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    Application Form For Hostel Accomodation (2018-19) Saket Bhawan

    Uploaded by

    rajan
    1) The document is an application form for hostel accommodation at Bundelkhand Institute of Engineering & Technology for the 2018-19 academic year submitted by Sonu Gupta. 2) It provides Sonu Gupta's personal details like name, father's name, address, academic details including branch of study, year of study, percentage in first year, and contact details. 3) It also includes details of fees to be paid, bank account details, declaration of truth of information provided and agreement to follow hostel rules.

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    Application Form For Hostel Accomodation (2018-19) Saket Bhawan

    Uploaded by

    rajan
    33 views1 page
    1) The document is an application form for hostel accommodation at Bundelkhand Institute of Engineering & Technology for the 2018-19 academic year submitted by Sonu Gupta. 2) It provides Sonu Gupta's personal details like name, father's name, address, academic details including branch of study, year of study, percentage in first year, and contact details. 3) It also includes details of fees to be paid, bank account details, declaration of truth of information provided and agreement to follow hostel rules.

    Original Title

    StudentHostelRegistration.pdf

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    1) The document is an application form for hostel accommodation at Bundelkhand Institute of Engineering & Technology for the 2018-19 academic year submitted by Sonu Gupta. 2) It provides Sonu Gupta's personal details like name, father's name, address, academic details including branch of study, year of study, percentage in first year, and contact details. 3) It also includes details of fees to be paid, bank account details, declaration of truth of information provided and agreement to follow hostel rules.

    Copyright:

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

    Application Form For Hostel Accomodation (2018-19) Saket Bhawan

    Uploaded by

    rajan
    1) The document is an application form for hostel accommodation at Bundelkhand Institute of Engineering & Technology for the 2018-19 academic year submitted by Sonu Gupta. 2) It provides Sonu Gupta's personal details like name, father's name, address, academic details including branch of study, year of study, percentage in first year, and contact details. 3) It also includes details of fees to be paid, bank account details, declaration of truth of information provided and agreement to follow hostel rules.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    Bundelkhand Institute of Engineering & Technology, Jhansi

    (An Automonous Institute Funded by U.P. Government)

    APPLICATION FORM FOR HOSTEL ACCOMODATION ( 2018-19 )

    Hostel Name : SAKET BHAWAN


    Roll No. : 1704351028

    Percentage Marks of 1st


    : 66.00
    Year
    Whether Physically
    : NO
    Handicapped?(Yes/No)

    Student Mobile No. : 8923959019


    Email Address : SONUBADLAS1998@GMAIL.COM
    Blood Group : O+
    Semester : 4
    Adhar Card No. : 951240311454
    Branch : B. TECH. CHEMICAL ENGINEERING

    Student's Name : SONU GUPTA Father's Name : PRAMOD KUMAR GUPTA


    Father's Mobile No. : 7417010341 Mother's Name : RAJKUMARI GUPTA
    Mother's Mobile No. : 9012284241

    Address

    Permanent Address : BANK BALI GALI NO.3 RAMNAGAR FIROZABAD


    Permanent Pincode : 283203

    Correspondence Address : BANK BALI GALI NO.3 RAMNAGAR FIROZABAD


    Correspondence Pincode : 283203

    Fee Detail

    Mess Charge Amount (in Rs.): 14,000.00 Mess DD/Trans. No. : BIET0000024191

    Institute Fee Amount (in Rs.) : 65,400.00 Bank Transaction No. : BIET0000013942

    Student Bank Detail

    Candidate Bank A/C No. : 3635188875 Name of A/C Holder : SONU GUPTA

    IFSC Code : CBIN0283295 Bank Name : CENTRAL BANK OF INDIA

    Declaration
    The information furnished by me as mentioned above is true to the best of my knowledge and belief. At any
    stage if the information is found to be false or incorrect, I shall be liable to any disiplinary action against me. I
    shall abide by the hostel rules and regulations as applicable from time to time. If i am found in any case of act
    if indiscipline, I shall be expelled from the hostel/Institute. I shall not be indulged in any act of ragging.

    (Signature of Candidate)

    Allotted Room No. :

    (Warden's Signature)

    PRINT AS ON : 21/12/2018 PAGE 1 OF 1

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