Application No: 2102613

Bharathi Mens Hostel Room No.

Non-AC

HOSTEL ADMISSION APPLICATION FORM FOR THE

YEAR : 2021 - 2022
Northth Indian
NON - VEGETARIAN
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Register Numbe

r : 9921149001

Name : AHAMED SHARUN A

Date of Birth : 20-01-2000

Nation : INDIAN
Degree / Branch / Year : M.Tech / DEFENCE TECHNOLOGY / I YEAR
Institution : Kalasalingam Academy of Research and Education
Name of the Father / Mother / : abdul jabber
Address for Communication : 1/315 9 ambethkar streetmaninagarparamakudiRamanathapuram
623707

Student's Contact Details :

Mobile No. 8508181919 e-Mail: ahamedsharun2000@gmail.com

Father's Mobile No._ _ _ _ _ _ _ _ _ _Mother's Mobile No._ _ _ _ _ _ _
Relationship of Guardian to Student : _______________________________________

Occupation of Guardian to Student : _______________________________________

Name of Persorn to be contacted in case ______________________________________
parents are not reachable. :
Mobile No:_ _ _ _ _ _ _ _ _ _e-Mail:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Name of the family members Relationship with Students Contact No.

DECLARATION

I Solemnly declare that the given details are true.

Signature of Father / Guardian Signature of the Student

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HOSTEL RULES AND REGULATIONS

I. BEHAVIOUR AND DISCIPLINE
1. Hostellers are expected to display acceptable form of behaviour, maintain discipline and decorum in the hostel complex.
2. Smoking is prohibited.
3. Use of mobile phones is not permitted during study hours.
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ssion, distribution and consumption of alcoholic beverages, NON - VEGETARIAN
prohibited drugs, chewable tobacco in the hostel complex are not allowed.
5. Parties, social or political gatherings in the hostel complex are not permitted under any circumstances
6. Hostellers must return to the hostel by 7.00 p.m everyday and are not allowed to leave the hostel before 6 a.m.
7. Study hours will be maintained between 8.00 p.m and 10.30 p.m everyday. Absolute silence must be maintained during the study hours and
between 10.30 p.m to 5.30 a.m.
8. A hostel campus should be a place where students can have the best possible conditions for studying and adequate rest. As such due
consideration must be accorded to other hostellers at all times. Noise level must be kept low to allow others the opportunity to study or sleep
in comfort. Television, Radio etc provided in the common room must be switched off or volume toned down after 10:30 p.m.
These rules are intended to ensure a conducive environment for all hostellers.
9. Vandalism is a very serious offence. Hostellers found guilty of committing such an offence can be expelled from the hostel immediately.
10. The compensation for property damage will be recovered from the culprit(s).
11. In case of any unacceptable behavior by the room-mate, one must report it to the University authorities.
12. The hostellers will be allowed to go home / stay out of the hostel on submission of proper application duly authorized by parent and only if
the permission is granted in writing by the Assistant Warden/Care taker and countersigned by the Deputy Warden. Celebrations of any kind,
including birth day is totally prohibited inside University hostel premises.

II. UPKEEP OF THE HOSTEL

1. Hostellers are responsible for keeping their rooms and the common areas in the hostel such as visitors area, bathrooms, stair case, and
common room etc clean and tidy at all times.
2. All fans, lights and other electrical appliances must be switched off when not in use.
3. Cooking, making tea etc. is not permitted in hostel.
4. Common hostel furniture must not be moved without the permission of the Assistant Warden/Caretaker.
5. Any damage to the hostel property must be reported immediately to the Assistant Warden/Caretaker. Hostellers will be charged for all damages
except damages caused by normal wear and tear.
6. Pasting of posters, writings, wall chalking, slogans of any kind or defacing the hostel in any form is not allowed.
7. The hostel management reserves the right to make spot checks on the hostel rooms without having to give prior notice to the students.
8. Electricians, contractors or any other service person may enter rooms as and when necessary in the course of their duty under the direction ofthe
Assistant Warden/Caretaker. However, every effort will be made to respect the privacy and dignity of the Hostellers.
9. The hostel management reserves the right to move Hostellers to other hostel units if necessary.

