UNIVERSITY OF ENGINEERING AND TECHNOLOGY TAXILA

S E N I O R W AR D E N O F F I C E

APPLICATION FORM FOR HOSTEL ALLOTMENT 2018-19

1. Name ___________________________ 2. Cell No. _______________________

Affix a
3. Regd. No. _____________________ 4. Blood Group ___________________ Recent
5. Father’s/Guardian’s Name ______________________________________________ Passport Size
Photograph
6. Father’s/Guardian’s Cell No. ____________________________________________

7. Home Address (PERMANENT): ______________________________________________________________

8. Home Address (CURRENT): ________________________________________________________________

9. Home Tel # ________________________ 10. Student E-mail address _______________________________

11. Student Facebook ID _______________________ 12. CGPA up to last Result:______________________

13. Present Status: Resident / Non-resident CIRCLE THE CORRECT ONE

14. If Resident, Existing Room No. __________________ Name of Hall: ________________________________

15. If Non-Resident, Reason for allotment: __________________________________________________________

(ATTACH EVIDENCE IN SUPPORT OF THIS REASON)
______________________________________________________________________________________________

Declarations:
 I hereby solemnly declare that ALL THE INFORMATION PROVIDED ABOVE IS CORRECT TO THE BEST OF MY KNOWLEDGE.
 I hereby solemnly declare that if I am provided accommodation in hostel, I will always abide by the rules and regulations governing the students discipline,
hostel and allotment etc. being in force or will come into force at any time in future during my stay at the University.
 I also understand that I may be expelled from the hostel along with the forfeiture of my hostel fees for misconduct.
 I will not involve myself in any political and / or COMMUNITY-BASED group activity in the hostel as well as in the University.
 In case I decide to live somewhere else, I’ll immediately inform hostel administration and I will get my allotment cancelled.
 In case anyone of my roommates cease to live in hostel, I will immediately inform the hostel administration.
 I understand that all the resident students are bound to pay fixed monthly MESS SERVICE CHARGES irrespective of no. of meals taken from hostel mess.
 I will also obey the orders / instructions of the hostel administration issued or communicated to me from time to time.

Signature of the Applicant

Received hardcopy of application for hostel allotment 2018-2019.

Your Form Submission ID is __________________

To complete your application, click and go to:

https://goo.gl/forms/rkh5LI53ELuFwN333
Submit your data on the online form. Remember your Form Submission ID during online
form submission. Your application will not be entertained if not submitted online within 48
hours of submission of form in the office.
_________________________________
Receiving Assistant’s Name & Signature

THIS FORM CAN BE DOWNLOADED FROM http://www.uettaxila.edu.pk/Hostels.asp