GOVERNMENT ENGINEERING COLLEGE,SECTOR-28
GANDHINAGAR
HOSTEL ADMISSION FORM
PERSONAL DETAILS :

NAME : GENDER : PERSONAL MOBILE NO. :

E-MAIL : DATE OF BIRTH : Eg. 23/10/1993

FATHER'S NAME :

PERMANENT HOME ADDRESS(POSTAL ADDRESS) :


HOME TELEPHONE NO. : FATHER OFFICE TELEPHONE NO. :

FATHER MOBILE NO. :

LOCAL GUARDIAN NAME/ADDRESS :


 PHONE NO. OF LOCAL GUARDIAN :
COLLEGE DETAILS :

BRANCH :
GENERAL DETAILS :

ACPC MERIT NO. (AS PROVIDED BY ACPC DURING ADMISSION) :

CATEGORY THROUGH WHICH YOU GOT ADMISSION IN ENGG.:

DO YOU BELONG TO PHYSICALY HANDICAPED CATEGORY? :

DO YOU BELONG TO CHILD OF DEFENCE SERVICEMAN CATEGORY? :

( PLEASE TAKE OUT THE PRINT OR SAVE(CTRL+S) THE FORM BEFORE CLICKING SUBMIT BUTTON.)



I here by declare that all the information provided by me are true as best to my knowledge. I know that in case of wrong information my appilication will not be considered for further processing without any notice.

I,__________________________________________________________________residing in Block no.________Room no._______ of Boys/Girls Hostel of Government Engineering College, Sector-28, Gandhinagar hereby declare that i know all the rules and regulation of the Hostel published in july 2012 and will abide to them in letter and spirit. I shall also abide the rules modified or framed in future. I shall never indulge myself directly or indirectly in any type of unlawful activity. This undertaking abides me for my entire stay in the Hostel. I am fully aware of that failing to observe these rules and regulations may result in cancellation of my hostel admission and disciplinary action against me.


Sign Of Students Sign Of Parents