LBSITW HOSTEL APPLICATION FORM 2023-24
(This form is used to collect registration details of new hostel admission. The priority for the hostel admission will be given to students based on the  distance from their home town.)
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Name of Student *
You can enter the name same as in College records (avoid spelling mistakes).
Year of Admission *
You can enter the year same as in College records (avoid mistakes).
Course and Branch of study *
You can enter the course and branch same as in College records (avoid mistakes).
Father’s / Mother’s Name *
You can enter the name same as in College records (avoid spelling mistakes).
Contact Number (Parent)  *
Enter a valid contact number.  Preferably whatsapp number
Contact Number (Student)
*
Enter a valid contact number. Preferably whatsapp number
Contact e-mail address *
Enter valid e-mail address (avoid spelling mistakes).
 Present Address with Pincode *
 Official Address (Parent)  with State
*
STATE *
DISTRICT *
OUTSIDE  KERALA/INDIA *
IF YOU ARE PERMANANTLY RESIDING OUTSIDE KERALA/INDIA PLEASE MENTION THE PLACE
Date Of Birth *
You can enter the date of birth same as in College records (avoid spelling mistakes).
MM
/
DD
/
YYYY
Caste and Religion *
You can enter the caste and religion same as in College records (avoid mistakes).
Nationality *
You can enter the nationality same as in College records (avoid spelling mistakes).
FEE CONCESSION (PRODUCE CERIFICATE) *
(As per your cast certificate. If you are SC/ST/OEC/OBC-H , then a copy of caste certificate should be produce at  the time of  hostel admission)
Declaration

I have read and understood the Hostel Rules and Regulations and the fee structure(published in the college website). I promise to abide by them without any reservation.


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