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Disbursememnt Request SBI

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From
Student Name : ____________________________
Parent Name: _____________________________
Residence Address: (latest if any changes)
_________________________________
Course Name & Year :
Roll Number :
Loan Ac No
:
__________________________________________ Savings Ac No:
To,
Mobile No
:
Branch Manager,
Email
:
State Bank of India,
IIM campus branch,
Bangalore
Dear Sir,
SBI: SCHOLAR LOAN of Rs ___________________
RELEASE OF FUNDS
I/We request you to :
(i) Release Rs __________________ towards Term Fees to IIM- B Ac No 54019812503.
(ii) Release Rs __________________ towards Personal expenses Every month on_________
(iii)Release Rs__________________ towards Reimbursement of cost of Laptop.
(iv) Release Rs___________________ towards reimbursement of __________________.
(v) Release Rs___________________ towards Student Exchange expenses.
Note: 1.Any request will take at least 2 working days to verify and process.
2. Personal Expenditure has to claim for the same month only; there is no advance
payment or reimbursement allowed.
In this regards, I am enclosing the following:
1. Earlier fees paid receipt (date of transaction should be within 6 months)
2. Progress report of the student as on date (transcripts/marks memo of last term
exam)
3. Demand notice received from the Institute to Pay IIMB.
4. GST Bills/Tax Invoice WITH MODE OF PAYMENT for Laptop.
5. Submit latest address proof if any change in address.
With respect to reimbursements, kindly credit to my Savings Ac No. ______________________.
I note to submit the receipts of fees paid shortly.
Yours faithfully,
(______________________________)
Student’s Signature
Place: Bengaluru
Date:
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