Loan Applications [SECTION A:] STUDENTS PERSONAL PARTICULARS Full Name * Email Address * Phone Number (Personal) * Address Line 1 * Address Line 2 Postcode * City * State * ---JohorKedahKelantanKuala LumpurMelakaNegeri SembilanPahangPerlisPerakPulau PinangSabahSarawakSelangorTerengganu Attended Telugu P.O.L Classes? (Please specify the place you attended) Year Any physical Disability or deformities ? ---YesNo Stream of School Last Attended at Age 17-18 * SMKSMJKPrivate High SchoolOthers IC Number * Old IC Number Phone Number (Home) Gender * ---MaleFemale Race * IndianChineseMalayOthers Languages * TeluguTamilMalayalamOthers Attended Moral Camp * ---YesNo Venue Residence * ---Rural 1 ( Remote Area / Fishing / Farming Village / New Village / Rural Low Cost )Rural 2 ( Housing Estate )Urban 1 ( Squatters / Urban Low Cost / Flat )Urban 2 ( Housing Estate ) Highest Academic Qualification Obtained * SPMSTPMOthers Parent/Guardian Membership in Telugu Association of Malaysia: Full Name:(As per NRIC) * Phone Number * TAM Membership Number * New NRIC Number * Membership Year * Old NRIC Number [SECTION B:] INFORMATION OF IPTA/IPTS [COURSE DETAILS] Name of College / University Attended * Marks Obtained in the Last Course * Course of Study * Country / Region of Study * [SECTION C:] PARENT/GUARDIAN STATEMENT OF MONTHLY INCOME & EXPENDITURE Total Monthly Household Incomes (inc spouse’s & other incomes) * Total NET Every Months Household Savings * Total Monthly Household Expenditures (inc all types of expenditures) * Number of Children Studying in College/University * [SECTION D:] REFERENCE'S PARTICULARS Full Name (As per NRIC) * Office Phone Number * Personal Phone Number * IC Number * Home Phone Number Email * [SECTION E:] PARTICULARS OF GUARANTORS [PARENTS/GUARDIAN] Full Name (As per NRIC) * TAM Membership Number * Membership Year * New NRIC Number * Phone Number * Address Line 1 * Address Line 2 Postcode * City * State * ---JohorKedahKelantanKuala LumpurMelakaNegeri SembilanPahangPerlisPerakPulau PinangSabahSarawakSelangorTerengganu Old NRIC Number * Email * Race * IndianChineseMalayOthers Marital Status * ---SingleMarriedDivorcedWidowedOthers Occupation * ---ProfessionalBusinessmenOffice WorkerManual WorkerUnemployedRetired Name of Employer* Monthly Income * ---RM 1,500.00 - belowRM 1,501.00 - RM 3,000.00RM 3,001.00 - RM 4,000.00RM 4,001.00 - RM 5,000.00RM 5,001.00 - Above [SECTION F:] LOAN AMOUNT TO APPLY FOR Loan Amount * RM 3,000.00RM 5,000.00RM 10,000.00 [SECTION G:] OTHER FINANCIAL ASSISTANCE GRANTED/APPLIED FOR Status of other financial assistance * Being granted financial assistanceIn the midst of applying for other financial assistanceNot applying for any other financial assistance Amount of financial assistance obtained/applied * Name of Financing Institutions * Perbadanan Tabung Pendidikan Tinggi National (PTPTN)Association/Financial Institution/OthersJabatan Perkhidmatan Awam (JPA) Total Loan Amount Approved * Less Than < RM 10,000.00More Than > RM 10,000.00 DECLARATION BY THE BORROWER I hereby declare that : 1). I have read and fully understood and shall abide by the Regulations of TAM Foundation. 2). All the information given in this application and all the documents submitted are complete, true and correct and I authorise the Foundation to verify the information from whatsoever sources and by whatever means that the Board deems appropriate. 3). I understand that the Board reserves the right to forfeit my eligibility for a loan or revoke any loan approval granted to me or recall any loan granted to me in the event that any of the information or document of this application is found to have been falsified or withheld; For Students from Private Higher Education Institutions (IPTS), they must enrol for Courses approved by the Private Higher Education Management Sector, Ministry of Higher Education and the Course enrolled must be accredited by the Malaysian Qualification Agency (MQA). 4). I have never been made a bankrupt. 5). I understand that the Board has the absolute discretion to approve and reject my application without assigning any reason and I shall accept the Board’s decision on my application. 6). The Foundation shall not be held responsible for any loss or delay in mail pertaining to my application. I have read and understood and agree to the Terms and Conditions governing the use of Telugu Association of Malaysia(TAM).