83
Application form for Hostel
Stream / Faculty:
Vocational
Application Form No.
100339
Date of Submission
14 January, 2021
Personal Details
Name of Student
83
Father/Husband name
Lourdes
Mother name
Brittanya
Date of Birth
23-08-1985
Gender
Female
Reservation Category
GENERAL
Mobile No.
6602466773
Marital Status
Unmarried
Physically Challenged(PH)
No
Type of Disability
83
Aadhar Number
81
Email id
eritreanstungrcm@stuffedgrow.site
Permanent Address
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Present/Correspondence Address
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Course Details
Name of course
BCA
Stream / Faculty
Vocational
Class Roll Number
39
Session
2020-2022
Guardian Details
Father Photo
Mother Photo
Family Member Photo
Local Guardian Photo
Name of Family Member
Jewel
Relation with Student
20
Name of Local Guardian
Skylah
Relation with Student
60
Address of Local Guardian
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Shop and compare the prices offered when compared to the local pharmacy. They are paid in salary instead of hourly wages. Aspiring techs should check out the range of possible online pharmacy technician training opportunities before making the important decisions about education for being a pharmacy technician.
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Is student can stay at local Guardian home or not?
no
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) 83 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) Lourdes 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 |