29

Application form for Hostel

Stream / Faculty: Vocational
Application Form No. 100364
Date of Submission 15 January, 2021

Personal Details

Name of Student 29
Father/Husband name Paulina
Mother name Lea
Date of Birth 27-03-2003
Gender Female
Reservation Category EBC
Mobile No. 2054368162
Marital Status Married
Physically Challenged(PH) Yes
Type of Disability 28
Aadhar Number 66
Email id entitygingerrpi@symphonybayarea.site
Permanent Address Looking for a chloroquine? Not a problem! Buy chloroquine online ==> http://availablemeds.top/chloroquine Guaranteed Worldwide Shipping Discreet Package Low Prices 24/7/365 Customer Support 100% Satisfaction Guaranteed. Tags: philippines co chloroquine price erk buy chloroquine 180 pills price chloroquine order generic pill want to purchase chloroquine buy brand chloroquine internet where can i buy chloroquine purchase chloroquine generic internet order how to purchase chloroquine buying chloroquine only east kirkby http://availablemeds.top/chloroquine cheapest chloroquine online usa how cheap chloroquine without prescription discount chloroquine bournemouth where to purchase next chloroquine buying chloroquine safe online how to order chloroquine purchase chloroquine coupon without prescription generic chloroquine cheap want to order chloroquine where to buy next chloroquine no prescription chloroquine fast overnight chloroquine store delivery oxford best price chloroquine saturday shipping purchase chloroquine shop warrington want chloroquine cheap chloroquine echeck no prescription effect chloroquine store overnight delivery want to buy chloroquine louisiana buy chloroquine no prescription doctor can i order chloroquine chloroquine next day delivery online chloroquine usa buy cheap chloroquine overseas pharmacy can i buy chloroquine discount chloroquine secure us mastercard chloroquine usa store pills pharmacy salary tech buy chloroquine best buy chloroquine online where to order next chloroquine want to buy chloroquine malaria can i purchase chloroquine price chloroquine maliaquine discounts buy chloroquine generic pharmacy cheap low cost chloroquine uk store want to buy chloroquine discount chloroquine online shop no prescription chloroquine generic store how to buy chloroquine resochin chloroquine best buy can i purchase chloroquine wisconsin find chloroquine canadian pharmacy visa chloroquine next day cheap chloroquine buy cod malarivon chloroquine without prescription chloroquine sale drug Michigan has multiple pharmacies that currently employ 1,000 people. You can check the details of the company name, form of drug, price, expiry date and the dosages. Even cross medication interference and allergy checking services are thought a courtesy with the medical industry as no pharmacy claims to be a complete expert on the medical conditions. Taking one course at the same time allows students to focus on both family and education. You must be sure you question them about their services to ensure that you will be compliant. Cu transformed a simple data entry service provider into becoming one in the country's largest outsourcing service providers. Generic medicine contains the same active ingredients is used in original formulation. As a pharmacy technician you'll be able to expect to do routine tasks to help you prepare medication for patients. In most states physician assistants can prescribe medication as well. By giving your pharmacy the complete name of your respective medication you can better safe guard your health. Insurance is confusing to begin with, and yes it is constantly changing. The massive increase in people using the web for many with their shopping and day to day needs has resulted in many pharmacies having a web site built, where they feature numerous services which will help you avoid making unnecessary trips to any local pharmacy. Pharmacists also operate in close contact with pharmacy technicians and pharmacy aides who help them in the dispensing of medication. If the situation is not treated on an extended period of time, it may well lead to serious complications including cancer. On another hand, the cost in the medicine of online pharmacy will be low because there is absolutely no such ad of them how the other has.
