SI.
No
SHRI RAM COLLEGE OF COMMERCE BOYS HOSTEL
FOR OFFICE USE
For Warden FORM A
Hostel Enrol. No........ NEW ADMISSION PHOTOGRAPH
SESSION ........................................
Room No...................
Dated........................
ALL DETAILS TO BE GIVEN IN BLOCK LETTERS
INCOMPLETE FORM IN ANY RESPECT WILL BE SUMMARILY REJECTED
PLEASE DO NOT GIVE ANY FALSE/MISLENDING INFORMATION
1. Name ........................................................................................................................................................
2. Class...................................................... Section...................................... Roll No .................................
E-mail ......................................................................... Mobile (if any) ...................................................
3. Date of Birth
D D M M Y Y
4. Last Exam. (Qualifying) ...................................................................... Year .........................................
5. School/College .......................................................................................................................................
Board/University ....................................................................................................................................
S.No. Main Subject Max. Marks Marks Obtained Percentage
(i) ................................................. ................... .............................. ..................
(ii) ................................................. ................... .............................. ..................
(iii) ................................................. ................... .............................. ..................
(iv) ................................................. ................... .............................. ..................
Total
................................................. ................... .............................. ..................
other Subjects, If any
(v) ................................................ ................... .............................. ..................
(vi) ................................................. ................... .............................. ..................
Eligibility Category (A/B/C/D/E/SC/ST/Sports/Foreign Student/Handicapped) To be filled in by the applicant.
See College Prospectus under section “Criteria for Admission”
(Attach attested Copies of relevant Certificates) Category
6. Permanent Address ................................................................................................................................
............................................................................................................................................................
7. (A) Father’s Name .................................................................................................................................
Occupation .................................................................................... Tel. No .......................................
Office Address ............................................................................... Designation ...............................
E-mail ......................................................................... Mobile (if any) ...................................................
Income (Per month) ....................................................................................................................................
(B) Mother’s Name ...................................................................................................................................
Occupation .................................................................................... Tel. No .......................................
Office Address ............................................................................... Designation ...............................
E-mail ...................................................................... Mobile (if any) ...................................................
Income (Per month) ...........................................................................................................................
8. Residential Address, if different from above (6)
(Please attach photocopy of Ration Card or some documentary proof of present residence)
......................................................................................................................................................
......................................................................................................................................................
Telephone: ...........................................................................................................................................
9. Approximate distance from Delhi (in Kms.) ...........................................................................................
10. Local Guardian’s Name .......................................................................................................................
Relationship with the Applicant ...............................................................................................................
Designation.....................................................................................................................................
Address (Office)......................................................................................................................................
Address (Residence)..............................................................................................................................
Telephone : Office ............................................................... Residence ............................................
E-mail ......................................................................... Mobile (if any) ...................................................
DECLARATION: I declare that I have read the Hostel Prospectus and understood the provisions in their letter
and spirit of Rules and Regulations mentioned therein. I undertake to abide by all the Rules and Regulations of
the Hostel. I shall not plead ignorance of any future regulations that may be notified from time to time. I know
that any violation of rules or breach of code of conduct by me will be treated seriously and may result in my
expulsion from the Hostel.
I undertake to vacate the Hostel accommodation provided to me within two days after the completion of the last
paper of University Examination. In the event of default in this respect I would render myself liable for any penal
action that the authorities may deem fit. I shall not keep any kind of vehicle in the Hostel.
I also undertake that I would not harbour and entertain any guests in my room. Any breach of this undertaking
would attract stringent action which may include expulsion from the Hostel.
Counter Signature of Parent Counter Signature of Local Guardian Signature of the Applicant
Date ............................
(Local guardian and parent are required to accompany their ward at the time of interview for Hostel)
FOR OFFICE USE ONLY
Recommended for Admitted Receipt No. .....................
Admission
Date ................................
Warden Principal Amount Rs. .....................
Cashier
Dated: ......................... Dated :......................... Date:..............................
