Name 
Father's Name 
Address for Correspondence
Contact No. 
Course

Note:Hostel Charges including mess charges
Details below ( Breakfast, Lunch, Tea and Snack & Dinner)






For Three sharing Rs.40,000/-
For Two sharing without AC Rs.50,000/-
For Two Sharing with AC Rs.60,000/-
Security (Refundable) Rs.2,000/-
Select Your Room
Enter Your Amount 







Details of Demand Draft
DD No 
DD Date 
DD Amount 
Bank 
DD in Favour