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                                                                 കേരളതതലെ സാമഹ്കഷമ പരതപാടതേൾ



               j)  Borrowing from other sources           :  .....................................................................
                   (if any)                               :  .....................................................................
               k)  Net Annual Income                      :  .....................................................................
                   (Enclose a copy of salary

                   statement/income statement whenever
                   required)
               l)  Details of family members/dependents:

                Sl No           Name            Age     M/F     Relationship    Place of      Annual
                                                                                  work       Income










               (Proof of family income from all sources obtained from  Thahasildar to be attached).

               m)  Has any family member availed    :     Yes/No
                   Of any loan under NBCFD/NMDFC
               n)  If yes, details of loan availed
                 Name of the    Name of the Scheme     Name of    Date of  Amount of Loan   Amount re-
                 beneficiary                           the Cor-    Loan                     paid till date
                                                       poration






               4.  Particulars of Education Loan applied for
                   a) Total expenses for the course       :
                     (year wise  break up)

                    Year       Tuition Fee, Admission    Text    Boarding  Examination Fee   Total Ex-
                              Fee & other Fees (spec-  Books in-  &  Lodg-                    penses
                                        ify)           struments    ing
                                                       (Specify)
                     1st
                    2nd

                     3rd
                     4th
                     5th

                     6th




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