Rajiv Gandhi College Hostel, Bangalore

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APPLICATION FOR ADMISSION TO THE COLLEGE HOSTEL

Email *

Name of the Candidate *

Name of the Institution Joined

Course Joined *

Speciality Subject /Branch

Joining Year

Address

Mobile Number *

Gender

Date of Birth

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.

Send me a copy of my responses.

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