Hostel admission form Template for College or University

Application Form for Allotment in the Girls Hostel

1. XYZ University
2. (Campus_____________)
3. Merit No:—————————— List No:——————————-

DETAIL OF STUDENT

1. Student Name Recent Student Photograph
2. CNIC
3. Degree Program
4. Semester
5. Session
6. Shift
7. Roll No./ Reg. No.
8. Blood Group
9. Email address
10. Contact number
11. Alternate number
12. Permanent address
13. FAMILY DETAIL
14. Father / Guardian Name Picture (Father / Guardian)
15. CNIC (Father / Guardian)
16. Contact No. (Mob)
17. Signature
18. Occupation
19. Email address
20. Postal Address
21. Permanent Address Picture (Mother)
22. (Not compulsory)
23. Mother Name
24. CNIC
25. Contact No. (Mob)
26. Signature
27. Occupation
28. Email address
29. Permanent Address

Emergency Contacts/Local Guardian (01)

1. Name
2. Recent Picture
3. Relation
4. CNIC
5. Contact No. (Mobile)
6. Signature
7. Email address
8. Permanent Address

Emergency Contacts/Local Guardian (02)

1. Name
2. Recent Picture
3. Relation
4. CNIC
5. Contact No. (Mobile)
6. Signature
7. Email address
8. Permanent Address

Visitor 1

1. (Who can visit the boarder (approved by parents) in specified time described by hostel management)
2. Name
3. Recent Picture (of Visitor 1 signed by the parents)
4. Relation
5. CNIC
6. Contact No.(Mobile)
7. Signature
8. Occupation
9. Permanent Address

Visitor 2

1. Name
2. Recent Picture (of Visitor 2 signed by the parents)
3. Relation
4. CNIC
5. Contact No.(Mobile)
6. Signature
7. Occupation
8. Permanent Address

Visitor 3

1. Name
2. Recent Picture (of Visitor 3 signed by the parents)
3. Relation
4. CNIC
5. Contact No.(Mobile)
6. Signature
7. Occupation
8. Permanent Address

Note:

1. No medical facility will be provided to student from University Hostel. Student and family have to ensure her medical fitness and facility on their own in case of emergency.
2. In case any picture, or CNIC, or signature is missing it is considered as defaulter data and those applications will not be entertained.

Undertaking for admission in the Girls Hostel

I……………………………..D/O……….………………, CNIC……………………, Department of…………………………, Session……………………………………, Semester…………………,

and Roll No./ Registration No. ……………………

 

1. I undertake that I have read the hostel rules and regulations (available in PDF at https://t4tutorials.com) carefully and will abide by them. In case of any violation, hostel management has the right to take disciplinary action accordingly and the responsibility lies upon the undersigned and consequences will be accepted by me and my parents.
2. Do not have any contagious/chronic disease/illness at the time of hostel admission (medical fitness certificate attached). If so I am liable to provide the detail of illness and treatment history. Concealing the facts should be taken as serious misconduct with immediate hostel allotment cancellation.
3. Have no association with any student organization and political party. If I will be found to have any such association or to be involved in any such type of activity, the hostel authority will have the right of immediate hostel allotment cancellation.
4. Will abide by all the discipline/mess/university rules and will not commit any violation, if so hostel authority has the right to immediately cancel my allotment without prior intimation.
5. Will neither accommodate/invite any day scholar inside hostel nor keep any of his belongings with me.
6. Shall vacate my room at the end of academic year.
7. The information given in this form is true to my knowledge and in case of any change in given information in future I will intimate the management timely, otherwise, it may be treated as concealment of facts.

Signature of Father/Guardian:______________

Signature of Student: __________________

Check List for admission to the Girls Hostel

1. Student picture (Three)
2. Attested student CNIC Copy
3. Attested parent’s CNIC copy & parents’ picture
4. Pictures of emergency contact/local guardian
5. Pictures of Visitors 1, 2 &3
6. Medical fitness certificate from DHQ/ well reputed private/ government hospital.
7. University fee voucher
8. Domicile
9. Disability Certificate (if have)

Hostel admission form Template