APPLICATION FORM FOR EDUCATION LOAN

Paste

Recent Passport size

Photograph of

Student

(Cross Signed)

Paste

Recent Passport size

Photograph of

Co-Applicant

(Cross Signed)

Loan Amount (in Rs.)

Amount (Rs.)

Prospect ID:

Student Details

Course Details

Name:

Date of Birth:

Father’s / Spouse’s Name:

1)

2)

3)

A

B

C

D

E

Branch Location:

Sourcing Channel:

Product Group:

Application Number:

Fo

r O

fficia

l Use

Only

First Name Middle Name Surname

First Name Middle Name Surname

4) Gender: Male Female Marital Status: Married5) Unmarried

6)

9)

PAN No.:

Current Residential Address:

City:

E-mail ID:

Landline No. (Permanent Residence):

Educational Details:13)

Passport No.:8)

State: PIN Code:Country:

Landmark:

10)

11) 12) Mobile No.:(STD) (NUMBER)

Exam / Course Year Completed Marks (%) School / College / University

th10

th12

Last Degree (if any):

Specify:

14)

a)

b)

c)

Name of Entrance Test Score

1) Admission Status: Confirmed Awaited

2) University/College: Name of the Course:3)

4) University/College City: State: Country: India USA UK Other (specify) :

5)

7)

Course Duration:

Type of Course:

Tuition Fees1)

Living Expenses Including Hostel & Food Expenses2)

Traveling Expenses3)

Medicine

Certificate Courses (Pilot, Clinical Research, etc)

Management Engineering (Specialisation):

Other (Specify):

Others (Specify):

Others (Specify): Others (Specify):

years 6) Full Time Part Time Distance Learning

Loan Details

Details of Security Offered

Reference of Student (Note: Reference should be known to the student for more than one year.)

Security Offered:

Type of Security Offered I:

Yes1)

Property Address:3) Property Address:3)

Current Value (Rs.):

Security Owned By:

4)

5)

A) Purpose B) Funds Available

Own Sources (Details)

2)

3)

Scholarship

1)

Others (Specify):4)

Total of A

Loan Required (A - B) =

Total of B

Rs.

No

2)

2)

ResidentialResidential

FD

FD

Property Funded by HDFC

Property Funded by HDFCCommercialCommercial

PlotPlot

Type of Security Offered II (if any):

Current Value (Rs.):

Security Owned By:

4)

5)

1)

2)

Name:

Address: City:

4) Landline No.: 5) Mobile No.:1

State: PIN:

Personal E-mail ID:3)

Amount (Rs.)

7) Aadhaar No.:

Co-Applicant DetailsF

A

1) Relationship With Student: Father Mother Brother Sister Spouse Self Relative (Specify):

Name:

Father’s / Spouse’s Name:

2)First Name Middle Name Surname

First Name Middle Name Surname

3)

4) 5) Gender:Date of Birth: Male Female Marital Status: Single Married Other6)

10)

11)

Current Residential Address: Landmark:

City: State: PIN Code: Country:

Permanent Residential Address:

Landmark:

City: State: PIN Code: Country:

12) Landline No. (Current): 13) Landline No. (Permanent):(STD) (NUMBER)

14) Mobile No.: 15)

18)

Personal E-mail ID :

16) Qualifications: Under-Graduate Diploma Graduate Doctorate/Post Graduate

17) Number Of Dependents:

19) Current Residence:

G

H Employment / Business Details of Co-Applicant

Self Owned Family Provided by Employer Rented

Bank Details (Where salary is deposited or your main account)

Name of Account Holder Name of Bank Branch Account Number A/C Operated Since

1)

2)

3)

1) Occupation: Employed Self Employed Retired Others (Specify):

2) Name of the Employer / Business:

Address of the Employer / Business:3)

City: State: PIN Code: Country:

4) Landline No. of Employer / Business:(STD) (NUMBER)

Ext. No.:

5) Designation / Profession: 6) Official E-Mail ID:

7) Age of Retirement: 8) No. of Years in Current Employment/Business: Years

9) Gross Monthly Salary / Income Rs.:

11)

I

J

K

Other Monthly Income Rs.: (Specify):

10) Net Monthly Salary / Income (After all deductions) Rs.:

Financial Information (In Rupees)

Student Co-App.

A) Assets

1) Bank Balances

3) Investments(Stocks/Bonds/Mutual Funds)

4) Immovable Property(Current Value) (House/Land/Farm)

2) Fixed Deposits

5) Other

1)

2)

Student Co-Applicant

B) Liabilities Outstanding Amount Monthly Installment Outstanding Amount Monthly Installment

1) Home Loans

A/C #

A/C #

2) Personal Loans

A/C #

3) Car/Two Wheeler Loans

Card #

4) Credit Card:

5) Loan From Employer/ Other Loans

Reference of Co-Applicant (Note: Reference should be known to the co-applicant for more than one year.)

3)

Name:

Address:

Personal E-mail ID:

City: State: PIN:

4) Landline No.: 5) Mobile No.:

Declaration1) 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 finance from Credila and confirm having received comprehensive and detailed information regarding Credila’s 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 verification, residence verification employment verification, telephone verification, CIBIL or Credit repayment history check, document verification, 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 floating 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 profile, quality of collateral provided and other risk verification checks done as per Credila’s norms. 6) We understand and acknowledge that Credila would not be able to process our Education Loan application until all information as per the company’s credit and underwriting norms is provided by us and till all verifications and checks are completed. Further we agree and understand to fully co-operate with the company or its officers 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/financial 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 confirm that we have had no insolvency proceedings initiated against us nor have we never been adjudicated insolvent.

2 Signature of Student Signature of Co-Applicant

Mar

. 2016

7) PAN No.: Passport No.:9)8) Aadhaar No.:

Years in Current Residential Address: Years