APPLICATION FORM FOR ALLAHABAD BANK TERM LOAN FOR PROSECUTING HIGHER EDUCATION Note: (Please read through the application form carefully before filling in, Application should be submitted in duplicate) Affix Passport size Photograph   Allahabad Bank ......................................................... ......................................................... Place........................................... Date............................................. (Name of Office) 1. Application:     I hereby apply for a term loan Rs. ..................................... (Rupees ...................................... ................................only) calculated as under, repayable in ................................................. monthly instalments beginning ......................................months/year after the disbursal of the loan to enable me to prosecute higher education in Passage/Tuition fees, cost of books, examination in fees, etc. Rs. ..................................... Maintenance expenses/Computer/accessories & others (Please specify) Rs. ..................................... Total Rs. ..................................... Less: Margin/own contribution Rs. ..................................... Amount of loan required Rs. ..................................... 2. Personal Background of the Student: (a)   Name in full :    ................................................................ (b)   Date of Birth and Age :    ................................................................ (c)   Nationality :    ................................................................ (d)   What is the student doing at present? :    ................................................................ (e)   Is he/she married        If yes, the number of children, (if any) :    ................................................................ (f)    Father's name in full :    ................................................................ (g)   Guardian's name in full and relationship        with him :    ................................................................ (h)   Address of Father/Guardian :    ................................................................     ................................................................ 3. Educational Qualifications: (From S.S.C./CBSE/Madhyamik or equivalent onward upto date) Examination Institution/University from which passed Year of passing Attempt date Percentage of marks obtained Class obtained (1) (2) (3) (4) (5) (6)                                              Please enclose marksheet of the last examination cleared as also testimonial's from two professors from the College last attended.     4. Particulars of scholarships/prizes won for academic distinction: Examination Specify the academic distinction for which the scholarship/prize was awarded Name of the scholarship/prize Amount of scholarship/prize Duration of scholarship. From      To (1) (2) (3) (4) (5)                   5. Father's/Guardian's financial status/family particulars: (a)   Occupation (Give full particulars) :    ................................................................ (b)   Income per month :    ................................................................ (c)   Age :    ................................................................ (d)   If in service, the age of retirement :    ................................................................ (e)   Number of dependants :    ................................................................ (f)    Details of income of any other        member of family, If any :    ................................................................ 6. Particulars of the course for which the loan is required. (a)   Name of the course :    ................................................................ (b)   Duration is it a full-time course :    ................................................................ (c)   Institution/University :    ................................................................ (d)   Other particulars:       (i)   Details of tuition fees:             1st year of the course Rs. ....................................             2nd year of the course Rs. ....................................             3rd year of the course Rs. ....................................             4th year of the course Rs. .................................... Rs. .....................................       (ii)   Essential books Rs. ....................................             Stationery Rs. ....................................             Equipments, If any Rs. .................................... Rs. ....................................       (iii)  Examination fees:             1st year of the course Rs. ....................................             2nd year of the course Rs. ....................................             3rd year of the course Rs. ....................................             4th year of the course Rs. .................................... Rs. ....................................       (iv)  Miscellaneous (Computer             etc.) Rs. ....................................       (v)  Passage money for            studies abroad Rs. .................................... Total ----- Rs. .................................... (ii) Estimated maintenance expenditure during the period of the course : [(i) x 12 x duration of the course] Rs. .................................... 7. Sources of finance apart from Bank loan now applied for (a)   Non-repayable scholarship/studentship/ fellowship or other        financial assistance @ Rs. ....................... p.a. for        .................. months/years commencing from ................. Rs. .................................... (b)   Repayable loan scholarship or other financial        assistance (State terms of repayment) Rs. .................................... (c)   Fund available from family sources @ .........................        per year for ........................... years Rs. .................................... Total ---- Rs. .................................... 8. (a)   Please state in brief how the completion of the course is going to help the student in        improving his/her prospects of earning his livelihood.       (b)   (i)   Expected income per month Rs. ....................................        (ii)  Anticipated monthly expenses Balance Rs. ....................................             Amount available for repayment of loan Rs. .................................... Total ---- Rs. ...................................       9. Any other useful/relevant information:                     I certify that, to the best pf my knowledge and belief, the information furnished herein is true and correct. I Promise to abide by the terms and condition governing the grant of loan.       ............................................ (SIGNATURE)