Professional Documents
Culture Documents
wiut Swe
Reg ID
xahil Cralasp0.0805 112003
Gender le
214o3oo
Application no.2 19403e0 Year
2221-2022
Branch
B.Te mekatuen ourse
Email Mhdnonis eng
Mobile No.
8140392350 |Id daxshilgalaBya@al.eb
Name
Parent/Guardian Information
Ha. Digeah Galassa Relationship Fatha
Occupation
Mobile No. Susina Email Id
Injo@acebxasa. Lom
975341350 Residence No.
Permanent Address
City Sbildlng
Pin Code
Namnapas State
Cuuiarak
361 oo5 Country Inola
Ihereby confirm acceptance that I have read and
understand the below documents: Student's Sign Parent's Sign-
Student Undertaking p i dm Gulg
Hostel Rules and Regulations
Hostel inventory form (ltems in the room as per
RAxhi 9ulalys
list on next page)
Fee details
Order 1D 3849 Date 16 -lo 2 02
-
Amount ||1,60, 880.co
Key issued by
Student's signature laxshil 0.
aladp
GHS
Please use blue pen only and scan the document in colour before
uploading.