Rajiv Gandhi College Hostel, Bangalore
APPLICATION FOR ADMISSION TO THE COLLEGE HOSTEL
Email address *
Name of the Candidate *
Name of the Institution Joined
Course Joined *
Speciality Subject /Branch
Joining Year
Address
Mobile Number *
Gender
Date of Birth
MM
/
DD
/
YYYY
Blood Group
Medical Health Issues
Name of the Parent
Local Guardian Name
Emergency Contact Number
Declaration
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.
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This form was created inside of Rajiv Gandhi Group of Institutions.