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  • Application For Allotment of Single Seater Room

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    The document is an application form for allotment of a single-seater hostel room at Jawaharlal Nehru University. It requests information such as the applicant's name, gender, registration number, date of birth, date of admission, details of any fellowships, previous hostel details, and choice of hostel area. The applicant must declare that the information provided is true and attach copies of relevant documents like registration records, admission orders, and fellowship orders. Sections are provided for verification of the information by the university administration and hostel authorities.

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    The document is an application form for allotment of a single-seater hostel room at Jawaharlal Nehru University. It requests information such as the applicant's name, gender, registration number, date of birth, date of admission, details of any fellowships, previous hostel details, and choice of hostel area. The applicant must declare that the information provided is true and attach copies of relevant documents like registration records, admission orders, and fellowship orders. Sections are provided for verification of the information by the university administration and hostel authorities.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    11 views1 page

    Application For Allotment of Single Seater Room

    Uploaded by

    who ami
    The document is an application form for allotment of a single-seater hostel room at Jawaharlal Nehru University. It requests information such as the applicant's name, gender, registration number, date of birth, date of admission, details of any fellowships, previous hostel details, and choice of hostel area. The applicant must declare that the information provided is true and attach copies of relevant documents like registration records, admission orders, and fellowship orders. Sections are provided for verification of the information by the university administration and hostel authorities.

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    © All Rights Reserved
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    of 1

    JAWAHARLAL NEHRU UNIVERSITY Last Date: 25th July, 2022

    OFFICE OF THE DEAN OF STUDENTS


    FORM NO. IHA – 100
    APPLICATION FOR ALLOTMENT OF SINGLE SEATER ROOM
    1. Name of the Student:
    2. Gender: Male Female 3. Whether belongs to PwD. Yes (Attach Proof) No

    4. Registration No. (As per registration folio)


    5. School & Center
    D/D M/M YYYY
    6. Date of Birth: D/D M/M YYYY
    7. Date of admission
    i) M. Phil./Ph.D integrated
    a) Date of M.Phil Viva-Voce/Promotion to Ph.D. (copy of order)
    b) Date of Ph.D confirmation (copy of order)
    ii) Date of Admission in Direct Ph.D. (copy of order/letter of Admission Branch)
    8. Total Number of semesters complete (including Winter Semester 2021) in the said Prog. of study.
    If any break due to Zero semesters, field work or any other reason (Attach copy of the relevant) order)
    9. Whether availing JRF /SRF or any fellowship, if yes, details with amount __________, HRA (if any)
    ________/-
    Funding agency___________________________________________________________(attach copy)
    10. Details of Hostel:
    S. No Name of Hostel Room No. From To
    (DD/MM/YY) (DD/MM/YY)
    1.
    2.
    3.
    * Note 1. Please Attach copy of IHA form 1. (Hostel Allotment form)
    * Note 2. Please attach Hostel vacation form along with form 1, if hostel was changed.
    11. Total No. of semester’s Double Seater hostel resident (Upto Winter Semester 2021)
    12. Choice of Hostel Area (Please mark any one): Brahmaputra other than Brahmaputra
    DECLARATION
    I hereby declare that the information given above is true to the best of my knowledge and belief and that nothing
    has been concealed. I understand that I have to vacate the hostel and wait for my turn without hostel if submit
    any false information.
    Date __________________ Mobile/Contact No._________________ Signature of applicant
    Ensure required document to be enclosed mark 
    1. Copy of Registration folio (Current)
    2. Office Order of M. Phil Viva -Voce/promotion to Ph.D. Confirmation Letter
    3. Copy of Direct Ph.D. admission order/Letter
    4. Copy of Zero Semester/Year, Field Work etc., if availed.
    5. Copies of the IHA Form No. 1 (available in your hostel file)
    6. Copy of office order/proof for change of Hostel.
    7. Copy of fellowship order (JRF/SRF etc.)
    ---------For Administration/School/Centre Use ------------------------------------------For Hostel Use-----------------------
    Verified from the record that the information given in Verified from the record that the information
    given in
    Column No. 1 to 9 is correct. Column No. 10 to 11 is correct.

    Signature of office Incharge

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