SHRI RAM COLLEGE OF COMMERCE BOYS HOSTEL
SHRI RAM COLLEGE OF COMMERCE
UNIVERSITY OF DELHI
FORM B
ALL ENTRIES ARE TO BE MADE IN BLOCK LETTERS
SESSION .....................
DECLARATION
I declare that I have read the Hostel Prospectus and understood the provisions in their letter and spirit of Rules
and Regulations mentioned therein. I undertake to abide by all the Rules and Regulations of the Hostel. I shall
not plead ignorance of any future regulations that may be notified from time to time. I know that any violation of
rules or breach of code of conduct by me will be treated seriously and may result in my expulsion from the
Hostel.
1. A. Name of Student ....................................................................................................................
B. Signature ...............................................................................................................................
C. Date .......................................................................................................................................
2. A. Name of Parent .....................................................................................................................
B. Residential Address ...............................................................................................................
C. Phone : Office ........................ Residence ........................ Mobile .................................
D. Signature .....................................................................................................................
E. Date ............................................................................................................................
ADMISSION SCHEDULE
1. Last Date for receiving : Thursday, 12th July, 2012
New Admission Form
2. List of candidates eligible : Saturday, 14th July, 2012 (By 1700 hours)
for Interview will be put up
on the Notice Board
3. Interviews for New Admissions : Wednesday & Thursday, 18th -19th July, 2012
(9.00 A.M. onwards)
4. Display of List of Admitted Candidates : Wednesday & Thursday, 18th -19th July, 2012
(17.00 hrs)
5. Allotment of Rooms : Saturday & Sunday, 21st -22nd July, 2012
onwards
3. A. I .............................................................................................................................................. the
Local Guardian of ......................................................................................................under-
take to take charge of my ward in case of any illness, misbehaviour or misconduct, as well as
emergency. I further undertake to pay all dues within the stipulated period on behalf of my ward as
and when communicated by the Hostel authorities.
B. Relationship with Ward
...................................................................................................
C. Name
...........................................................................................................................................
D. Office Address with Designation .................................................................................................
.........................................................................................................................................
E. Residential Address ..................................................................................................................
F. Phone : Office ............................ Residence ............................ Mobile ...................................
G. Signature .................................................................................................................................
H. Date ........................................................................................................................................
ACKNOWLEDGEMENT
(To be filled in by the applicant)
SI. No.:
Name ..............................................................................................................................................................
Class................................................................. College Roll No ....................................................................
EligibilityCategory
Please Check
Notice Board for Signature
Date and time of Interview. Hostel AssistantThe
* Please Check Notice Board for exact time and venue of Interview. SRCC Hostel, Delhi - 110 007
SI. No
SHRI RAM COLLEGE OF COMMERCE BOYS HOSTEL
FOR OFFICE USE
For Warden FORM C
RE-ADMISSION PHOTOGRAPH
Hostel Enrol. No........
SESSION ........................................
Room No...................
Dated........................ ALL DETAILS TO BE GIVEN IN BLOCK LETTERS
INCOMPLETE FORM IN ANY RESPECT WILL BE SUMMARILY REJECTED
1. A. Name ...................................................................................................................................................
Class ...................................................................................................................................................
Roll No..............................................Section .......Room No. (Prev.).................H. Enrol. No..............
E-mail ......................................................................... Mobile (if any) ...................................................
Signature............................................................................................................................................
2. A. (i) Date of Birth ................................................................................................................................
(ii) Father’s Name.............................................. Mob. ............................ E-mail .............................
(iii) Mother’s Name ..............................................Mob............................. E-mail .............................
B. Residential Address ...........................................................................................................................
............................................................................................................................................................
Phone: Office...........................................................Residence ......................................................
3. C . Name of the Local Guardian .............................................................................................................
B. Designation .......................................................................................................................................
C. Office Address ..................................................................................................................................
D. Relation with the Applicant .................................................................................................................
