Student Profile

Imp Note:

Please update your profile with the correct/updated information.
Enter all the info, which was not provided earlier or got changed after you had submitted the previous application.
Leave the fields blank if the info is not changed for those fields.

If you are already in the US, make sure you have created Zelle ID and linked it to your bank account (https://www.zellepay.com)

Student Information

Email*

Email ID (Enter the same id, which you used when you applied for the loan)

First name*

Last name*

Mobile phone number*

Include country code e.g. +1 111-222-3333 or +91 987-654-3210

Zelle ID*

Once you are in the US, open your account in any US bank and link Zelle with that bank's account. (More info: https://www.zellepay.com).

WhatsApp Phone Number*

Your Photo(es)

Comments

(Include any special instructions or comments)

Married?

Your US Address

Street address

City

State/Region

Zip Code

Country/Region

Your Parent's/Guardian's Info

Cell Number (Parent's)

Include country code (Ex: +91 for India or +1 for US)

Street address

City

State

Country

About your Degree

University and School Name

City, State

Degree

Degree Title / Field of Study

US VISA Type

Expected Start date

Month/Day/Year

Expected Graduation date

Month/Day/Year

References

Reference in USA (MMNA Life Member)

Life Member Full Name

(You will also need to attach a signed reference letter from this person below in the Attach Documentation section.)

Cell Phone # (Life Member)

Email ID (Life Member)

Street address

City

State/Region

Postal code

Relationship with Life Member?

Ex: Friend, Mama, Mami, Chacha, Chachi, Uncle, Aunty, etc.

Life member belongs to which MMNA Chapter?

Use this map to get the chapter name as per the state: https://www.mmna.org/chapters/

Your Social Info

Facebook Profile

LinkedIn Profile

Twitter username

Website URL

Any other site/profile which you would like to share. e.g. Personal Blog, Github, Stackoverflow

Provide brief summary why are you submitting this form*

Ex: My contact info or address got changed OR adding missing info

For Internal Use Only*

Don't change the value in this field

Declaration

Signature (MUST READ BEFORE SIGN)*

I understand that processing the loan application, verification, and transfer of the funds, may take up to 4-6 weeks.

I will also keep the MMNA Education Foundation office bearer informed about the progress of my studies and keep in touch with the local MMNA Chapter.

If you have any other Qs or need info, please reach out to us at education@mmna.org