road*	City*	pin*

Phone No

Email ID

r) Nearest Syndicate Bank branch from your residence:

State Name

City Name

Branch Name

2. Educational Qualifications of applicant (Highest Examination Passed):

Examination passed *	Institute/University *	Year of passing *	% of Marks *

3. Particulars of the course for which loan is required:

a) Name of the Course: *

b) Name of Institution: *

c) Name of the University: *

d) Duration of Course in Years: *

e) Address of Institution:

f) Whether course is in India or abroad: *

g) Whether Course / Institution is approved: *

h) Nature of Course :

Full Time

Evening

i) Estimate of total Expenses for the Course : *

Tuition fee	Hostel/Canteen	Library fees	Other fees And charges	Total

j) Own Contribution:

k) Requirement of Bank Loan : *

4. Other Particulars:

a) If loan amount is above 4.00 Lakhs and upto 7.5 Lakhs: Guarantor Particulars

Name	Address	Tel.No.	Email ID

b) If Loan amount exceeds Rs.7.50 lacs details of security offered:

Nature of security	Location	Present value

Disclaimer:

The above information is taken in confidence as general information only and will not be considered as claim for loan. If information submitted above is found acceptable to the Bank to proceed further, Bank’s officials will contact for submission of additional/detailed information required for considering the request for facilities as per Bank’s credit policy and on merits of the case. Bank reserves the right to accept or reject the application submitted above by the prospective customer. Bank does not accept any legal liability, whatsoever, for errors or any omissions pertaining to the information and materials herein.

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