| 2. |
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Parent's/Guardian's financial status/family
particulars : |
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( i ) |
Father's Name |
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( ii ) |
Occupation |
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( iii ) |
In the absence of parents, Guardian's name, occupation and income |
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| 3. |
i ) |
Particular of Family member and income : |
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Name(s) of members
of family including
the applicant |
Age |
Relationship |
Annual income |
Source |
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| a. |
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| b. |
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| c. |
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| d. |
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| e. |
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ii ) |
In case the applicant is dependent on a person other than his
parents, the name, occupation and income of such person should be stated. |
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| 4. |
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Particulars of the course of studies : |
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i ) |
College/Institution/University
proposed to be joined |
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ii ) |
Course of studies to be undertaken
(please attach a copy of the syllabus, if any) |
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iii ) |
Duration of the course |
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iv ) |
Whether admission for the course has already been granted or
not? If yes, attach evidence in support. |
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| 5. |
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Prospect of part-time employment
(Campus employment) in case of studies abroad, if any, Amount thereof. |
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| 6. |
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Detail expenses of studies : |
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| Year |
Tution
fees |
Books,
stationary,
equipment |
Examination fees |
Hostel rents
/board |
Air passage/ others |
Total |
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| 1st year |
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| 2nd year |
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| 3rd year |
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| 4th year |
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| TOTAL |
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| 7. |
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Other sources of finance
p.a. : |
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1st. yr. |
2nd yr. |
3rd yr. |
4th yr. |
Total |
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| i ) |
Scholarship/Stipend |
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| ii ) |
Part-time employment |
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| iii ) |
Any other assistance |
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| iv ) |
Family Sources |
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TOTAL |
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| 8. |
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Amount of loan requested : |
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| 9. |
i ) |
Prospect of employment after completion of studies (state
briefly)
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ii ) |
Expected income |
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iii ) |
Less, monthly expenses for self and family |
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iv ) |
Balance amount available for repayment of loan |
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| 10. |
i ) |
Name, address and worth of the person who will stand
as guarantor for the advance |
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ii ) |
Name of parent who will stand surety for the advance |
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| 11. |
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Whether the applicant's life is insured
If so, please state the following particulars about the policy |
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| a) Number |
b) Amount |
c) Date of maturity |
d) Last premium paid on (enclose receipt) |
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| 12. |
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Securities proposed : |
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| 13. |
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Any other information which the applicant likes
to give : |