THE LNM Institute of Information Technology, Jaipur

Form-10
Application Form for Day - Schooling
Name of the Student …...........................................................................Semester........................................
Roll. No. …………………. Department: ………………. ….. Mobile No. ……………………………….
Day Schooling Required: One Semester / Multi Semester ………………………………………………
Reason for Day Schooling: -…………………………………………………………………………..……
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Student Signature with date Signature of Guardian with date

Name of Guardian: ………………………………...
Relationship with the Guardian: ……………..……
Contact No. of Guardian: …………………………

List of supporting documents (the same need to be attached with the application): ………………..……
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Remark(s) of the Chief warden: …………………………………………………………………………

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Signature of the Chief warden Signature of the Director Signature of the Finance Officer
Date: ………………… Date: ………………… Date: …………………………