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AMITY HOSTEL

REGISTRATION FORM [2023-2024]

Personal Particulars

Name VIDUSHI HOODA


Batch 2023-2027
Mobile No 9992228813
Email ID vidushihooda2005@gmail.com
B.Sc. - (IT) (Artificial Intelligence &Data Science / Network
Security / Programming Software Engineering / Game
Programme
Design &Development / Mobile Application Development)
(Honours / Research)
Enrollment No A010178723017
Blood Group B-ve

Family Particulars

Father Detail Mother Detail


Father Name SANJAY KUMAR Mother Name KUSUM HOODA
Occupation government officer Occupation home maker
Address E/10, sector 36, suncity , rohtak Address E/10,sector36 , suncity , rohtak
Mobile No. 8826966840 Mobile No. 9717766275
Landline No. Landline No.
Email ID sanjayhooda1973@gmail.com Email ID kusumhooda1970@gmail.com

Local Guardians Details

Local
Guardian 1 Local Guardian 2 Detail
Detail
Name ankit hooda Name Divya shukla
Relationship brother Relationship Friend
Occupation private builder Occupation student
Address E/10, sector 36, suncity , rohtak Address noida
Mobile No. 9996034423 Mobile No. 6392026053
Landline No. Landline No.
Email ID sonu.9991003063@gmail.com Email ID divyashukla1825@gmail.com

UNDERTAKING
1. I hereby affirm that I have read and understood Hostel Regulation VI, and the hostel allotment is made to me under Regulation
VI, Para IV &V(Terms &Conditions for Hostel Allotment) .
2. I understand that it is mandatory for me to read the University Regulations, Guidelines, Hostel Code of Conduct and Student
Handbook, available on my Amizone.
3. I convey my willingness to accept the Hostel Accommodation ON/OFF campus as allotted to me.
4. I certify that the above information is correct.My Hostel allotment may be cancelled and hostel fee forfeited, if any of the above
information is found to be incorrect.
5. I will inform the hostel administration immediately of any change in the status of the above information.

(Signature of Student) (Signature of Parents)


Name:_________________________ Name:_________________________
Date:_________________________ Date:_________________________

For Hostel Office use only

Date &Time : _________________________ Received By : _________________________

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