Paste Recent Paste Recent Passport size Passport size ACCOMMODATION INFORMATION FORM. coloured coloured Photograph of Photograph of Father Mother re ate of ith (dcimmiyyyy aged Sio)Dio. Ri being admitted in Programm Programme Code. with Provisional Reg, No. Herein, | undertake that | am a day scholar and (tick only 1 option) 1 1am staying with my parents 1 1am staying with my legal guardian (attach ID proof of legal guardian with I) 1 1am staying in PG/Private/Rented accommodation (attach Annexures IB, IC and ID), I nereby declare that + all the information either mentioned above or in enclosed documents (if any) are true and correct and nothing has been concealed therein, + if any information is found to be false and incorrect than | will iable to be punished under Law in Force and any benefits received by me willbe liable to be ceased, + incase of change in type of stay, | will resubmit this undertaking again before shitting along with other required documents. mo Signature of the Candidate Date: mo Signature of the Parent/Legal Guardian Date: (Should match with Admission Form)