UNITED BANK OF INDIA

HEAD OFFICE: CALCUTTA

APPLICATION FORM FOR TERM LOAN

UNDER EDUCATION LOAN SCHEME / UNITED EXCEL EDUCATION LOAN SCHEME

(Note : Application form to be read carefully before filling in Application should

be submitted in duplicate)
Place:
Date:
To
United Bank of India PHOTOGRAPH PHOTOGRAPH
_____________ (Student) (Parent/guardian)
(Name of the Branch)

I hereby apply for an Educational Loan of Rs..repayable in..

monthly instalments beginning .. years after
the disbursal of the loan to enable me to prosecute higher education in

BIO-DATA OF THE STUDENT

(a) Name in full :

(b) Address :

(C ) Date of birth and age :

(d) Nationality :

(e) Is the student otherwise

gainfully occupied elsewhere : Yes/No

If yes, please give details :

of present occupation

(f) Marital Status : Married ____ Unmarried _______

If married, number of
Children, if any :

(g) Parents Name in full

Father :

Mother :
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(h) Guardians name in full :
and relationship with
the student

(i) Address of father/parent/ :

Guardian with Telephone
No., if any.

Permanent

Present :

(j) Full Office Address with designation

& Telephone No. :

3. EDUCATIONAL QUALIFICATIONS

Examination Institution/ University from Year of Percentage Class

passed which passed passing of marks obtained
obtained

Mark Sheets of examinations passed as also testimonials from the College last attended to be attached.

4. Particulars of Scholarship/Prizes won for academic distinction:

a) Examination :

b) Nature of Scholarship/Prizes :

c) Amount :

d) Duration of Scholarship :

5. Parents/Guardians financial status/family particulars

a) Occupation (give full particulars) :

b) Income per month :

c) If in service, the age of retirement :

d) Number of dependants :

e) Details of income of any other member of

Family, if earning :
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6. Particulars of the course for which the loan is required:
a) Name of the course :

b) Duration :

c) Institution/University :

d) Detailed year wise breakup of expenses :

including fees & other requirement :

i) Fees payable to College/School/Hostel :

ii) Examination/Library/Laboratory Fees :

iii) Purchase of books/equipments/instruments/ :

uniforms :

iv) Caution Deposit/Building Fund/

Refundable Deposit supported
by Institution Bills/Receipts :

v) Travel Expenses/Passage Money for studies

abroad :

vi) Purchase of Computers essential for

completion of the course :

vii) Any other expenses required to complete

the course like study tours, project
work thesis, etc. :

Funds available from own/family

source including margin : _______________

Amount of Loan required (Rate

of conversion of Foreign currency
taken is to be indicated here) : _______________

TOTAL : _______________
e) Other particulars :

7) Schedule of Disbursement proposed by the

applicant :

8) i) Expected Income per month :Rs.

after completion of course

ii) Anticipated monthly expenses :Rs. _______

Balance :Rs. _______

Amount available for repayment of loan :Rs. _______

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9) In case of students intending to go :

abroad, details of passport

Note :
i) Permission of the Foreign University accepting the student
for enrolment or letter of admission to the Foreign University
to be enclosed.
ii) Permission of the RBI Exchange Control Department should
be produced at the time of submission of the application along
with the Passport and Visa of the Student.

10) Any other useful information :

11) Details of documents attached :

a) d)

b) e)

c) f)

12. Details of securities offered : :

(where applicable)

13. Particulars about 3rd party as Guarantor

(in case of 3rd party providing security)
(A declaration by the Guarantor to be submitted
as per specimen enclosed along with this :
application).

a) Name - :

b) Residential Address with Telephone No. :

and office address with Telephone No.

c) Occupation with designation and other details :

d) Estimated worth :

14. References (Name and Address of two

Referees not related to you) :

1.

2.
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We hereby give the undertaking that the borrower-student shall follow all the rules and
Regulations laid down by the institution where he will be prosecuting studies and shall
maintain such dignity and honour, as is expected of a student pursuing higher studies.

We further undertake that if the borrower - student studying abroad takes up any part
time employment, full particulars of such employment shall be intimated to the bank.

We also hereby undertake that the borrower - student should inform the Bank of any
financial aid, assistance-ship, scholarship, sponsorship or any other assistance availed
of by him at the time of applying for the loan or thereafter and of any other subsequent
change in his financial position during the pendency of the loan.

We further undertake that full details of employment after completion of the course shall
be furnished to the Bank by the student borrower.

We certify that to the best of our knowledge and belief, the information furnished herein
is true and correct. We promise to abide by the terms and conditions governing the
grant of the Educational Loan by UNITED BANK OF INDIA. We also undertake to furnish
the correct address from time to time.

SIGNATURE OF STUDENT (APPLICANT)

(SIGNATURE OF FATHER/GUARDIAN) (SIGNATURE OF MOTHER/GUARDIAN)

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DOCUMENTS TO BE ENCLOSED

1. Copy of the Testimonials

2. Copy of the Intimation for Addmission

3. Course fee details (expenditure certificate from Institution)

4. Last two months salary certificate3 (guardian / co- borrower)

5. 5.Copy of Form 16 (IT) / IT return (guardian / co-borrower)

6. Photocopy of Voter Identity Card / Ration Card

7. Copy of Passport / Vis (Overseas Study )

8. Copy of PAN card (student or guardian / co-borrower or guarantor)

9. Photocopy of electric bill / telephone bill (student / guardian / co-borrower)

 UNITED BANK OF INDIA
HEAD OFFICE:KOLKATA

NAME OF THE BRANCH _________________________________________________

Particulars about the Guarantor

(To be furnished by the Guarantor) in respect of
Educational Loan Proposal of

Shri/Smt._______________________________________________________________
(Name of Student applicant)

1. Name :

2. Address :

3. Age :

4. Occupation
(Please give details) :

5. Approx. Annual Income :

6. Estimated net worth indicating inter

alia details of Fixed Assets and Liabilities,
if any. :

Dated : ______________ Signature____________________________________