Hostel Admission Form for Girls
[This is a sample Hostel Admission Form for Girls. You can follow this sample form for admission in a hostel for students, job holders, employees, company staff, outsiders, foreigners, teachers, labor, etc. as a female. You can make any change to the below application as per your needs.]
Hostel Admission Form
Session — — — (For Girls)
Hall no.: — — — — — Room no.: — — — — —
Institute/center/college/department/school: — — — — —
Name (In block letters): — — — — — — — — — —
(N.I.C No.) — — — — — — — — — —
Father’s Name (In block letters): — — — — — — — — — —
Parent/Guardian’s Occupation: — — — — —
Monthly Income: (If any) — — — — —
Present Home address: — — — — — (Full Address) — — — — —
Cell No. (Contact Info.) — — — — —
Previous Examination passed
Subject abd Degree name: — — — — —
Passing Year: — — — — — Marks (Grade): — — — — —
Class In which Admitted: — — — — — Roll No: — — — — —
Blood Group: — — — — —
Hepatitis Report: (i) HBSAg — — — — — (ii) Ante HCV — — — — —
Hostel Dues deposited — — — — — Hostel Challan No — — — — —
Dated: — — — — —
If Student from Abroad (Nationality): — — — — — (With other Information)
I certify that the above statements /information given by me are correct. I understand that if any part of this information is found false/incorrect, my allotment will cancelled. I also undertake to strictly observe all rules and regulations of the hall. I shell future more comply with all the orders and directions issues by the hall Authorities from time during the period of my residence in the hall. I undertake future that I shell pay my dues in Time.
— — — — — — — — — — — — — — — — — — — —
Signature or parent/Guardian Signature of the Applicant
Date — — — — — Date — — DD/MM/YY— — —
A aforementioned seat has been allotted to the candidate.
Signature: Head of the department — — — — —
With stamp — — — — —
Superintendent — — — — —
Note: This form is valid for 10 days of the date of the issue.
Hostel Warden — — — — —
Instructions to the Hostel Clark: — — — — —
The copy of this form must each to the following within 10 days of the allotment of the seat in the hostel.
