EL Customer Application Form

Student's Personal Details
Applicant's Name

First NameMiddle NameLast Name
Father's Name

First NameLast Name
Mother's Name

First NameLast Name
Gender
Marital Status
Husband/Wife Name

First NameLast Name
Date of Birth

DayMonthYear
Country Code
Mobile Number
Personal Email ID
example@example.com
Residence
PAN Card
Pan Card Number
Aadhar Card
Aadhar Number
Enrollment Status
Loan Type
Photograph

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Loan Amount (INR)
Loan amount applying for
Currency Unit
mention all monetary fields in this application in the same currency unit
Loan Tenure
In months
Number of Dependents
Total Monthly expense
total monthly expense of the dependents
Will you take care of the full expense while studying?
Expense amount you will contribute?
Who will take care of the remaining amount?
please choose co-applicant in case of relative also a co-applicant
Current Immigration Status
if Other, Please mention
Current Loan Balance Amount
Outstanding amount of the current loan taken
Loan Tenure
in years
Loan Start Date

DayMonthYear
Current Lender
if Other, Please mention
Reason for re-finance
if Other, Please mention
Current Address

Address

Locality & Landmark

CityState

Zip CodeCountry
Is permanent address same as current?
Permanent Address

Address

Locality & Landmark

CityState

Zip CodeCountry

Applicant's Program Details
University/College
University/College City
Country of Study
Level/Degree/Certificate
Program Family/Discipline
Program Name
Course Duration
in years
University Email ID
example@example.com
Instruction Mode
Program Start Date

DayMonthYear
Is Scholarship/Sponsorship available?
Source
Scholarship/Sponsorship Amount

Applicant's Academic Background
SSC/10th Std./Equivalent -Board Name
SSC/10th Std./Equivalent - Scoring Criteria
SSC/10th Std./Equivalent - Percentage Obtained
SSC/10th Std./Equivalent - CGPA Scale
SSC/10th Std./Equivalent - CGPA Obtained
SSC/10th Std./Equivalent - Year of Completion
SSC/10th Std./Equivalent - Month & Year of Completion

DayMonthYear
HSC/12th Std./Equivalent -Board Name
HSC/12th Std./Equivalent - Scoring Criteria
HSC/12th Std./Equivalent - Percentage Obtained
HSC/12th Std./Equivalent - CGPA Scale
HSC/12th Std./Equivalent - CGPA Obtained
HSC/12th Std./Equivalent - Year of Completion
HSC/12th Std./Equivalent - Month & Year of Completion

DayMonthYear
Are you pursuing or have completed Bachelor's degree ?
Bachelor's University/College
Bachelor's Program Family/Discipline
Bachelor's Scoring Criteria
Bachelor's Percentage Obtained
Bachelor's CGPA Scale
Bachelor's CGPA Obtained
Bachelor's Month/Year of Course Commencement

DayMonthYear
Bachelor's Month/Year of Completion or Expected Month/Year of Completion

DayMonthYear
Are you pursuing or completed Master's degree ?
Master's University/College
Master's Program Family/Discipline
Master's Scoring Criteria
Master's Percentage Obtained
Master's CGPA Scale
Master's CGPA Obtained
Master's Month/Year of Course Commencement

DayMonthYear
Master's Month/Year of Completion or Expected Month/Year of Completion

DayMonthYear
Are there any gaps, withdrawals, backlogs, drops, repeat attempts or anything similar in your academic history?
If yes, Choose reason
if Other, Please mention reason
Number/Year of gaps, withdrawals, backlogs, drops, repeat attempts

Applicant's Test Details
Have you given any English Language Proficiency Test ?
Test Type
Test Score
Other Test Type
Other Test Score
If "waived" please specify why or on what grounds
if Other, Please state reason
Have you appeared for any standardized/entrance tests?
Entrance Test Type
GRE Verbal Score
GRE Quantitative Score
GRE AWA Score
English Test Type
English Test Score
SAT/GMAT

Applicant's Professional Background
Do you have any work experience?
Only full time work experience considered
Current Employer Name
Designation
Employment Start Year
Employment Duration
In months, as of application date
Net Take Home Salary
per month
Currency Unit
for salary
How did you hear about us?

Details of the person who referred
Referred by - Name

First NameLast Name
Phone Number

Country CodeArea CodePhone Number
Email ID
example@example.com
University

Co-applicant's Personal Details
Residence
Pan Card
Aadhar Card
Aadhar Number
Co-applicant's Name

First NameMiddle NameLast Name
Father's Name

First NameLast Name
Mother's Name

First NameLast Name
Gender
Marital Status
Husband/Wife Name

First NameLast Name
Date of Birth

DayMonthYear
Landline Number (Current)

Country CodeArea CodePhone Number
Landline Number (Permanent)

Country CodeArea CodePhone Number
Country Code
Mobile Number
Mobile Number

Country CodeArea CodePhone Number
Personal Email ID
example@example.com
Number of Dependents
Qualification
Relationship with Student
Photograph

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Current Address

Address

Locality & Landmark

CityState

Zip CodeCountry
Current Address same as Applicant/Borrower/Student?
Current Residence Ownership
No of years in current residential address?
Is permanent address same as current?
Permanent Address

Address

Locality & Landmark

CityState

Zip CodeCountry
Permanent Address same as Applicant/Borrower/Student?
Permanent Residence Ownership
No of years in permanent residential address?
Correspondence Address/Mailing address?

Co-applicant's Work Experience
Occupation
Total years in service/Business?
Number of years in current employment/business?
Designation
Name/Type of Industry/Business
Name of the current employer or Business firm?
Currency Unit
please mention all following monetary fields for co-applicant in the same unit
Net Take Home Salary
per month
Other Monthly Income
per month
Work Landline Number

Country CodeArea CodePhone Number
Office Email ID
example@example.com
Age of retirement?
Address business/current employer?

Address

Locality & Landmark

CityState

Zip CodeCountry

Collateral/Security Details
Security offered?
Collateral Type
if Other, please mention
Current Value
per month
Name of the security owner

First NameLast Name
Address of the property

Address

Locality & Landmark

CityState

Zip CodeCountry

Applicant's Bank Details
Name of the Bank
Type of Account
Bank Branch Name
Account operational since?
Co-applicant's Bank Details
Name of the Bank
Type of Account
Bank Branch Name
Account operational since?

Student's Documents
Pan Card

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Aadhaar Card

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Aadhaar Card

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Current Residence Proof

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Admission Letter/I-20 Copy

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Fee Structure

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Fee receipt(if already enrolled)

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Sanction Letter copy(any existing loan)

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Last 3 months salary slips

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Offer Letter

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Should be Empty:

Student's Personal Details

Applicant's Program Details

Applicant's Academic Background

Applicant's Test Details

Applicant's Professional Background

Details of the person who referred

Co-applicant's Personal Details

Co-applicant's Work Experience

Collateral/Security Details

Applicant's Bank Details

Co-applicant's Bank Details

Student's Documents