LOAN APPLICATION FORM
UCO Education Loan Scheme

UCO Bank
Application form - UCO Education Loan Scheme

1
To
The Manager
UCO Bank
……………………..Branch
Sir / Madam,
Sub: - Application for Term Loan under UCO Education Loan Scheme
I am desirous of pursuing my studies in …………………….(course name) in India/ Abroad and apply for
a term loan of Rs……………… to prosecute my studies. I give below the particulars necessary for
consideration of my application.
Applicant
First Name Middle Name Surname
Name
(In Block letter)
Date of Birth ( dd/mm/yyyy) Age ……. years …… months
Gender ( √ ) Male/Female Marital Status ( √ ) Married/ Bachelor/Single
Category ( √ ) Gen/SC/ST/OBC Pan Card/ GIR no.
Passport no.
CURRENT ADDRESS PERMANENT ADDRESS
Address
(Holding/
Premises no.
Flat/floor no.
Street
Ward no. etc.)
Municipality
/Corporation /
Panchayat
Village/Town
Municipality
/Corporation
/ Panchayat
Village
/Town
City Post- Office City Post-
Office
District State District State
Pin Code E mail Pin Code Phone
Phone Mobile
No. of years in
Current Address
Academic Qualification:
Examination University
/ Institution
Year of
Passing
(YYYY)
Faculty
of
Studies
Division /
Distinction
% of
Marks Obtained
Honour /
Scholarship /
Prizes Won
10th std.
10+2 std.
Graduation
Post-graduation
If any others then specify
…………
Passport size
Photograph
Applicant
Passport size
Photograph
Co-Applicant
UCO Bank
Application form - UCO Education Loan Scheme
2
Parents / Guardian's Financial Status / Family Particulars
Father Mother Husband
(in case of married
women only
Guardian
(In absence of
parents)
Name
Date of Birth
(dd/mm/yyyy)
Occupation
(√)
Business/Service/Selfemployed/
Agriculture
/Others
House wife/ Business/
Service/Self-employed
/ Agriculture/Others
Business/Service/Selfemployed/
Agriculture/
Others
House wife/ Business /
Service/Self-employed
/ Agriculture/Others
Ration Card
no.
Voter Id Card
no.
Driving
License no.
Office
Identity Card
no
Passport No.
PAN Card No.
Loan availed,
if any, from
Banks/ FIs?
(√)
Yes/No
Yes/No
Yes/No
Yes/No
Annual
Income
(Approx)
Rs……………………
Rs……………………
Rs……………………
Rs……………………
Particulars of Family Members:
Name(s) of Members of
family excluding
parents / Husband & applicant
Age Relationship Annual Income
(In Rs. Lacs)
Source of Income
…….. years
…….. years
…….. years
Particulars of Course of Studies
Name of the Course
Name of the College /
Institution / University
Complete Address
of the College /
Institution /
University
Stream (√):
Engineering/Medical/Management
/Agriculture/ Research/ Humanities /
Commerce/Others
Level of Course (√):
Under Graduate/
Certificate/ Diploma/
Graduation/ Post-
Graduation/ Research
Type of Course (√):
Full Time/Part time
Whether Admission
Secured or Not? (√)
Yes/No Mode of securing
admission (√):
Common Entrance Test /Management
Quota/ Others
UCO Bank
Application form - UCO Education Loan Scheme
3
Prospect of Part-time employment / Campus employment:
Prospect of Part-time employment / Campus employment in case of studies abroad, if any (√)
Yes/No
Expected monthly income from part-time employment during the study period
Rs……………………
since when (mm/yyyy)
Detailed Expenses of studies (in Rupees):
Year Tuition
Fees
Books/Stationary
/Equipment
/ Computer
Examination
Fees
Hostel/Rents/
Board
Air Passage/
Computer/
Others
Total
1st
2nd
3rd
4th
5th
6th
Total (A)
Other Sources of finances Per annum (All Amounts in Rupees)
Year Scholarships
/ Stipend
Part-time
employment
Any financial
Assistance
Family Sources Total
1st
2nd
3rd
4th
5th
6th
Total (B)
AMOUNT OF LOAN REQUESTED (A- B):- Rs ……………
Prospect for employment after completion of studies:
Expected Income per month
Rs……………………
Less, monthly expenses for self & family per month
Rs……………………
Balance amount available for Repayment per month Rs……………………
OTHER INFORMATION
1. Duration of Course/ Study Period …….. Years …….. month
2. Proposed Moratorium Period after the above Course/ Study
Period (√)
One Year / Six Months
3. Proposed Repayment Period after the moratorium period
(point 1 + point 2)
…….. Years …….. month
4. Whether monthly Interest will be serviced during moratorium
period (point 1 + point 2) by the borrower/s ( √ )
Yes/No
UCO Bank
Application form - UCO Education Loan Scheme
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Guarantor's Details:
Name
Net Worth of the
Guarantor
Rs……………………
Address
(Holding/ Premises no.
