HOSTEL ADMISSION FORM

" HOSTEL ADMISSION FORM - SESSION(2015–16) "

Registration Form:

Fields marked with * are mandatory

Don't Use Single or Double quote (like ' and ")

Hostel Name*

Room No.*

Student Name *

Date of Birth *

(MM-DD-YYYY)

Photo*

Sex*

Father’s Name*

Year of Admission*

Course*

Current Year*

Semester*

Rollno

Registration no.

Mobile No.*

Email Id*

Menu Option*

Meal Option*

Air Cooling Facility*

Residential Address *

Pin Code

Telephone No(Parents/Guardian)*

Past Medical History

Declaration by the Students (Please Check)*

: I declare that the information given above is true to the best of my knowledge. I agree that if any information furnished above found incorrect my admission is liable to be cancelled.