Hostel Admission Form 2022

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NATIONAL INSTITUTE OF FASHION TECHNOLOGY, CHENNAI

An Institute of Design, Management & Technology


A statutory Institute governed by the NIFT Act, 2006
Ministry of Textiles, Government of India

HOSTEL REGISTRATION FORM 2022


FOR OFFICE USE ONLY
Receipt No. :
Nature of Admission: Regular/ NRI / Diploma
Floor: Room No.
Type of accommodation: AC / Non-AC

All details to be written in uppercase including email id

1. Name of the student:


Affix passport
2. Unique Id No. : size
photograph
(Academic Roll No. for eg.BD/20/0001)
3. Date of Birth:
4. Gender:
5. E-mail ID (student’s):

6. Course: UG - FD / AD/ TD /LD/ FC/ KWD/ BFT


PG - MFM/ MFT
UG Diploma/ PG Diploma Affix
stamp size
7. Parents details: photograp
h of Father

FATHER’S NAME
OCCUPATION
OFFICE ADDRESS
RESIDENCE ADDRESS
LANDLINE TELEPHONE No.
MOBILE No.
EMAIL ID
Affix stamp
size
photograph
of Mother

MOTHER’S NAME
OCCUPATION
OFFICE ADDRESS
LANDLINE No.
MOBILE No.
EMAIL ID

8. LOCAL GUARDIAN DETAILS Affix stamp


size
Kindly note: Students are allowed to visit their authorised Local Guardian ONLY.
photograph
They are not allowed to visit their friends’ residence/friends’ LG at any of Local
Circumstances. If there is no Local Guardian, you may mention Guardian
NOT APPLICABLE
NAME
RELATIONSHIP DETAILS
OCCUPATION
OFFICE ADDRESS
RESIDENCE ADDRESS
LANDLINE TELEPHONE NO.
MOBILE NO.
EMAIL ID
9. ALTERNATE ADDRESS FOR CORRESPONDENCE: (If Any)
ADDRESS 1 ADDRESS 2

[Any changes in the contact details of parent and local guardian, kindly furnish the same to
the hostel warden through the mail id provided]
10. DECLARATION:
I hereby affirm that the statement made and information furnished by me in the Hostel
application form is true and correct, further I undertake if admitted, abide by the NIFT Hostel
Resident Rules. Final decision for grant of admission to the hostel will be bound to me decided
by Competent Authority of NIFT.
I clearly understand that
i. the allotment of rooms to students and mode of occupancy is not a matter of right.
ii. NIFT will make all efforts to provide emergency medical care but the Institute cannot
be held responsible for any eventuality.
iii. I am responsible for seeking Medical/Clinical advice for all my ailments, disease,
infection from campus doctor or outside and take necessary care and take
medicines/treatment.
iv. I am responsible for all my belongings.
v. I am responsible for my behaviour inside and outside NIFT campus & Hostel.
vi. I have seen and read NIFT hostel Resident Rules and any case of non-compliance by
me, the institute has right to expel me from the hostel without any notice in writing.
NIFT will not be responsible for illegal and unauthorized activity attempted by me.

Student signature:

Parents Signature:

Local Guardian Signature:

Date:
Station:
(Name of Hometown)

Note: This form should be submitted in person at the time of room allotment, when you
reach college campus. Kindly enclose NEFT details of HOSTEL FEE payment, copy of
Academic Admission receipt along with this form.

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