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18BNU5196

This document is a loan application from Madiha Sehar to the Karnataka Minority Development Corporation for an "Arivu Scheme" loan. She is requesting Rs. 103760 for her college fees as a first year B.E. student at New Horizon College of Engineering. The application includes her personal details like name, DOB, address, family income. It also provides details of her college, course, annual fees and the documents she needs to submit along with the application for processing. At the end are declarations signed by Madiha and her father/guardian agreeing to the loan terms and repayment schedule.

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192 views3 pages

18BNU5196

This document is a loan application from Madiha Sehar to the Karnataka Minority Development Corporation for an "Arivu Scheme" loan. She is requesting Rs. 103760 for her college fees as a first year B.E. student at New Horizon College of Engineering. The application includes her personal details like name, DOB, address, family income. It also provides details of her college, course, annual fees and the documents she needs to submit along with the application for processing. At the end are declarations signed by Madiha and her father/guardian agreeing to the loan terms and repayment schedule.

Uploaded by

jayanthan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Karnataka Minority Development Corporation Ltd.

,
(A Government of Karnataka Undertaking)
Address:
2nd Floor, Room No 2, Hameed Sha Complex, Near Halsoor Gate Police Station, Bangalore.,
No.40,2nd Cross, Amma's Pastraies Street, Near Noor Masjid, 4th Main Road,Vasanthapa
Block, Ganganagar, BANGALORE NORTH DISTRICT.-560032 Phone: 080-22114815, 080-
23539786

Fresh Application For Loan Under Arivu Scheme


Board Of Study : StateBoard
Basic Details
Registration ID : 18BNU5196
SSLC Number : 20160315067

CET Number : AP139


NEET Number : 0 Date Of Birth : 31/07/2000

Student Name : MADIHA SEHAR


Name of Father/Husband/Guardian : MUSHTAQ AHMED
Place Of Birth : District : Mysuru
Taluk : Mysore Village : BANGALORE

Mobile No : 8073626413
Gender : Female
Email ID : [email protected] Religion : Muslim
OM
Annual Income : 35000 Martial Status : Unmarried

Permanent Address

Address : # 18, 4TH CROSS HEERA CHAND ROAD COX TOWN


District : Bengaluru Urban Assembly Constituency : Sarwagna Nagar
Taluk : Bangalore North Town/Village : BANGALORE
Pincode : 560005

Present Address

Address : # 18, 4TH CROSS HEERA CHAND ROAD COX TOWN

District : Bengaluru Urban Assembly Constituency : Sarwagna Nagar


Taluk : Town/Village : BANGALORE
Pincode : 560005

Occupation of the parent


Occupation of Father : Self Employed

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Occupation of Mother : House Wife
Occupation of Guardian :

College/Course Details
College Name : New Horizon College of Engineering

Course Name : B.E Course Duration(In Years) : 4


Present Year Of Study(In Years) : 1

Fee Details
Annual Fee : ൠ53460 Tution Fee : ൠ50300
KEA Fee : ൠ53460 Admission Fee : ൠ-
Lab Fee : ൠ- Books Fee : ൠ-
Tool Kit Fee : ൠ- Laptop Fee : ൠ-

Total Of Other Fee : ൠ-

Loan Amount Requested By Student : ൠ103760

Documents To Be Submitted To KMDC Bengaluru Urban District Office along


with a Printout of this Application that has a QR Code
->4 Passport Size Photograph of Candidate/Applicant
->Income and Caste Certificate
->Ration Card/Aadhar Card/Telephone bill/Water bill/KEB bill
->CET/NEET Admission Ticket
->SSLC Marks card
->Study Certificate (present course Non CET)
->Indemnity Bond
->College Fee Structure (Non CET)
->Previous Year Passed Marks Card (Non CET)
->Partial Recovery Receipt
->Indemnity Bond(If course Changed)
->College Bank Details & Fee Structure

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DECLARATION
I««««««««««««««S/o, D/o, W/o «««««««««««declare that the above
information furnished by me is correct to the best of my knowledge and belief. I Further declare that
I will repay the loan amount along with service charges on schedule. I request you to send the loan
amount to the college in which I am presently studying for which I have requested loan.
Date:
Place:
Signature of Loanee/Student

DECLARATION BY THE PARENT/GUARDIAN


We solemnly declare that
1. My family income does not exceed Rs.6 lakh per annum from all sources.
2. I undertake to repay 10% of loan amount that is disbursed by the Corporation and additional
service charges through KEA towards Arivu Loan for the Education of my ward before seeking
further releases.
3. The loan amount availed by my ward along with the service charges will be repaid by me or my
Ward as per schedule.

Signature of Parent/Guardian

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