Flat/floor no.
Street
Ward no. etc.)
Municipality /Corporation
/ Panchayat
Village/Town
City Post- Office
District State
Pin Code E mail
Phone Mobile
Name of the Parent/s who will stand as
co-applicant for the loan:
Whether the applicant's life is insured? (√) Yes/No
if so, please state the following particulars about the policy:
Policy Number:
Sum Assured
Rs……………………
Date of Maturity (dd/mm/yyyy) Last Premium Paid on
(dd/mm/yyyy)
Securities proposed, if any:
Value:
Rs……………………
Any other information which the applicant
like to give:
UCO Bank
Application form - UCO Education Loan Scheme
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DECLARATION
I / We hereby declare that I / We have not applied for nor am I / are we availing of any financial assistance for
pursuing the applicant (student)'s studies from any other Bank/s or financial institutions or persons and have no
financial liabilities whatsoever.
I / We certify that to the best of my / our knowledge and belief, the information furnished above are true, correct and
that they shall form the basis of loan under UCO Education Loan Scheme to be availed from UCO Bank.
I / We promise to abide by the terms and conditions of the Bank governing the grant of loan.
I / We confirm that I have read through the terms and conditions of UCO Education Loan Scheme.
Please sanction the aforesaid loan in my / our favour.
(Applicant’s Signature) (Parents’ / Guardian’s Signature)
Date:- Date:-
Place:- Place:-
List of Enclosure:- As per Annexure
UCO Bank
Application form - UCO Education Loan Scheme
6
Annexure
LIST OF DOCUMENTS TO BE SUBMITTED BY THE APPLICANT
{A} Statement of means of Applicant/s (format enclosed)
{B} Two passport size photographs of Applicant/s
{C} Proof of Identity/Age`( In respect of the Student, Co-applicant, Guarantor)
Any two of the following documents but one document as mentioned in 1 – 5 below is mandatory
1. Ration Card
2. Voter’s Identity Card
3. PAN Card
4. Pass Port
5. Driving Licence
6. Office Identity Card
7. Birth Certificate
8. School Leaving Certificate
In respect of the Co-applicant & Guarantor
Bank’s Pass Book/ Statement of accounts for last six month
** Submission of Bank’s Pass Book / Statement of accounts (of both for Applicant/s and Guarantor/s) for last six
month is COMPULSORY.
{D} In respect of the Student
• Mark Sheet/ Degree Certificate of last qualifying examination.
• Letter of Selection / Letter confirming secured admission
• Proof of admission, scholarship, studentship/ Identity Card etc. from the educational institution.
• Schedule of expenses for the specified course issued by the educational institution.
• Information Brochure of the Institution describing course duration, fees like tuition fees and other fees /
charges required for completion of course, hostel charges, boarding cost, cost of books / journals/
equipments / instruments, stationery, exam and other fees, study tours, project work, thesis, air freight
etc.
{E} Proof of Employment/Income (In respect of the Co-applicant &Guarantor )
1. Employment Verification Certificate (Format enclosed)
2. Salary Slip for the last three months
3. Form 16 issued by the office
4. Income Tax Return/Assessment Order.
5. Statement of means (Compulsory for Co-applicant &Guarantor)
{F} Documents for Take Over Loans
1. Statement of Loan account with other bank/institution.
2. Copy of the sanction advice issued by the bank/institution
{G} Additional documents, if any, as per the terms & conditions of UCO Education loan scheme as well as
norms & guidelines of the Bank.