State Bank of Patiala -2007-08 Year of excellent Customer service

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EDUCATION LOAN

ONLINE REQUEST FOR EDUCATION LOAN
A. PARTICULARS OF STUDENT/COURSE OF STUDY
Name of Applicant(Student) * (First Name) (Last Name)
Address *	City * Pin *
State * Mobile	Phone
Date of Birth *	Email *

If maintaining account with our Bank Account No.	Branch Name

Details of branch nearest to your place of Domicile Branch Name *

Branch Name : Region Branch Code Zone :
Parent/Guardian/Husband	Relationship with applicant
Occupation	Annual Income Rs.
Address	City Pin
State

Details of Last Qualifying Examination Examination Passed	Name of the Institution
Year of Passing	% of marks

Detail of basis of admission in the course	Name of Entrance Test

Course Details Course applied *	Duration
Name of the Institution *
Address *	City * Pin*
State * Country	Nature of course

Course Expenses Total Course expenses(Fee+Hostel expenses,etc) * Rs.	Own Contribution(Margin) * Rs.
Loan amount required Rs.
Required loan amounts upto Rs 4 lacs
Required loan amounts above Rs 4 lacs and upto Rs 7.5 lacs
Required loan amount is above Rs 7.5 lacs

For loan amounts above Rs. 4 lacs and upto Rs.7.5 lacs, please furnish details of guarantor
Name of the Guarantor *
Address *	City * Pin *
State *

For loan amount exceeding Rs 7.50 lac, please furnish details of security offered
Nature of security	Location
Approximate value of security


Note :- Field with (*) mark is mandatory.