E. Residential Address ...........................................................................................................................
............................................................................................................................................................
F. Phone: Office ......................... Res. ............................. Mob. ........................ E-mail .......................
(In case of any change in address, inform the Hostel Office immediately).
4. Last Exam. (Qualifying) Passed ....................................................................... Year ..............................
S.No. Main Subject Max. Marks Marks Obtained Percentage
(i) ................................................. ................... ............................. ..................
(ii) ................................................. ................... ............................. ..................
(iii) ................................................. ................... ............................. ..................
(iv) ................................................. ................... ............................. ..................
(v) ................................................ ................... ............................. ..................
(vi) ................................................. ................... ............................. ..................
(vii) ................................................. ................... ............................. ..................
(viii) ................................................. ................... ............................. ..................
5. Attendance: Ist Year / Semester .......................... Out of ...........................
IInd Year / Semester .......................... Out of ...........................
6. In case of sports quota: Details of performance in Sports
...................................................................................................................................................................
...................................................................................................................................................................
DECLARATION: I declare that I have read the Hostel Prospectus and understood the provisions in their letter
and spirit of Rules and Regulations mentioned therein. I undertake to abide by all the Rules and Regulations of
the Hostel. I shall not plead ignorance of any future regulations that may be notified from time to time. I know
that any violation of rules or breach of code of conduct by me will be treated seriously and may result in my
expulsion from the Hostel.
I undertake to vacate the Hostel accommodation provided to me within two days after the completion of the last
paper of University Examination. In the event of default in this respect I would render myself liable for any penal
action that the authorities may deem fit. I shall not keep any kind of vehicle in the Hostel.
I also undertake that I would not harbour and entertain any guests in my room. Any breach of this undertaking
would attract stringent action which may include expulsion from the Hostel.
Signature of Parent and Local Guardian Signature of the Applicant
Date:.................................
FOR OFFICE USE ONLY
Recommended for Admitted Receipt No. ....................
Admission
Date ................................
Warden Principal Amount Rs. ....................
Cashier
Dated:.......................... Dated :......................... Date:...............................
SHRI RAM COLLEGE OF COMMERCE BOYS HOSTEL
SHRI RAM COLLEGE OF COMMERCE
UNIVERSITY OF DELHI
FORM D
Give details of Five Close Relatives who could be referred in case of emergency and for verification :
1. Name of the Relative : ....................................................................... Profession......................................
Relationship with self ..................................................................................................................
Postal Address ................................................................................................................................
E-mail .............................................................................................................................................
Mobile No. .....................................................................................................................................
Phone with STD Code .....................................................................................................................
2. Name of the Relative : ....................................................................... Profession......................................
Relationship with self ........................................................................................................................
Postal Address ................................................................................................................................
E-mail ...........................................................................................................................................
Mobile No. .....................................................................................................................................
Phone with STD Code .....................................................................................................................
3. Name of the Relative : ....................................................................... Profession......................................
Relationship with self ........................................................................................................................
Postal Address ................................................................................................................................
E-mail ...........................................................................................................................................
Mobile No. .....................................................................................................................................
Phone with STD Code .....................................................................................................................
4. Name of the Relative : ....................................................................... Profession......................................
Relationship with self ........................................................................................................................
Postal Address ................................................................................................................................
E-mail ...........................................................................................................................................
Mobile No. .....................................................................................................................................
Phone with STD Code .....................................................................................................................
5. Name of the Relative : ....................................................................... Profession......................................
Relationship with self ........................................................................................................................
Postal Address ................................................................................................................................
E-mail ...........................................................................................................................................
Mobile No. .....................................................................................................................................
Phone with STD Code .....................................................................................................................
I undertake that information furnished above is true to the best of knowledge & belief.
Date :
Place : Signature of Student
UNDERTAKING
I hereby undertake that I shall not keep any kind of vehicle in and around hostel premises. In case
found guilty I shall surrender my rights to stay in the hostel.
Date :
Place : Signature of Student
