Chhatrapati Shahu Ji Maharaj University , Kanpur Application For Admission in Hostel Session 20__-20__ { ote: Dont leave any fel blank, Incomplete appation wl not be coslered) 41, Student Name (in HIND! Student Name (in ENGLISH): Father's Name: Mother's Name: Class: Permanent Address: Pin Code va « Attach Current Resident Proof sewn 6. Local Guardian's Name: 7. Local Address Pin Code « 8. General/ Sc/ST/OBC (attach Certificate) 9. Attach Educational Marksheet &Certifcate = 10. Mobile Number of Studer... Father & Guardian Mobile number... 11. Fee Receipt number and date (attach photocopy) mm Photo Father/Guardian Signature Signature of Student Approval of Director/Head vw Son/Daughter Shri... Student, Class. . in Department/institut.. part. hhas admitted , his behavior is satisfactory. | approved his/her admission in the Hostel. Date Sign & Stamp of HOD {To be filled by office) of Hostel Application Form .. 12, Date of submis 13. Date of receiving Hostel fees/Chalan nun 14. Hostel Fees and Mess Fees submit respectively Rs 15, Name of the Hostel 16. Room Number of the Hostel Sign of Clerk Sign of Warden Scanned with CamScannerGRAM : UNIVERSITY 2570301,2570450 (0) FAx % 051282570006 2570882(R) paula we of Ferret fazafferea, CHHATRAPATI SHAHU JI MAHARAJ UNIVERSITY, KANPUR © Boy’s / Girl’s Hostel Fee Structure 2020 — 2021 Hostel Charge/Rent S.No. | Name of Hostel Current Room Rent Fees of Hostels T__ | Shivaji Boy’s Hostel Rs. 21,600.00 2 ‘Swarn Jayanti Boy’s Hostel Rs. 29,400.00/- 3 TypeA Rs, 14,400.00 Girls Hostel Type B Rs. 21,600.00/- Type Rs. 24,000.00/- Hostel of Demand Draft In Favour of “Finance Officer C.S.J.M.University Kanpur” Payable at Kanpur, Boy’s / Girl's Mess Fee Structure 2020 ~ 2021 Fooding Charge Taxes/GST Mess will Run for 11 Months Amount — 2625/-x11 months = Rs, 28,875/- Mess of Demand Draft In Favour of “CSJMU Hostel Mess Fees Collection” For Transfer of Amount : Go To Your Payment App Then. Select A/C Transfer Enter A/C No : 2400100002137 AIC Name : CSIMU Hostel Mess Fee Collecion IFSC : BARBOCSUKAN CHIEF WARDEN CSJM UNIVERSITY KANPUR Scanned with CamScanner. WAAR 8 orarare STS eRe Ur fer way wa sleet TE , 1, atest BEF L Nn . BT AER aes (Graafe) e fier or sme ors (SraTafa) 4. ary Pret fafaa are (ara ste at era) 5. Greet wre we (Graf) . 6. Pearce A were S Ber wT wy, 7. Bea wa Ye Toso A aM aA VAT BY, 8. Reet te Ye Gogo aw aM ares oT RY, 9. Para arr ua (orem) 10.70 TAT TA 44. nf wAToT Ta (oTaTaTe) yer Shera. wr fe arg Scanned with CamScanner