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A1. Applicant's Details
Full Name * Date of Birth * Nationality
datepicker
Martial Status No. Of Dependents*
Employment Status
Information for the selection of Branch nearest to your permanent address
State Name *
City Name *
Branch Office *
Regional Office
Current Address * City * Pin * State *
 
Permanent Address * City * Pin * State *
 
Phone (with STD Code) Mobile No Email
   
Distance from the Oriental Bank's nearest Branch from your Permanent Address * Km
A2. Parent/Guardian Details
Name of Parent/Guardian * Relationship with Applicant *
Occupation of Parent/Guardian * Annual Income of Parent/Guardian
Rs.
Parent/Guardian's Address * City * Pin * State
 
B. Previous Qualifying Examination Details
Examination Passed * Name of Institution *
Year of Passing % of Marks  *
C. Course Details
Course Applied * Approved by  *
Name of Institution * Address of Institution  *

(Specify If Others *)
Whether admission to College Secured? Course/Institution Approved? *
 
Mode of Securing Admission  * No. of Attempts
Nature of Course Is Institution at the place of Permanent Address?

(Part Time & Correspondance Courses will not be considered)

 
Study in [India/ Abroad] Duration of Course  *
   (Months)
Is the course of Commercial Pilot Licence ?   
Is the course conducted by a study centre affiliated to a University/College ?
 
D. Course Expenses
Total Course Expenses *
(Fee + Hostel Charges etc)(without comma)
Loan Amount Required *
Own Contribution *
For loan amount exceeding Rs 7.50 lakh furnish details of security offered:
Are you willing to offer tangible security in shape of immovable property/NSCs/LIC Policy/PSU Bonds etc. of at least equivalent to loan amount ?  
 
Nature of Security Location
Present Value (Rs.)  Original Value (Rs.) 
Earlier Applied Earlier Ref. No
For loan amount above 4.00 lac and upto Rs 7.50 lakh
Are you willing to offer one third party guarantee?
 
Disclaimer:

The above information is taken in confidence as general information only and will not be considered as claim for loan. If information submitted above is found acceptable to the Bank to proceed further, Bank's officials will contact for submission of additional/detailed information required for considering the request for facilities as per Bank's credit policy and on merits of the case. Bank reserves the right to accept or reject the application submitted above by the prospective customer. Bank does not accept any legal liability, whatsoever, for errors or any omissions pertaining to the information and materials here in.

Terms & Conditions
I agree to the Terms & Conditions. 
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