Hostel Management System

Basic Details

Name of Applicant * :

Aadhaar No. *:

Email id* :

Confirm Email id* :

Mobile No. * :

Gender* :

Male Female Transgender Others Declined to state

Religion* :

Caste :

Date of birth* :

Blood Group* :

Whether Physically Handicapped ? * :

Yes No

Whether Eligibile for E-grand ? * :

Yes No

Whether Eligibile for SEBC Reservation ? * :

Yes No

Academic Details

Address for Communication*

Address Line 1 :

Address Line 2 :

Post office :

State :

District :

Pin code :

Distance to residence from university :

Documents to be uploaded*

Maximum Size: 30Kb, Image Dimension: 150W X 200H px, Image Type: JPG, PNG, JPEG

Disclaimer

I hereby certify that all the furnishing details provided in this application are true, accurate, and complete to the best of my knowledge.

I understand that any false information or omissions may result in the rejection of my application.

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