ANNEXURE I - ACCOMMODATION INFORMATION FORM

I___________________________________________________, Date of Birth (dd/mm/yyyy) __________________,

aged______S/o/D/o_________________________________ R/o _________________________________________
being admitted in Programme______________________________________________________Programme Code
__________ with Reg. No._____________________.

Here in, I undertake that I am a day scholar and (tick only 1 option):
a) I am staying with my parents.
b) I am staying with my legal guardian (attach ID proof of legal guardian with Annexure II).
c) I am staying in PG/Private/Rented accommodation (attach Annexures III, IV and V).

I hereby declare that:

 all the information either mentioned above or in enclosed documents (if any) are true and correct to the best of
my knowledge and nothing has been concealed therein.
 if any information is found to be false and incorrect than I will liable to be punished under Law in Force and
any benefits received by me will be liable to be ceased.
 in case of change in type of stay, I will resubmit this undertaking again before shifting along with other
required documents.

______________________
Signature of the Candidate Date: _________________

_____________________________
Signature of the Parent/Legal Guardian Date: _________________
(Should match with Admission Form)