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HSTL

The document is a hostel admission form for Jasimaan Girls Hostel, requiring personal and contact information from the applicant. It includes a declaration section where the applicant agrees to follow the hostel rules and acknowledges the management's non-responsibility for certain situations. The form also has sections for signatures from the student, parents, and hostel authorities for official use.

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goddatech01
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99 views2 pages

HSTL

The document is a hostel admission form for Jasimaan Girls Hostel, requiring personal and contact information from the applicant. It includes a declaration section where the applicant agrees to follow the hostel rules and acknowledges the management's non-responsibility for certain situations. The form also has sections for signatures from the student, parents, and hostel authorities for official use.

Uploaded by

goddatech01
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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JASIMAN GIRLS HOSTEL

Add : Fasiya dangal, Near Hyundai service Centre, Godda, Jh – 814133

HOSTEL ADMISSION FORM

To, Photo
The Hostel Warden

Sir,

I wish to apply for admission to the hostel from ……..…………… to ……………… I am


giving below the necessary information.

1. Name of the applicant (in Block Letter) :

2. Institute / College Name :

3. Father’s Name :

4. Mother’s Name :

5. Date of Birth : 5. Blood Group :

6. Aadhar card no :

7. Email ID : 8. Mobile No. :

9. Address of Correspondence (in Block Letter) :

Phone No. :

10. Permanent Address :

Phone No. :

11. Name and Address of Local Guardian :

Phone No. :

12. Occupation/Designation of:

Father : Mother :

Local Guardian :
Contd... 2

-2-

13. Name of the relatives/visitor (Other then Parents/Local Guardian) with address
and Phone No.

i)

ii)

iii)

14. Whether he/she will travel alone or with the Parents/Local Guardian at the time
of Holiday/of the Institute.

15. In case of emergency, we can contact Mr./Ms./Mrs

at Residence Phone Office No.

Relationship with you .

Declaration by the applicant


1. I have carefully read and understood all the rules and regulations mentioned
above. I will follow the rules and regulations and subsequent changes/addition if
any as laid down by the Management.
2. I understand that a suitable action can be taken against me if I do not abide by the
rules & regulations of the Hostel . If I leave the Hostel on my own or I am
expelled from the Hostel in the midst of the session, I will not be entitled to claim
any refund.
3. I certify that the information above is true to the best of my knowledge and belief.
I further declare that anything happens to me or any kind of mishaps occurs
outside/inside of the hostel due to my negligence/fault, the hostel authority will
not be responsible for that.
4. I understand that in case of any natural calamities, management will not be
responsible for any losses and damages.

Signature of the Student

Signature of the Father/Mother Signature of the Local Guardian

For Official Use Only

Date of Admission in Hostel : Room Allotted :

Signature of the Hostel Superintendent Signature of the Hostel Warden

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