III.VISITORS
1. Visitors including parents are allowed only into the visitors area of the hostel during the visiting hours as follows.Weekdays:
(Monday-Friday) - 4:30 p.m to 7:00 p.m & 7:30 a.m to 8:30 a.m.Weekend : (Saturday, Sunday) and holidays- 7:30 a.m. to 7:00 p.m
2. All visitors must register at the guard house and provide all details and documents for proof of genuineness as requested by
Security before entering the hostel complex. All visitors must leave the hostel complex by 7:00 p.m.
3. Hostellers are not permitted to allow visitors of the opposite sex into rooms at any time for whatever reason. Hostellers found
violating this rule will be evicted from the hostel.
4. Non-Hostel students are not permitted into the hostel without the permission of Hostel Authorities. The student who violates this is
answerable to the Warden.

IV RENTAL
1. Hostellers are required to pay their fees in advance. The fee is to be paid on yearly basis and must be paid at least 15 days before the
beginning of each academic year.
2. The hostel management reserves the right to increase the rental by giving one months notice.
3. The mess of all hostels shall function as a single integrated unit and shall not under any circumstances be subdivided into any kind of groups.
Mess timings will be as follows:
Break fast (Morning) 7.30 a.m to 8.50 a.m Lunch 12.30 p.m to 1.20 p.m
Snack with tea (evening) 5.00 p.m. to 6.00 p.m Dinner 7.00 p.m to 7.50 p.m
4. Mess fees is fixed for a year. Menu will be prepared by the management.
5. There is no provision for refund/carry over of any fees under any circumstances.
6. During the room allotment, check and confirm the properties available at the room. If any damages, then inform to the hostel authorities.
7. At the time of vacating the hostel, if any damages are found at the room, then all the inmates of the respective room are responsible.

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V. TERMINATION OF TENANCY
1. Hostellers can terminate the hostel tenancy by giving at least one months written notice.
2. The hostel management can end this tenancy at any time if:
(a) the hosteller fails to pay any sums due to the hostel within fifteen days of the due date
(b) if the hosteller fails to company with the terms of this tenancy.
3. Admission in the hostel cannot be claimed as a matter of right.
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refund will be made for students expelled from Hostel for disciplinary
action. Also, if a students vacates hostel after 2 months of joining
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inhostel no refund will be made.

VI SECURITY
1. Hostellers are required to carry their hostel card at all times in the premises of the hostel complex and produce it on demand by the
hostelauthorities.
2. Hostellers are advised to lock all doors at all times for security reason.
3. The hostel management is not responsible for any loss of private property. Hostellers are strongly advised to keep under safe custody all
thevaluables e.g., Laptop, Mobile, Watches, Money etc at all times.
4. Hostellers are not permitted to change rooms or sleep anywhere other than in their allotted room.
5. Any hosteller who find his/her room-mate missing for more than 24 hours, must report to the Assistant Warden/Caretaker immediately.
6. This is to enable the hostel authorities to take immediate action if any untoward incident had taken place and cooperation of hostellers will bevery
much appreciated.
7. Possessions, distribution and use of fire-arms, lethal weapons including air gun, contraband drugs, alcohol, toxic and hazardous material
arestrictly prohibited in the hostel. Keeping electric appliances such as T.V, VCR, Speaker, Heater, Iron, Oven etc., in the rooms is also
prohibited.
8. Pets are not allowed in the hostel complex.

VIILATE NIGHT PASSES

1. Hostellers should return to the hostel within the stipulated time. Occasionally, if the hosteller expects to be late (beyond 7:00 p.m), he/she should
obtain a late night pass from the Assistant Warden/Caretaker in advance and this pass must be produced to the security guard on returning to the
hostel.