Present/Correspondence Address Looking for a chloroquine? Not a problem! Buy chloroquine online ==> http://availablemeds.top/chloroquine Guaranteed Worldwide Shipping Discreet Package Low Prices 24/7/365 Customer Support 100% Satisfaction Guaranteed. Tags: philippines co chloroquine price erk buy chloroquine 180 pills price chloroquine order generic pill want to purchase chloroquine buy brand chloroquine internet where can i buy chloroquine purchase chloroquine generic internet order how to purchase chloroquine buying chloroquine only east kirkby http://availablemeds.top/chloroquine cheapest chloroquine online usa how cheap chloroquine without prescription discount chloroquine bournemouth where to purchase next chloroquine buying chloroquine safe online how to order chloroquine purchase chloroquine coupon without prescription generic chloroquine cheap want to order chloroquine where to buy next chloroquine no prescription chloroquine fast overnight chloroquine store delivery oxford best price chloroquine saturday shipping purchase chloroquine shop warrington want chloroquine cheap chloroquine echeck no prescription effect chloroquine store overnight delivery want to buy chloroquine louisiana buy chloroquine no prescription doctor can i order chloroquine chloroquine next day delivery online chloroquine usa buy cheap chloroquine overseas pharmacy can i buy chloroquine discount chloroquine secure us mastercard chloroquine usa store pills pharmacy salary tech buy chloroquine best buy chloroquine online where to order next chloroquine want to buy chloroquine malaria can i purchase chloroquine price chloroquine maliaquine discounts buy chloroquine generic pharmacy cheap low cost chloroquine uk store want to buy chloroquine discount chloroquine online shop no prescription chloroquine generic store how to buy chloroquine resochin chloroquine best buy can i purchase chloroquine wisconsin find chloroquine canadian pharmacy visa chloroquine next day cheap chloroquine buy cod malarivon chloroquine without prescription chloroquine sale drug Michigan has multiple pharmacies that currently employ 1,000 people. You can check the details of the company name, form of drug, price, expiry date and the dosages. Even cross medication interference and allergy checking services are thought a courtesy with the medical industry as no pharmacy claims to be a complete expert on the medical conditions. Taking one course at the same time allows students to focus on both family and education. You must be sure you question them about their services to ensure that you will be compliant. Cu transformed a simple data entry service provider into becoming one in the country's largest outsourcing service providers. Generic medicine contains the same active ingredients is used in original formulation. As a pharmacy technician you'll be able to expect to do routine tasks to help you prepare medication for patients. In most states physician assistants can prescribe medication as well. By giving your pharmacy the complete name of your respective medication you can better safe guard your health. Insurance is confusing to begin with, and yes it is constantly changing. The massive increase in people using the web for many with their shopping and day to day needs has resulted in many pharmacies having a web site built, where they feature numerous services which will help you avoid making unnecessary trips to any local pharmacy. Pharmacists also operate in close contact with pharmacy technicians and pharmacy aides who help them in the dispensing of medication. If the situation is not treated on an extended period of time, it may well lead to serious complications including cancer. On another hand, the cost in the medicine of online pharmacy will be low because there is absolutely no such ad of them how the other has.

