PSGCAS HOSTEL

All the fields are mandatory. Type NA, If Not Applicable.
For further clarification contact Hostel Office (04224303300 Extn: 3331, 3338).

Hostel Application Form Academic Year 2023 - 2024

Admission Details

Roll No *

Upload your Last Semester / Year College fees receipt *

Programme *

Year of Study *

General Details

Student Name *

Upload your passport size photo *

Date of Birth *

Blood Group *

Other Blood Group's

Gender *

Nationality *

Religion *

Community *

Caste *

Differently Abled *

Student Mobile *

Student's Mail *

Parents Details

Annual Income (In Rs.) *

Click here if Father's Details is Not Applicable

Father's Name

Father's Occupation

Father's Mobile No.

Father's Mail

Click here if Mother's Details is Not Applicable

Mother's Name

Mother's Occupation

Mother's Mobile No.

Mother's Mail

Click here if Guardian's Details is Not Applicable

Guardian's Name

Guardian's Occupation

Guardian's Mobile No.

Guardian's Mail

Permanent Address

Address with Door No *

City *

State *

Country *

Pin Code *

Communication Address

Same as Permanent Address

Address with Door No *

City *

State *

Country *

Pin Code *

Declaration

I hereby confirm that I have carefully reviewed and fully understand the contents of the above form. I agree to all the terms, conditions, and regulations outlined within.

Hostel Details

Food Preference *

Any Special Medical Attention Required *