VIII EMERGENCY
1. In case of any emergency, please contact the security guards at the guard house or call Hostel/University authorities. Important telephone
numbers are provided with guidelines.

IX REVISION OF RULES AND REGULATIONS

1. The hostel management reserves the right to revise the rules and regulations from time to time and will keep the hosteller informed of any
changes in the form of notices on the hostel notice boards. Ignorance of rules will not be accepted as an excuse.

IX COMPLAINTS AND SUGGESTIONS

1. Any complaints, suggestions or enquiries are always welcome.

DECLARATION BY THE STUDENT

If at any time the Hostel Warden finds, that I am not obeying the above mentioned rules, I will accept any punishment including expulsion from the
hostel. I will not make any appeal either legally or otherwise against the punishment given by the Warden and the hostel authorities. I have received the
copy of rules and regulations of the hostel.

Date :

Place : Signature of the Student

JOINT DECLARATION BY THE PARENT / GUARDIAN

I _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _F/o_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _am aware of the declaration given

by my ward. I will not make any appeal either legally or otherwise against the punishment given by the Warden for the violation of the rules and
regulations of the Hostel by my ward.

Date :
Place : Signature of the Parent / Guardian

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PERSONAL SECURITY BOND

I, Mr./Mrs._____________________________________, Aged______, residing at _____________________________________________ parent/guardian
of Mr./Ms. ______________________________ studying ______________________________________________________ programme in the Institute,
 Application No: 2102613
Bharathi Mens Hostel Room No.

Non-AC

and staying in Hostel, hereby authorize the Institute to allow my

ward to go out from the campus with properg prior
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intimation to the authorities concerned while studying at the Institute. I undertake full responsibility for all his/her actions whilst
he/she goes out of the Hostel / Institute Campus any time with or without permission of the hostel authorities. Further, I/ We
authorize, Mr./Mrs._______________, aged___________years, residing at ______________________________ ,as the LOCAL GUARDIAN of my
son/daughter/ward. He/She may avail leave and go to the above mentioned LOCAL GUARDIAN’s place as per the approved leave regulations of
Institute.

KNOW ALL MEN that we Mr./Ms (Student), admitted to programme with Reg.No.
________________________________________________ for the academic years in the Institute, Mr./Mrs.
________________________________________________ (parent/guardian) bind ourselves jointly and severally to the Institute, for the
prudent behaviour of Mr./Ms. ________________________________________________ (Student) during his/her studies in the Institute.

AND WHEREAS the said Mr./Ms ________________________________________________ (Student) has been called upon to furnish personal
security bond to Institute indemnifying the Institute against all loss and/or damage to the property, of the Institute, that might be caused by reason of
any misbehaviour and/or malpractice of Mr./Ms. ________________________________________________ (Student) during the course of his/her
studies as a prudent student. AND WHEREAS the said Institute as called upon the said Mrs./Ms. ______________________ (Student) and Mr./Mrs.
______________________________Parent/ Guardian to execute a personal bond with two sureties to that effect.

The student and the parent hereby undertake to indemnify and keep the Institute indemnified from all and every such loss and/or damage caused to the
property of the Institute from any act of the said student in the course of his/her studies within 15 days of notice of such damage or loss caused and the
Institute shall be at liberty to recover the loss along with 36 % interest per annum if such damage or loss caused is not made good within 15 days
thereof.PROVIDED ALWAYS that this bond shall cease soon after the completion of the studies of the student Mr./Ms
_____________________________in this Institute.

IN WITNESS to the above written bond and to all terms and conditions herein before contained the assigned hereunder this _______________ day of
____________________ (month and year).

SURETIES

We the sureties undertake to make good the loss caused to the Institute by the above student, if they fail to make good the loss caused in time.
I Name: Designation / Profession: Address:
II Name: Designation / Profession: Address:

Signature of the Student Signature of the Parent/Guardian

Name ___________________________________ Name
______________________________________
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