GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

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GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123
SRI GURU NANAK DEV KHALSA COLLEGE UNIVERSITY OF DELHI





GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123


GURU NANAK INSTITUTIONS

Ibrahimpatnam, R.R. District-501506, Ph: (0/95) 8414-202120/21/23, Fax: 08414-223344


GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

HOSTEL ACCOMMODATION APPLICATION FORM

GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

AGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 nnual Charges : Rs. Room Allotted:

Name of the Student :

  1. NGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123


    Paste

    your recent

    Passport size photograph

    GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 ame of the Course/ Year :_________________Blood Group___________________

  2. Date of Birth (DD / MM / YYYY):

  3. AGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 ny Chronic Sickness :_________________________________________________

  4. Date of Joining the Hostel :

  5. EGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 -Mail :______________________________________________________________

  6. AGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 adhaar Card No.: PAN Card No.: H.T.No.:

  7. Name of the Father / Guardian :

  8. GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 Occupation of the Father / Guardian :____________________________________________________

  9. Father / Guardian Contact Phone No(s).:

  10. Father / Guardian Designation / Profession :___________________E-Mail:______________________

  11. OGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 ffice Address (if any) : _______________________________________________________________

  12. Name of the Mother :________________________________Ph No.:

  13. A

    Permanent

    __________________________________________________________________________________________

    _____________________________ Pin

    Home (Landline):

    Office (Mob.):

    Phone (Landline):

    Phone (Mobile) :

    ddress for Communication :

Present

___________________________________________

_GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 __________________________________________

_GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 ______________________________ Pin

Mob No. (Father) :

MGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 ob. No.(Mother) :

MGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 ob. No. (Student):

GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123


SGURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123 ignature of the Student Signature of the Parent

OFFICE USE - ACCOUNT SECTION


Period from____________________ to___________________


Hostel fee paid Rs.__________________ Receipt No.__________________ Date:_________________


Signature of the Accountant

GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

Whether he / she stayed in hostel for the last Academic year____________________________ Remarks of Warden (Assessment to be made based on the conduct of last year stay of the student in hostel).


Excellent :_____________ Good :____________ Average: ____________ Poor :______________


Signature of Hostel Warden Signature of Chief Warden

Remarks of GM :




LETTER OF UNDERTAKING BY PARENT / GUARDIAN

As parent I understand the rules of GNI that my son / daughter needs to obey during the stay in the hostel.

I undertake with full understands that:

GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

IN RESPECT OF Name :

GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

Roll No. : Dept.:____________________________


  1. My son / ward may be awarded punishment / penalty as deemed fit by the organization which may include expulsion / rustication from the hostel / college for the following action if found guilty as following. There will be NO REFUND in case of expulsion from hostel.


  1. Ragging of other students.


  1. Leaving the hostel premises without the approval of the competent college authority. The Institution / College will not be held responsible in any way if the student leaves the hostel premises without permission despite the stringent security checks in the hostel and indulge in nefarious activities.


  1. Indulging in anti social activities of any nature (smoking, drinking, betting / gambling, drugs, quarrelling, fighting, troubling others, racism, casteism & political activities, Tarnishing image of institution in any manner etc).


  1. Destroying / damaging the hostel / college property.


  1. Not following the stipulated rules of the hostel laid down by the management for students, misbehaving with fellow students / warden / staff or using harsh language or disturbing others students in their studies.


  1. Entertaining guests in the hostel / his / her room without approval of the college authorities.


  1. No gold / huge amounts of money / expensive items (mobile phones , music system, TV etc) may be kept in the hostel room. The management will not be held responsible for theft of any item including mobiles / personal computers / any other valuables.


  1. Activities / actions of my son / daughter outside the campus have no legal binding on the institution / college.


  1. The management reserves the right to remove the student from the hostel on grounds of indiscipline / disobedience of hostel rules / any other ground necessitating such an action. In case of expulsion on grounds as indiscipline NO REFUND will be made.

  2. Payment of hostel fees online / otherwise does not guarantee accommodation in the hostel. This will be strictly as per merit / hostel rules.

  3. Opposite Gender are not permitted to visit inside hostels.

  4. Essentials like power supply, water and Wifi are not guaranteed during Genset failure / silence hours of hostel (11.00 P.M to 05.00 AM).

  5. Following guardians may be permitted to visit my son/ daughter during visiting hours

GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

  1. Name : Relation :__________________

GURU NANAK INSTITUTIONS IBRAHIMPATNAM RR DISTRICT501506 PH (095) 84142021202123

  1. Place :_______________________________________ Mobile :





Signature of the Student Signature of the Parent / Guardian



Date : _______________





Tags: district501506, ibrahimpatnam, 84142021202123, (095), institutions, nanak