nf{k.

k fcgkj dsUnzh; fo'ofo|ky;

CENTRAL UNIVERSITY OF SOUTH BIHAR
Hostel Administration

Form No 2: Room Allotment Slip

I, __________________S/D of ____________________
admitted to Programme _, Semester _____
Enrollment No. ____________ __________ allotted Room no. in hostel name
.

The following items have been provided to me by the institution during my

period of accommodation.

S. No. Items provided the Hostel Sign. of the student Sign. of the Hostel
(With Number) while getting the Attendant while
items from the receiving the items
Hostel attendant from the student
1. Bed
Asset No.
2. Table
Asset No.
3. Chair
Asset No.

I hereby undertake that I will be responsible for losing, damaging any of

abovementioned items provided to me and follow all the norms of the hostel
given to me orally as well as in writing.

Date: (Signature of the student)

(Signature of Warden with seal)