Hostel Form
Fill Hostel Form
Check Status
Student Photo
*
Local Guardian Photo
(optional)
Basic Details
First Name
*
Middle Name
Last Name
Gender
*
Select Gender
Male
Female
Other
Email
*
Contact Number
*
Academic Session
* (For eg. 2014-2015, 2015-2016)
Program Type
*
Select Program Type
UG
PG
PhD
Course
* (For eg. BA,BSc,BCom,MA,MSc,MCom)
UG Honours subject/ PG subject/ PhD subject
*
Name of Department/College/Institution
*
Roll Number
*
Student's Permanent Address
Address
*
City
*
Pin Code
*
State
*
Select State
Maharashtra
Gujarat
Uttar Pradesh
Andhra Pradesh
Himachal Pradesh
Arunachal Pradesh
Madhya Pradesh
Rajasthan
Kerela
Bihar
Tamil Nadu
Karnataka
Punjab
Delhi
Assam
Goa
Haryana
Jharkhand
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Sikkim
Telanganna
Tripura
Uttrakhand
West Bengal
Chattisgarh
Jammu and Kashmir
Other
Police Station
*
Father Details
First Name
*
Middle Name
Last Name
Father Occupation
*
Father's Address
Same as Student's Address
Address
*
City
*
Pin Code
*
State
*
Select State
Maharashtra
Gujarat
Uttar Pradesh
Andhra Pradesh
Himachal Pradesh
Arunachal Pradesh
Madhya Pradesh
Rajasthan
Kerela
Bihar
Tamil Nadu
Karnataka
Punjab
Delhi
Assam
Goa
Haryana
Jharkhand
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Sikkim
Telanganna
Tripura
Uttrakhand
West Bengal
Chattisgarh
Jammu and Kashmir
Other
Local Guardian Details
First Name
Middle Name
Last Name
Relationship with Guardian
Select Relation
Sister
Grand Mother
Uncle
Grand Father
Brother
Aunt
Guardian Contact Number
Local Guardian's Address
Address
City
Pin Code
State
Select State
Maharashtra
Gujarat
Uttar Pradesh
Andhra Pradesh
Himachal Pradesh
Arunachal Pradesh
Madhya Pradesh
Rajasthan
Kerela
Bihar
Tamil Nadu
Karnataka
Punjab
Delhi
Assam
Goa
Haryana
Jharkhand
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Sikkim
Telanganna
Tripura
Uttrakhand
West Bengal
Chattisgarh
Jammu and Kashmir
Other
Student Aadhar Card
*
Father's/Local Guardian's Aadhar Card
*
[
Note:
Max allowed image size is 1Mb and allowed formats are .png, .icon, .jpg, .jpeg, .gif]
Declaration:
I hereby declare that the information given in this application is true and correct to the best of my knowledge and belief. In case any information given in this application proves to be false or incorrect, I shall be responsible for the consequences.
Signature of Student:
- - - - - To be filled by Department/College - - - - -
Recommendation of Head of University Department/ College Principal With Signature and Seal :
______________________________
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(Hostel Application Form Fee - Rs. 100/-)
Documents to be Produced at the time of Hostel Allotment:
1. Xerox of Aadhar Card of Student and Father
2. 4 Photograph duly attested by HOD/Principal of respective college/department.
3. Last Examination Passing Marksheet.
4. Last Admission Receipt
5. Admit Card of Last Examination
Hostel Form Id
*
Email
*
OR
Contact Number
*
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