"RESIDENTIAL ACCOMODATION" APPLICATION FORM


Residential Accomodation Details
Residential Accomodation
"RESIDENTIAL ACCOMODATION" PROPERTY ADDRESS
Room Type Details
Room Type
Stay Duration
Room Rent
Booking Amount
Student's Personal Details

Last Name
First Name
Middle Name
Gender
Correspondence Address
Permanent Address
Country
State
District
City
Studying / Working At
Institute / Office Address
Course Type
Blood Group
Date of Birth
Age
Mobile No.
Emergency Contact No.
Email Id
@example.com
Passport No
Driving License
Voter Id
Aadhar Card
College Id
Ailment / Allergy
Parent Details

Father Details
Full Name
Occupation
Mobile No.
Alternate Contact No.
Email Id
@example.com
Address
Mother Details
Full Name
Occupation
Mobile No.
Alternate Contact No.
Email Id
@example.com



Local Guardian details

Name
Address
Contact No.
Upload Group Photo
1) File should be either JPG / BMP / JPEG
2) Maximum size should be 40 kb
3) Do not capture photograph / image from Mobile
Remarks
Remarks
Academic Details

10th Details
Institute Name
Address
Country
State
District
City
12th Details
Institute Name
Address
Country
State
District
City
Photo Details
Upload Photo
1) File should be either JPG / BMP / JPEG
2) Maximum size should be 40 kb
3) Do not capture photograph / image from Mobile
Upload Signature
1) File should be either JPG / BMP / JPEG
2) Maximum size should be 40 kb
3) Do not capture photograph / image from Mobile