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Admission Form

 

 

HOSTEL APPLICATION FORM FOR OCCUPANCY - 2013

First name
Last name
Home address
City
State
Zip/Postcode
Country
Home Phone
E-mail
Accommodation Information

Do you wish our accommodation officer to arrange accommodation for you?

If yes, please select your choice

Two sharing (with Attached Toilet) in campus
Two /three sharing (standard room) in campus
Two/three sharing (Economy room) in campus
Dormitory in campus
Please specify your dietary requirements?
Vegetarian Non Vegetarian

Any special dietary requirement, please specify

 

Do you have an allergies or medical requirements?

YES

NO

If yes, please specify

Please list an hobbies or interests you enjoy:

Do you have any special accommodation requests?

I hereby declare that all above information are submitted by me are correct.


   
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