F 168
BANK OF MAHARASHTRA
'Lokmangal', 1501,
Shivajinagar,
Pune 411005.

APPLICATION FORM FOR EDUCATIONAL LOAN

Date____________
To.
The Branch Manager
BANK OF MAHARASHTRA
_______________________Branch
Dear Sir,
I/My son/daughter/ward Shri./Kum. _______________________________________________
is undergoing _______________ his/her studies for _____________________________ degree/
desire to prosecute
diploma at ___________________________________________________ Institute/University at
___________________________________ I request for that purpose a loan of Rs. __________
(Rupees _____________________________________________________________________)
I agree to abide by your rules and regulations regarding such loans as existing or as may be changed from time to time.
I am giving hereunder information in respect of myself, my family members, the Proposed sureties and declare that the particulars given hereunder are true and correct to the best of my belief. In case the same are subsequently found to be incorrect or in case the ward ./ student does not continue / prosecute his studies successfully or commits breach of any of Bank's rules or any installment remains in arrears, the bank shall be at liberty to recall the loan immediately and / or stop further disbursements of loan amounts as its discretion.
Yours faithfully,
2
PARTICULARS OF THE APPLICANT
Name _______________________________________ Age ____________________
Address ______________________________________________________________
Financial standing of the applicant
Where applicant is in service Where applicant has his business / profession etc.
1) Serving as / Designation : _____ 1) Nature of business _____________________
Name of the office : __________ and address of shop / ___________________
Address of office : ___________ office etc. ____________________________
2) Basic salary per month : Rs. ____ 2) His own capital investment
Total emoluments : Rs. _______ in the business Rs. _________________
Basic salary and other allowances 3) Annual sales as per
after deducting Provident balance sheet Rs. _________________
Fund and Income Tax Rs. _______ 4) If assesable to
3) Income of wife (if employed) : Income tax paid, Rs. __________________
Per month net Rs. _____________ 5) Annual sales tax,
if paid Rs. __________________
4) Income of other earning 6) Total profit of the
family members net Rs. ________ business Rs. __________________
Total monthly income Rs. _______ 7) Business loan and
Total annual Income liabilities etc. Rs. ___________________
of the family Rs. _______ (Please append a copy of
the latest Balance Sheet)
5) Interest, dividend / etc. 8) Income by way of interest,
annual income (net) Rs. ________ dividend etc. Rs. ___________________
6) Income from landed property, 9) Income from landed
House rent. etc. after deducting property / house rent
Taxes and charges etc. Rs. ______ taxes, charges Rs. ___________________
7) Total annual income Rs. ________ 10) Income of other earning
family members Rs. __________________
8) Life policy, if any. Rs. ________ 11) Total annual income Rs. _________________
Particulars of other earning family Particulars
members of Income from immovable property
1) Name _________________ 1) If house property address :
monthly _______________________________
Relation _______ Age earnings Municipal / Survey No. _________
Market value Rs. _________
2) Name _____________________ 2) If agricultural land :
monthly Survey No. ___________________
Relation ________ Age earnings Market value Rs. _________
3) Name _____________________ Income from landed property
monthly
Relation _________ Age earnings Rent excluding taxes Rs. _________
3
Agricultural Income less
other expenses Rs. _________
Total Income Rs. _________
Details of house-hold expenditure Particulars about dependents
(on monthly basis) Name Relation Age
1) House hold expenditure
excluding house rent Rs. _______ 1) ______________________________
2) House rent. Rs. _______ 2) ______________________________
3) Insurance premium
Installment Rs. _______ 3) ______________________________
4) Loan Installment. Rs. _______ 4) ______________________________
5) Other. Rs. _______
Total : Rs. _______ 5) _____________________________
Information about old loans Repayment plan for the loan applied
1) Original loan amount Rs. for Installment Rs. _________
2) Date of Loan taken. Rs. periodicity ( Monthly / Quarterly etc. )
3) Installment amount. Rs. years
4) Period of repayment Rs. Source of repayment _______________
5) Total repayment Security for loan _______________
to date Rs.
6) Security for loan Whether the borrower, if employee- 7) Balance of loan to be yed, is willing to register a mandate
repaid Rs. with the present employer to deduct
installment from his salary and remit
directly to the Bank ?
Whether the borrower is agreeable
to assign life policy for the amount of
loan ____________________________
Particulars regarding surety
Name _______________________________ Address ____________________________
If employed : If doing business :
Nature of business _________________
Emoluments less Provident Fund Own capital investment
and income tax deduction Rs. in the business Rs. _________
Income from interest. Annual sales as per B/S. Rs. _________
dividend etc. Rs. ______ Net profit for the year. Rs. _________
Income by way of house rent House rent (less taxes) Rs. _________
less taxes Rs. ______ Agricultural income
Agricultural Income (less C/RL expenses) Rs. _________
less C/RL expenses Rs. ______ Income tax if paid, and the
assessment year for which
assessment is complete Rs. _________
Total Income Rs. ______ Total Income Rs. _________
4
Particulars of the student
Name ________________________________________ Age ________________
Detailed Information about education and qualifications etc.
Particulars from S,S,C, to degree Examination
Year
University / College
Class / Marks
Distinction
1)
2)
3)
4)
5)
Expenses of the proposed educational course
Name of the course____________________________________________________________
Fees Rs._____________
Period _____________
Expenditure on books Rs._____________
Instruments etc. Rs._____________
Boarding expenses Rs._____________
Other expenses Rs._____________
Total expenses. Rs._____________
Signature of the Applicants