ONLINE REQUEST FOR SBP-GYAN JYOTI (EDUCATION LOAN)

A. PARTICULARS OF STUDENT/COURSE OF STUDY

Name in full

Date of Birth

dd 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 mm 1 2 3 4 5 6 7 8 9 10 11 12 yyyy

Sex

  Male Female

Category (ST/SC/OBC/Minority/General)

Category ST SC OBC Minority General

Educational Qualifications

% Marks

Name of proposed course of study

Name and address of the Institution/University

Duration of Course

Total Expenses of the course Rs.
(Including tuition fee and other expenses)

Amount of Loan applied Rs.

Insurance Cover (Optional)
(Tick any one)

Required    Not Required (See Details)

E-mail ID of applicant

B. PARTICULARS OF PARENT/GUARDIAN

Name in full

Present Residential Address

City

District

PIN

Tel No. with STD code

Mobile Number

Occupation of parent/guardian

Annual Income Rs.

I have read and understood the terms and conditions in respect of SBP-Gyan Jyoti Scheme from the Bank’s website. I agree to abide by the same.