Sample Hostel Application Form

Sample form for hostel seat registration in school, college, university, or private hostels.

Application form for hostel

Student’s Personal Information:

  1. Name …………………………….. Father’s Name ……………………………………
  2. Gender ……………………… Nationality ……………….. Date of Birth …………………………
  3. Blood Group …………… N.I.C No ………………………….. Phone # …………………….
  4. Address ……………………………
  5. Permanent District ………… State/province ……………Country ………………

Last Attended Institution/Board/University:

  1. …………………
  2. Marks………… Level……………. Completion Year……………………..

Admission Information:

  1. Department’s Name………….…………………………
  2. Program…………….………… Duration…………………
  3. Date of admission………… Session……….. Morning/After Noon/Evening……………..

…………………..…………..

Signature  of Applicant

…………………………………

Head of the Department

Please attach the photocopies of the following documents:

  1. NIC/Domicile
  2. Degree/Certificate of the Last examination passed
  3. Bank Challan of Department fee
  4. Hepatitis test/Blood group Report from (P.U Health Center)
  5. One photograph

……………………….

Sample form for admission in the hostel for students, job holders, employees, company staff, outsiders, foreigners, teachers, labor, etc.

Hostel admission form

Session ________

For girls

Hall No. _________      Room no. ________

Institute/center/college/department/school _________

  1. Name (In block letters) _________
  2. (N.I.C No) ___________
  3. Father’s Name _________
  4. Parent/Guardian’s Occupation ______ Monthly Income _______
  5. Present Home address ____________
  6. Cell No With City Code ___________
  7. Previous Examination passed ______ Year _______ Marks _______
  8. Class In which Admitted _____ Roll No _____ Blood Group _____
  9. Hepatitis Report I HBSAg ______ ii Ante HCV_________
  10. Hostel Dues deposited ______ Hostel Challan No ______ Dated _____
  11. If Student from Abroad (Nationality) _________

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 be canceled. I also undertake to strictly observe all rules, and regulations of the hall. I shell future more comply with all the orders, and directions issued by the hall Authorities from time during my residence in the hall. I undertake a future that I shall pay my dues in Time.

__________                     ___________

The signature of Parent/Guardian                                 Signature of the Applicant

Date _______                    Date ______

An aforementioned seat has been allotted to the candidate.


Signature: Head of the department

With stamp


Superintendent

Note:     This form is valid for 10 days from the date of issue.   


Hostel Warden

Instructions to the Hostel Clark:

A copy of this form must each to the following within 10 days of the allotment of the hostel’s seat.

Sample Hostel Application Form
Sample Hostel Application Form

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