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:
- Name …………………………….. Father’s Name ……………………………………
- Gender ……………………… Nationality ……………….. Date of Birth …………………………
- Blood Group …………… N.I.C No ………………………….. Phone # …………………….
- Address ……………………………
- Permanent District ………… State/province ……………Country ………………
Last Attended Institution/Board/University:
- …………………
- Marks………… Level……………. Completion Year……………………..
Admission Information:
- Department’s Name………….…………………………
- Program…………….………… Duration…………………
- Date of admission………… Session……….. Morning/After Noon/Evening……………..
…………………..…………..
Signature of Applicant
…………………………………
Head of the Department
Please attach the photocopies of the following documents:
- NIC/Domicile
- Degree/Certificate of the Last examination passed
- Bank Challan of Department fee
- Hepatitis test/Blood group Report from (P.U Health Center)
- 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 _________
- Name (In block letters) _________
- (N.I.C No) ___________
- Father’s Name _________
- Parent/Guardian’s Occupation ______ Monthly Income _______
- Present Home address ____________
- Cell No With City Code ___________
- Previous Examination passed ______ Year _______ Marks _______
- 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) _________
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.
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