SRI PARASNATH JAIN HOSTEL

(A Mission By Sri Parasnath Digamber Jain Gurukul)

5-2-200/A/4, New Osmangunj, Hyderabad-12 (T.S.)
Phone: 040-24734455, 24736677 Web: www.jaingurukul.org Email: gurukulathyd@gmail.com

APPLICATION CUM BIO-DATA

FORM S.No……………..
To,
The correspondent,
Sri Parasnath Jain Hostel,
Hyderabad.
Sir,
I, ……………………………………………………………………, request you to give me admission in your hostel.
I promise that, as a Jain Shravak I will follow all the necessary rules of the hostel. My further Details
are as follows…

PERSONAL INFO
Student’s Name :………………………………………………………………………………….
Date of Birth :………………………………………………………………………………… Affix your latest
pass- port size
Blood Group :……………………………… …………….………………….………………
photograph
Hobbies :………………………………………………………………………………….
Health/ Any Disease :………………………………………………………………………………….

FAMILY INFO
Father’s Name :……………………………………………………………………………….……………..…………………
Mother’s Name :…………………………………………………………………………………………….…..………………
Other Members :…………………………………………………………………………………………….…..………………
Occupation :………………………………………………………………………………………………………………….
Annual Income :……………………………………………………………………………………………..……….………….
Permanent Address:……………………………………………………………………………………………………..…………..
:………………………………………………………………………………………………………..………...
:Pin………………………………Phone …………………………Mob...………..……………………

EDUCATIONAL INFO (only for Students)

Class Passed :……………………………………………………………………………………………………………….....
Course Obtained :……………………………………………………………………………………………………………………
Languages Known :…………………………………………………………………………………………………………………….
Aim :…………………………………………………………………………………………………………………….
Achievements (If Any):……………………………………………………………………………………………………………….
Specialty :……………………………………………………………………………………………………………………

SERVICE INFO (only for service man)

Qualification :………………………………………………………………………………………………………………..
Past Work place :………………………………………………………………………………………………………………..
Present Work station:………………………………………………………………………………………………………………..
Declaration of the Self-Responsibilities by the Student:

I………………………………………………..……S/o………………………………………………….………….do
hereby declare that the information given by me is true. I will abide by the rules &
regulations of Hostel and co-operate with management by all means.

I. The Principles of Jainisim is strictly followed

(a) Daily Darshan

(b) During Paryushan, I will as far as possible attend Puja & Abhishek
(c) The neatness of room and surroundings will be maintained.

II. I will hold responsible for any untoward incidents, damages and
Unpleasant atmosphere caused by me. Necessary amount may be
deducted from by caution deposit in case of damage to the items caused
by me.
III. I, also promise that I will not participate in unethical & indiscipline
activities. Failing which I may be disqualified

IV. I will not claim for the partly refund of monthly maintenance if I leave
In between.
V. The Monthly maintenance will be paid befor 7th of everymonth.
VI. I will be in the hostel before 10 P.M. in case if I go out.

VII. I will not change the room without informing the Management.

Date ……………… Applicant’s Signature

Attachments:
 Residential proof.
 Past & present work place address proof. (only for working employees)
 Jain Identity proof.
Referenced/ recommended by,
Name :………………………………………………………………………………..……………………………………………………….
Address: ………………………………………………………………………..…………………………………………………………...
………………………………………………………… Phone: …………………………..…. Mob: ………………………………….

FOR OFFICE USE ONLY

The applicant…………………………………………………..… Is eligible/Noneligible for the hostel

facilities.

Date: …………………………. Correspondent