Passport size

GURUCHARAN COLLEGE, SILCHAR-4 Photographs

HOSTEL ADMISSION FORM
SESSION: 2023-2024 of the
student

1. Name of the Student:......................................................................................................

(In Block Letters)
2. Father’s Name:................................................................................................................
3. Mother’s Name:...............................................................................................................
4. Permanent Address with Contact No.:............................................................................
.............................................................................
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5. Present Address with Contact No.:..................................................................................
...................................................................................
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6. Name of Local Guardian:................................................................................................
Relationship with Local Guardian:.................................................................................
Address with Contact No.: .............................................................................................
.............................................................................................
.............................................................................................
7. Class in which to be admitted:.................................Roll No.:.........................................
Date of Admission:..........................................................................................................
8. Percentage of Marks secured in the last Board/Council Exam Passed:...........................
(Submit a self attested copy of Marksheet and Fee Card)
9. Category: Please tick any one (General/SC/ST/OBC/MOBC)
10. Whether the applicant was a Hostetler before: Yes/No
11. Details of Fees: 1. Admission Fees: Rs. 500.00 2. Seat Rent: 6000.00
3. Caution Deposit: Rs. 500.00 4. Maintenance: 4000.00

I hereby declare that I shall abide by the Rules, Orders & Discipline of the Hostel. If I am
found to have been guilty of break any rules or orders of the College or Hostel, my admission
in the hostel shall be liable to cancel.

................................................................ ....................................................
Signature of the Parent/ Local Guardian Signature of the Student

For Office Use

Hostel Superintendent Recommendation Principal’s Order

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Signature of Hostel Superintendent Signature of Principal

G. C. College, Silchar G. C. College, Silchar

1. Caution Deposit (Refundable): 2.Admission Fees:

3. Seat Rent (Annually):
4. Maintenance:

Signature of Cashier

N.B.: 1. Messing deposit is to be paid to the Hostel Superintendent every month.

2. Facilities of the Hostels can be seen in the prospectus.