Professional Documents
Culture Documents
Paste
Recent Passport size
Photograph of
Co-Applicant
(Cross Signed)
Paste
Recent Passport size
Photograph of
Student
(Cross Signed)
Prospect ID:
Product Group:
Branch Location:
Application Number:
Sourcing Channel:
Student Details
A
1)
Name:
2)
Fathers / Spouses
Name:
3)
Date of Birth:
6)
PAN No.:
9)
First Name
Surname
Middle Name
First Name
Surname
Middle Name
4) Gender:
Male
5) Marital Status:
Female
Married
Unmarried
8) Passport No.:
7) Aadhaar No.:
Landmark:
State:
City:
10) E-mail ID:
PIN Code:
(NUMBER)
Exam / Course
Country:
14)
10
a)
12th
b)
th
Last Degree
Score
c)
(if any):
Specify:
Course Details
B
1)
Admission Status:
2)
University/College:
4)
University/College City:
5)
Course Duration:
7)
Type of Course:
Awaited
Conrmed
3)
6)
years
Management
Certicate Courses
India
Country:
State:
Medicine
Full Time
Engineering
Other
(specify) :
Distance Learning
Part Time
(Specialisation):
Other
UK
USA
(Specify):
Loan Details
A) Purpose
Amount (Rs.)
1) Tuition Fees
B) Funds Available
1) Own Sources
Amount (Rs.)
(Details)
2) Scholarship
4) Others (Specify):
3) Others (Specify):
Total of A
Total of B
1) Security Offered:
Yes
No
Residential
Others (Specify):
Plot
Plot
3) Property Address:
Reference of Student
1)
Name:
2)
Address:
3)
Residential
Commercial
Others (Specify):
3) Property Address:
FD
(Note: Reference should be known to the student for more than one year.)
City:
4) Landline No.:
State:
PIN:
5) Mobile No.:
Co-Applicant Details
1)
2)
Name:
3)
Fathers /
Spouses Name:
4)
Date of Birth:
Father
Mother
Brother
First Name
Surname
Surname
Middle Name
5) Gender:
PAN No.:
Relative (Specify):
Self
Middle Name
First Name
7)
Spouse
Sister
Male
Female
Single
6) Marital Status:
Married
Other
9) Passport No.:
8) Aadhaar No.:
Landmark:
City:
State:
Country:
PIN Code:
State:
(NUMBER)
16) Qualications:
Diploma
Under-Graduate
18)
Bank Details
Family
Self Owned
Doctorate/Post Graduate
Graduate
Country:
PIN Code:
Years
Rented
Provided by Employer
Branch
Name of Bank
Account Number
1)
2)
3)
Employed
Self Employed
1)
Occupation:
2)
3)
State:
4)
5)
Designation / Profession:
Country:
PIN Code:
Ext. No.:
(STD)
Others (Specify):
Retired
(NUMBER)
7)
Age of Retirement:
9)
11)
Co-App.
A) Assets
Co-Applicant
Student
B) Liabilities
Outstanding Amount
Monthly Installment
1) Home Loans
1) Bank Balances
A/C #
2) Personal Loans
2) Fixed Deposits
A/C #
3) Car/Two Wheeler Loans
3) Investments
(Stocks/Bonds/Mutual Funds)
A/C #
4) Immovable Property
4) Credit Card:
Card #
5) Loan From Employer/
Other Loans
5) Other
Reference of Co-Applicant
1)
(Note: Reference should be known to the co-applicant for more than one year.)
Name:
2)
Address:
3)
City:
4) Landline No.:
PIN:
State:
5) Mobile No.:
Declaration
Signature of Student
Signature of Co-Applicant
Mar. 2016
1) We declare that all the particulars, supporting documents and information provided in this Education Loan Application Form are true, correct, completed and up to date in all respect as per our best knowledge and we have not withheld or misrepresented any
information mentioned herein. We hereby undertake to indemnify Credila Financial Services Private Limited (Credila) for any losses or damages that may arise on account on any material misstatement, mis-representation or gross negligence in providing the
particulars, supporting documents and information therein. 2) We have read the Education Loan Application Form and are aware of all the terms and conditions of availing nance from Credila and conrm having received comprehensive and detailed information
regarding Credilas Education Loan scheme & fees, charges, costs etc., payable by us in relation thereto and we have understood and agree to abide by the same. We are also aware that fees paid by us are non refundable. Fees will not be refunded in case of
rejections/withdrawals of Education loan application. 3) We authorize Credila, its associate companies, agents, agencies, partners educational institutions, credit reporting agencies and any other entities to share information and authorize to verify any information
such as enrolment verication, residence verication employment verication, telephone verication, CIBIL or Credit repayment history check, document verication, reference checks etc. We unconditionally agree and accept that such data which is so provide and
inconsistent with, may be construed as fraud/cheating/forgery/manipulation/fabrication of documents against Credila, and agree that Credila shall have every right for reporting such Fraud to RBI and/or any other entities/authorities and shall have liberty for not
processing your Education loan application/rejecting the education loan application and also taking the necessary action as suggested by the RBI/or any other entities/authorities. 4) We authorize Credila to exchange and/or share all the information relating to our
loan details and repayment history information with other Banks, Financial institutions, companies, etc. for any purpose and shall not hold Credila responsible and/or liable in any manner hatsoever, for sharing this information. 5) We acknowledge that rate of interest
on the applied loan to Credila is oating and would be dependent upon market factors, which would be subject to change from time to time, and also include factors such as the students, co-applicants and guarantors risk prole, quality of collateral provided and
other risk verication checks done as per Credilas norms. 6) We understand and acknowledge that Credila would not be able to process our Education Loan application until all information as per the companys credit and underwriting norms is provided by us and till
all verications and checks are completed. Further we agree and understand to fully co-operate with the company or its ofcers or its agents in complying with the same, without demur or protest. 7) We understand and acknowledge that Credila shall have absolute
discretion to reject our Education Loan application and that Credila shall not be responsible/liable in any manner whatsoever to us for such rejection, or any delay in notifying us of such rejection including any costs, losses, damages or expenses or consequences
caused by such rejection of our Education Loan application. 8) We declare that we have not availed an education loan for the further studies of the student from any other bank/nancial institution. 9) We undertake to inform Credila regarding change in our
residence/employment and to provide any further information that Credila may require from time to time. 10) We conrm that we have had no insolvency proceedings initiated against us nor have we never been adjudicated insolvent.