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*

TenureROIAdditional FundingFree-up collateralOther
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

TOEFLIELTSPTENot appeared
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