Sample Hostel Application Form

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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

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