Rajiv Gandhi College Hostel, Bangalore
APPLICATION FOR ADMISSION TO THE COLLEGE HOSTEL
Name of the Candidate
Name of the Institution Joined
Rajiv Gandhi Institute of Technology
Sri Rajiv Gandhi College of Dental Sciences & Hospital
Kamala College of Nursing
Sanjay Gandhi College of Education
Sir M Visvesvaraya Institute of Commerece & Administration
Rajiv Gandhi Medical Hospital
Bachelor of Engineering
Bachelor of Dental Surgery
Bachelor of Sceince (Nursing)
Bachelor of Education
Bachelor of Commerce
Bachelor of Business Administration
Master of Technology
Master of Dental Surgery
Master of Business Administartion
Speciality Subject /Branch
Date of Birth
Medical Health Issues
Name of the Parent
Local Guardian Name
Emergency Contact Number
I, the above mentioned candidate do hereby declare that all the information mentioned above are true and correct. I will strictly abide by the rules and regulations of the college and hostel. I shall pay the fees regularly as per the time schedule notified by the college and hostel.
I shall give minimum 2 months prior notice in case I want to vacate the Hostel. I shall clear all the dues, obtain No Due Certificate and take the written permission from the College Office for vacating the Hostel.
Send me a copy of my responses.
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This form was created inside of Rajiv Gandhi Group of Institutions.