Online Hostel Application

Name of the Degree *

Batch *

Application No (or) Register No *

Name of the Student *

Food Type *

Year & Course *

Age & Date of Birth *

Religion & Community & Caste *

Name of the Father & Mother *

Permanet Address *

Name of the Place living in & Pincode *

Mobile Number *

Email Id (Optional)

Occupation of Father & Address & Photo *

Photo of Father *

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Occupation of Mother & Address

Photo of Mother *

Select file Change ×

Guardian Name & Occupation

Photo of Guardian

Select file Change ×

Guardian Phone & Address

If any relations in the hostel please enter their name and relationship

If already in hostel Enter hostel name and year

Name of the visitor allowed by the parents

Prove You are a Human*