APPLICATION FORM FOR ADMISSION TO HOSTEL

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Instructions to Fill-up & Submit the Form-
  1. Fill-up the form completely & submit.
  2. Download the Acknowledgement.
  3. For further processing please refer the same Acknowledgement.
  4. Note - Fill up the form and submit it to the hostel warden with Rs. 100/- for the charge of the Hostel Form.
  5. Hostel No - 8340437002 (Vidya), 9304991095 (Sonali)
* Mandatory Field(s)
BASIC INFO
Class: *
1.
Applicant's Name (in block letters): *
2.
Mother's Name: *
3.
Father's Name: *
4.
Date of Birth (Input/ Select): *
5.
Caste/ Community: *
6.
Nationality*
7.
Religion: *
8.
Blood Group: *
9.
Father Info: *
Mother Info: *
10.
Guardian's Name: *
Relationship (Guardian): *
Guardian Info: *
11.
Permanent Address (Applicant): *
12.
Address where Letter in Emergency should be Sent: *
13.
Phone (Mob): *
Email ID: *
CANDIDATE'S PHOTO (JPG Only, Max File Size 1 MB)
Upload Candidate's Photo (100 X 128 PX)
APPLICATION FORM HARD COPY SHOULD BE ACCOMPANIED BY THE FOLLOWING
Enclosures
  1. Xerox Copy of Marksheet
  2. Certificate providing She is a bonafide student of Jamshedpur Women's College
  3. A medical certificate from Govt./ Mpl. Hospital/ Dispensary
  4. Certificate for Date of Birth (SS Exam)
  5. Photo copy of admission receipt and caste certificate
  6. Caste Certificate (1 Copy)
CANDIDATE'S DECLARATION
Declaration
  1. I have read the rules and regulations of the college and will always abide by them
  2. The Details provided by me in this application is true, complete & accurate to the best of my knowledge and belief.
CANCEL