GOVT.

COLLEGE OF ENGINEERING AND TECHNOLOGY,

CHAK BHALWAL, JAMMU
BOYS HOSTEL ADMISSION FORM

Photograph

1. Name of the Student :_____________________________________

2. Parentage :_____________________________________
3. Semester:________ Enrolment No:________ Branch:________________
4. Home Address:_______________________________________________
___________________________________________________________________________
5. Residential Phone No._______________ Mobile No.________________________________
6. Occupation of the Father/ Guardian:______________________________________________
7. Monthly income of the father/Guardian:____________________________________________
8. *Rank of the applicant as per JKCET Merit List ____________________________________
(For 1st semester students only)
9. *Total aggregate marks obtained in previous passed Semesters ______________________
(For semesters other than 1st semester only)
10. Backlog of Previous semesters (if any) :______________________________________________
11. *Medical illness (if any) :______________________________________________
12. Date of Birth :______________________________________________
13. Nationality :______________________________________________
14. District to which belong :______________________________________________
15. *Emergency Contact
Name Occupation Ph. & MobilePostal/Residential
No. Email ID
Address
 16* State if any disciplinary action has been taken against you during your previous stay in the hostel-
premises _______________________

Signature of the applicant

* Mandatory fields
Documents to be attached with application form.
1. Mark sheets of pervious semesters:-
2. State subject
3. Affidavit self and parents.

RECOMMENDATION FOR ADMISSION

Mr._________________ S/O Sh._____________________Semester _____Enroll. No______

Branch ____________is a bonafied student of this College. As he has no suitable local lodging, he
is recommended for being accommodated as a boarder under rules.

Convener Hostel Committee

Approved for admission

Principal Hostel Warden

For office use

Accounts Section:
Received an amount of Rs._________ on account of Hostel fees and Rs-----------------
as Mess Fees as prescribed by the College.
Cashier
 Affidavit to be submitted by the Students

I solemnly affirm and declare that I have read the hostel Rules and will abide by the

rules and regulation promulgated from time to time. I am seeking admission with the

clear understanding that any undesirable activity on my part inside and outside the

hostel, will subject me the risk of cancellation of my admission without any noticed.

Affidavit to be submitted by the Parents/ Guardian

Certified that the applicants namely ________________________ is my ______ and

seeking admission in the hostel with concurrence. I stand guarantee for his good

behavior during his entire course. In case of my undesirable activity on his part in the

hostel will subject him on the risk of cancellation of his admission without any notice.

Signature of the parents

*Affidavit attested by the first class Judicial Magistrate