Shri Mata Vaishno Devi University

(O/o Dean, Students Welfare)

Kakryal, Katra - 182320, J&K-01991-285535, 285634, Fax: 01991-285732
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Hostel Admission Form
Affix your Self-
(Form to be filled in Capital letters only. No column should be left blank) Attested Passport
Size Photograph
1. Name: __________________________________________________________________
2. Name of Father/Mother/Guardian:_______________________________________
3. Name of the Course: ___________________________________________________
4. Entry Number:_________________________________________________________
5. Permanent Address: H.No./Qtr.No./Flat No.__________ Lane No._______ Ward No._________
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Village:________________________ Post Office:_____________________ Tehsil:_________________
District: ______________________ State:_______________________ Pin Code:__________________
6. Address for Correspondence: H.No./Qtr.No./Flat No._______ Lane No._____ Ward No._____
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Village:________________________ Post Office:_____________________ Tehsil:_________________
District: ______________________ State:_______________________ Pin Code:__________________
7. Parents contact Number(s):_____________________________________________________________
8. Name of Person & Contact No.(In case of emergency):____________________________________
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9. List of object(s), in case you are Allergic to:______________________________________________
10. Blood Group:__________________________________________________________________________

Signature of the Parents/ Guardian Signature of the Student

Contact no.:____________

For Official Use

Room No…………………..… Block……………….…….of ………..……………………. Hostel is allotted.

Signature of the Caretaker

Signature of the Warden