Contact | Kishorilal Juglal Goyal Boys Hostel Pune

Student Information

Surname

First Name

Father Name

Date of Birth

Blood Group

Mobile Number

Student Email ID

Parent Information

Full Name of Father

Parent Mobile No. 1

Parent Mobile No. 2

Parent Email ID

Personal Details

Gotra

Caste

Permanent Residential Address

Residence Telephone No.

Office Telephone No.

Medical Information

Any Allergy to Medicine?

If Yes, Give Details

History of Diseases / Ailments

Educational Details

Educational Institute Name

Course

Local Guardian Information

Guardian Name & Address

Residence No.

Mobile No.

I hereby declare that the information provided above is true and correct to the best of my knowledge. I agree to abide by the rules and regulations of the hostel management.

Admission Application Form