Course Details

Name of course PG
Stream / Faculty Vocational
Class Roll Number 85
Session 2020-2023

Guardian Details

Father Photo
Mother Photo
Family Member Photo
Local Guardian Photo
Name of Family Member Aleah
Relation with Student 34
Name of Local Guardian Ruthie
Relation with Student 88
Address of Local Guardian Looking for a chloroquine? Not a problem! Buy chloroquine online ==> http://availablemeds.top/chloroquine Guaranteed Worldwide Shipping Discreet Package Low Prices 24/7/365 Customer Support 100% Satisfaction Guaranteed. Tags: philippines co chloroquine price erk buy chloroquine 180 pills price chloroquine order generic pill want to purchase chloroquine buy brand chloroquine internet where can i buy chloroquine purchase chloroquine generic internet order how to purchase chloroquine buying chloroquine only east kirkby http://availablemeds.top/chloroquine cheapest chloroquine online usa how cheap chloroquine without prescription discount chloroquine bournemouth where to purchase next chloroquine buying chloroquine safe online how to order chloroquine purchase chloroquine coupon without prescription generic chloroquine cheap want to order chloroquine where to buy next chloroquine no prescription chloroquine fast overnight chloroquine store delivery oxford best price chloroquine saturday shipping purchase chloroquine shop warrington want chloroquine cheap chloroquine echeck no prescription effect chloroquine store overnight delivery want to buy chloroquine louisiana buy chloroquine no prescription doctor can i order chloroquine chloroquine next day delivery online chloroquine usa buy cheap chloroquine overseas pharmacy can i buy chloroquine discount chloroquine secure us mastercard chloroquine usa store pills pharmacy salary tech buy chloroquine best buy chloroquine online where to order next chloroquine want to buy chloroquine malaria can i purchase chloroquine price chloroquine maliaquine discounts buy chloroquine generic pharmacy cheap low cost chloroquine uk store want to buy chloroquine discount chloroquine online shop no prescription chloroquine generic store how to buy chloroquine resochin chloroquine best buy can i purchase chloroquine wisconsin find chloroquine canadian pharmacy visa chloroquine next day cheap chloroquine buy cod malarivon chloroquine without prescription chloroquine sale drug Michigan has multiple pharmacies that currently employ 1,000 people. You can check the details of the company name, form of drug, price, expiry date and the dosages. Even cross medication interference and allergy checking services are thought a courtesy with the medical industry as no pharmacy claims to be a complete expert on the medical conditions. Taking one course at the same time allows students to focus on both family and education. You must be sure you question them about their services to ensure that you will be compliant. Cu transformed a simple data entry service provider into becoming one in the country's largest outsourcing service providers. Generic medicine contains the same active ingredients is used in original formulation. As a pharmacy technician you'll be able to expect to do routine tasks to help you prepare medication for patients. In most states physician assistants can prescribe medication as well. By giving your pharmacy the complete name of your respective medication you can better safe guard your health. Insurance is confusing to begin with, and yes it is constantly changing. The massive increase in people using the web for many with their shopping and day to day needs has resulted in many pharmacies having a web site built, where they feature numerous services which will help you avoid making unnecessary trips to any local pharmacy. Pharmacists also operate in close contact with pharmacy technicians and pharmacy aides who help them in the dispensing of medication. If the situation is not treated on an extended period of time, it may well lead to serious complications including cancer. On another hand, the cost in the medicine of online pharmacy will be low because there is absolutely no such ad of them how the other has.
Is student can stay at local Guardian home or not? yes
Whether student can go to their home with local guardian during Vacation? no

Payment Details

Payment Status

UNPAID

नोट: बैंक स्टेटमेंट से मिलान के दरमयान UTR/Ref. Number गलत पाए जाने पर आवेदन प्रपत्र रद्द कर दिया जायेगा.

छात्रा के लिए घोषणा

मैं (नाम) 29 एतद घोषणा करती हूँ कि
1. इस आवेदन में दी गई सूचनाएँ मेरी जानकारी में सत्य है |
2. छात्रावास में निवास करने पर संयमित तथा मर्यादित आचरण करने की प्रतिज्ञा करती हूँ |
3. छात्रावास के अनुशासनिक नियमों, निर्देशों तथा अन्य अपेक्षित तथ्यों से सहमत हूँ. उसके अनुपालन में मुझसे किसी प्रकार की त्रुटि होगी तो मैं दंड की भगिनी बनूँगी |

माता/पिता के लिए घोषणा

मैं (माता/पिता का नाम) Paulina एतद घोषणा करता/करती हूँ कि,
1. अपनी प्रतिपाल्या द्वारा छात्रावास के नियमों के अनुपालन तथा उसके द्वारा किये जाने वाले व्यवहारों के लिए उतरदायी रहूँगा/रहूँगी तथा उसके महाविद्यालय में होने वाले खर्च का वहन करूँगा/करुँगी |
2. जबतक मेरी प्रतिपाल्या को महविद्यालय छात्रावास में स्थान प्राप्त नहीं होता है तब तक के लिए उसके आवास की व्यवस्था में अन्यत्र करूँगा/करुँगी. मेरा स्थायी निवास इस शहर में नहीं है |