UNIVERSITY OF ENGINEERING AND TECHNOLOGY TAXILA

SENIOR WARDEN OFFICE

APPLICATION FORM FOR Summer/Internship FOR 2024
GIRLS HOSTEL
1. Name: 2. Reg. No.

3. Cell No. 4. CNIC No.

5. Session: ____________

6. Father’s/Guardian’s Name:

7. Father’s/Guardian’s Cell No.

8. Home Address:

9. Reason to Stay (Summer/Internship) :

10. Subjects to be taken (in case of Summer):

11. Duration and place (in case of Internship):

DECLARATION: I hereby declare that:

a) All the entries in this form are correct to the best of my knowledge and belief.
b) If any information is found incorrect, I shall be liable for any penalty imposed by the hostel administration.

NOTE:
a) Submit this form with original fee challan submitted for summer.
b) Submit this form with call letter of internship and get this application form signed from parents/guardian for
internship.

_______________________
Signature of the Applicant

Allotted Hostel ________________and Room # ___________

_____________________________________
Signature of Warden / Resident Tutor (RT)

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