Keshav Mahavidyalaya's Girls Hostel Re-Admission Application Form
This form needs to be filled by 2nd and 3rd year students
-- who have availed the College Hostel accommodation earlier and wish to re-apply
-- those who wish to apply afresh

Last date to apply for Hostel -- July 14, 2017 i.e. Friday
Display of list of selected students on College Website -- July 17, 2017 i.e. Monday
Online Payment of Fees -- 17 to 19 July, 2017

Name
Your answer
Whether College Hostel Accommodation Availed earlier
Nationality
Your answer
Course (Section)
Semester (in July 2017)
Roll No.
Your answer
Mobile
Your answer
Email ID
Your answer
Year in which you enrolled for this course
Your answer
Category
Father's Name
Your answer
Father's Occupation
Your answer
Father's Mobile
Your answer
Father's Email
Your answer
Mother's Name
Your answer
Mother's Occupation
Your answer
Mother's Mobile
Your answer
Mother's Email
Your answer
Permanent Address
Your answer
Telephone No. (with STD code)
Your answer
Local Guardian's Name
Your answer
Relation With Student
Your answer
Local Guardian's Address
Your answer
Local Guardian's Mobile
Your answer
Local Guardian's Email
Your answer
Previous year marks (aggregate %)
Your answer
Admission through
Known allergies (if any)
Your answer
Do you suffer from any chronic ailment?
Give details of the ailment (if any)
Your answer
Any specific Medication required?
Your answer
Any other detail you would like to provide?
Your answer
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