________________________

Q. DECLARATION1) I/We declare that all the information provided in this Loan Application Form is true, correct and complete. 2) I/We agree to indemnify AVANSE, for any losses or damages that may arise on account of any material misstatement, misrepresentation or gross negligence in providing the information herein. Any Change in the my/our address for communication/ contact details will be informed to AVANSE immediately. 3) I/We confirm having received comprehensive and detailed information regarding AVANSE Education Loan and also all the terms and conditions, processing fees, charges, costs payable by us in relation there to and we have understood and agree to abide by the same. We are also aware that fees paid by us are non- refundable. 4) I/We authorise AVANSE, its associate companies, agents, agencies, partners, education institutes, credit reporting agencies and any other entities to share information and authorise to verify any information such as enrollment, residence, employment, telephone verification, CIBIL or Credit repayment history check, document verification, reference checks, etc. 5) I/We understand and acknowledge that Avanse Education Loans would not be able to process our 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 undertake to fully co-operate with the company or its officers or its agents in complying with the same. 6) I/We understand and acknowledge that AVANSE shall have absolute discreation to reject our application and that Avanse Education Loans 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 application. 7) I/We declare that we have not availed an education loan for the further studies of the Appilcant from any other bank/ financial institution.

JJ�JJ�JJJJ��Place:__________D D M M Y Y Y Y

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Cross Signed Photograph of Co-Applicant / Guarantor

O. CO-APPLICANT 2 / GUARANTOR DETAILS

A. Personal Details

1) Relationship with the Applicant: J Father J Mother J Brother J Sister J Spouse J Relative J Others :___________________

2) Relationship Proof: J Ration Card J Birth Certificate J Passport J Marriage Certificate

3) Name: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

4) Father's/Spouse’s Name: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ5) Date of Birth: JJ�JJ�JJJJ 6) J Male J Female 7) J Married J Unmarried J Others___________________________

8) PAN No: JJJJJJJJJJ�9 )D/L No: JJJJJJJJJJJJJ�10) Voter ID: JJJJJJJJJ

11) Passport J Yes J No Valid Passport No: JJJJJJJJ Date of Expiry: JJ�JJ�JJJJ

12) Mobile No: JJJJJJJJJJJ13) E-mail : JJJJJJJJJJJJJJJJJJJJJJJJJJ

14) Qualifications: J UG J Diploma J Graduate J Doctotrate J PG 15) No of Dependents: JJ 16) Current Residential Address:JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

��� JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

City: JJJJJJJJJJJJJJJJJJJJJ State: JJJJJJJJJJJJJJJJJJJ� Pin Code: JJJJJJ�Country: JJJJJJJJJJJJJJJJ

17) Years in the Current Residential Address: JJJ18) Current Residence Type:J Self Owned J Family J Rented J Employer Provided

19) Landphone (Current): JJJJJJJJJJJ

20) Permanent Residential Address:�JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

���JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

City: JJJJJJJJJJJJJJJJJJJJJ State: JJJJJJJJJJJJJJJJJJJ Pin Code: JJJJJJ�Country: JJJJJJJJJJ 21) Landphone (Permanent): JJJJJJJJJJJJ

B. Bank Details (Transactional A/c)

1) Account Holder’s Name: JJJJJJJJJJJJJJ 2) A/c No: JJJJJJJJJJJJJJJJJJJJ

3) Name of Bank: JJJJJJJJJJJJJ� 4)Branch: JJJJJJJJ 5)A/c Operational Since JJ�JJJJ

6 ) IFSC Code: JJJJJJJJJJJ� 7) MICR Code: JJJJJJJJJ

C. Employment or Business Details

1) Occupation: J Salaried J Self Employed J Retired J Government J Others: ______________________________________________

2)� Total Years in Service/Business: JJ��3) No. Of Years in Current Employement/Business: JJ�Years 4) Age of Retirement: JJ

5) Designation/ Profession: JJJJJJJJJJJJJ6) Name of the Current Employer or Business/Firm: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

��� JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ

7) Nature of Business: JJJJJJJJJJJJJJJ�8) Industry: JJJJJJJJJJJJJJJJJJJ

9) Address of the Employer or Business/Firm: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ City: JJJJJJJJJJJJJJJJJJJJJ State: JJJJJJJJJJJJJJJJJJJ�� Pin Code: JJJJJJ�Country: JJJJJJJJJJJJJJJJ

10) Landphone of Employer/ Business: JJJJJJJJJJ�11) Website: JJJJJJJJJJJJJJJJJJ

12) Emp ID: JJJJJJJJJJ13) Official Email ID: JJJJJJJJJJJJJJJJJJJJJJJJJ

14) Gross Monthly Salary/Income `: JJJJJJJJJJ��15) Net Monthly Salary/Income `: JJJJJJJJJJJJJ����������������������16) Other Monthly Income `: JJJJJJJJJJJJ � 17) Total Income (15+16) `: JJJJJJJJJJJJJJ��

D D M M Y Y Y Y

D D M M Y Y Y Y

M M Y Y Y Y

P. FINANCIAL INFORMATION A) Assests B) Liabilities Outstanding Amounts Monthly Installments Balance Tenure

1) Bank Balances (All A/c's) 1) Home Loan

2) Fixed Deposits 2) Personal Loan

3) Investments (Stock/Bonds/Mutual Funds) 3) Car/Two Wheeler

4) Immovable Property 4) Credit Card

5) Other 5) Other Loan (Employer)

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Signature of Co-Applicant2/Gurantor