Hostel Registration Form

 
Students Details (All in Block Letters)
Accommodation for :
Full Name :
Full Address :
-


Flat No/H.No./Village :
Street No./Post :
City/District :
PASSPORT
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State :
Pincode :
Mob. No. :
Email :
Date of Birth :
Adhaar No. :
Gender :
Nationality :
Family Details (All in Block Letters)
Name of
Father/Guardian :
Occupation :
Mother Name :
Mob. No.:
Type of Accommodation
3 Seater
4 Seater
Dormitory
Declaration :I hereby declare that the statement made in this application are true compleate correct to the list of my knowledge and belief. In the event of any information being false or incorrect, action can be taken aginst me by the college autherity. I offer that I will never act indisciplinary action in the hostel and college campus. I will follow all the rules and regulation of the hostel. If I found or associated with such activities, I will be disqualified and punished by the authrity of the college.(hostel Warden/ Hostel Suptd./ Principal)


 


Contact Us



Girl’s Campus
Kalindi Vihar,Near Water Tank, Agra-6, Uttar Pradesh, INDIA
Tel: +91 9917888371

Boy’s Campus / Agriculture
Jalesar Road,Mudi Crossing, Agra-6, Uttar Pradesh, INDIA

Tel: +9675119292
Email: rbpgcollege146@gmail.com