Ministry of Education Department of Adult and Higher Education
Students Loan Scheme for Tertiary Education

A. Personal Information Click here for user instructions

CID Number:*

Name:

Gender:

Dzongkhag:

Gewog:

Village:

Mobile Number:*

Email Address:*

Have you taken class XII examinations under BCSEA?* Yes No

Have you passed Class XII from Bhutan?* Yes No

Class XII Index Number:*

Country Name:

School Name:

Year of Completion:

#	Subject Name	Marks Obtained	Full Marks
1

B. Family Information NOTE: Include only the members in the household

Is your parents divorced?* Yes No

#	CID Number	Name of Family members (Father,mother,brothers & Sisters)	Age	Relationship to Applicant	Employment Type	Qualification	Designation	Organization	Place of work/parents residence	Contact Number
1

C. Education Background

#	Name of the School (Class PP-XII)*	Other School Name*	Year of Passout*	Place(Bhutan)*	Place(Other)*	Remarks
1						enter class 6 passout information (Primary School)
2						enter class 8 passout information (Lower Secondary School)
3						enter class 10 passout information (Middle Secondary School)
4						enter class 12 passout information (Higher Secondary School)

D. Other Informations

Select the country you are going to study:*

Select the state:*

Name of the college/institute you are going to study:*

Name of the Course/Programme:*

Course Start Month and Year:*

Course Duration (in number of months):*

Attach Character Certificate:*

Attach Household information (Family Tree):*

Attach Provisional Acceptance letter for admission:*

Attach Class XII mark sheet:*

Divorce agreement:*

Text Validation:*

The above information provided is true to the best of my knowledge.

Notification

Upon verification, if the selection committee finds out that some information are deliberately excluded, the loan application will be rejected even after admission to the college/institute