COMSATS Institute of Information Technology

COMSATS Road off G. T. Road, Sahiwal

Tel # 040-4305001-3, Fax No. 040-4305006

	Boys Hostel Application Form
DOC#CIIT-SWL/HT/FORM-01 Rev 00			
		Affix two		
Admission Form No.:___________	Boys Hostel:	____________		(for off. Use)			
					Passport		
										
										Size		
										Photographs		
Have you ever availed CIIT Hostel facility?									Here		
		Yes			No				
										
Are you availing any scholarship at CIIT Sahiwal?									
											
		Yes			No				

If yes, mention Title of Scholarship:	_____________________________________________________________

Section A:
Student’s Personal Information:
(To be filled by the applicant and must be complete in all aspects)
  Student’s Name:
(In Capital Letters)

Father’s Name:
(In capital Letters)

Guardian’s Name (if any):
(In Capital Letters)

CNIC Number:

					-								-		
															
Programme of the Study:

Registration Number:

Permanent Address:

Correspondence Address:

Personal Number: ____________________   Email: ____________________________________

Person’s name and phone number to be contacted in case of emergency:

Name:	Relationship:	Phone Number:	

Undertaking by the Applicant

I, ___________________________ S/o/ D/o______________________________ do hereby solemnly affirm and undertake that:

1.	The information given by me above is true and complete to the best of my knowledge and nothing has been concealed / suppressed. 

2.	I shall abide by all the rules, orders, instructions, information, guidelines, code, and circulars etc. in forced by the institution. 

3.	The Management will be at liberty to impose any penalty or any disciplinary action(s) on me being found guilty of, any sort of misconduct or indiscipline or disobedience or malpractice within or outside the hostel, or any act which is detrimental to the interest of the institution. 

Date:_______________________	Applicant’s Signature:_______________________

Section B:

For official Use only.

Student File No.:- _____________________________________________________________________________

Boys Hostel No.:-_____________________________________________________________________________

Room No.:-__________________________________________________________________________________

Seator No.: -_________________________________________________________________________________

Hostel Fee:__________________________________________________________________________________

Scholarship (if any e.g. ICT):____________________________________________________________________

Comments (if any):

__________________________________________________________________________________________

__________________________________________________________________________________________

Assistant Warden Name:	______________________________________________________________

Boys Hostel No:	______________________________________________________________
(Complete Address)

___________________________________________________________________________________________

___________________________________________________________________________________________

Assistant Warden’s Signature: ______________________________    Date: _________________________

Approved by:

Warden’s Signature: ________________________________    Date: _________________________

*Hostel security will be refundable within one year of leavening hostel.