I hereby apply for a loan of Rs…………............. (Rupees………………………………………........................)
under RVTC Alumni loan scheme. The following particulars are furnished for your favourable consideration.

Name and Permanent Address
of the Applicant (Alumni)               :
Add phone no also

Optional Subject:                                  Date of Birth:                                  Gender:

Name and address of the parent :
(co-obligant) Add phone no. also

Relationship with the applicant    :

Monthly income of the parent     :

Purpose for which the loan
amount will be utilized               :

We hereby declare that, to the best of our knowledge and belief, the information furnished herein is true and correct. We undertake that if the loan applied is sanctioned, we shall comply with all the terms and conditions stipulated by Alumni Association.

Signature of the applicant Signature of guardian/co-obligant