MLR Group of Institutions hostel students information 2020-21
contact details for Boys hostel: Mr. Santhosh - 9347796501, rajesh- 6301075776, Mr. Sanjay 9848485168 ,Dr. T.S. Arulananth- 9962597724, Dr. E. Sivakumar - 8778420491, Mr.Mantheep-9154123468, Mr. Srikanth-7569345153, for Girls hostel:  Ms. Rajeshwari- 8297247773, Mrs.Vaishnavi
Sign in to Google to save your progress. Learn more
Email *
Students's full name: *
Your college:   *
Your department: *
Year/semester of study: *
your Sex: *
Your blood group: *
Your permanent address with pin code: *
Your mobile number: *
Your whatsapp number: *
Your alternate email id: *
Your food preference: *
Any specific health issues: *
 Mode of admission: *
Parent’s information’s:                                                              Father’s name: *
Contact number: *
Occupation: *
Office number (if applicable):
Mother’s name: *
Contact number:
 Mother's occupation: *
Parents address for communication: *
Guardian's information’s (if applicable):                             Name of the Guardian:
Contact number:
Guardian's address for communication:
 payment made by: *
Your payment bill No's: *
Are you interested to play anyone *
Are you paid full hostel fees? *
If you  not paid the full fee, how much balance in your hostel fees? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of MLR Institute of Technology. Report Abuse