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Adobe Scan 10-Jul-2023

1. The document is a hostel admission form for NSCB Medical College in Jabalpur. 2. It provides details of 8 students who have been admitted to the hostel including their name, batch, and room number. 3. The form outlines the terms and conditions for hostel admission, including obeying instructions of wardens, paying dues on time, vacating within 7 days of course completion, and prohibitions around drugs, opposite-sex visitors, unauthorized room use, and damage of property.

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akshay
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30 views2 pages

Adobe Scan 10-Jul-2023

1. The document is a hostel admission form for NSCB Medical College in Jabalpur. 2. It provides details of 8 students who have been admitted to the hostel including their name, batch, and room number. 3. The form outlines the terms and conditions for hostel admission, including obeying instructions of wardens, paying dues on time, vacating within 7 days of course completion, and prohibitions around drugs, opposite-sex visitors, unauthorized room use, and damage of property.

Uploaded by

akshay
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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HY AH0H (0761) 2672253, 2370951 : nscbmcjb@gmail.

com)
GH0#/Ba/2023/ frio - /07/2023

* H44 f HBITHT Hostel Admission form d geT fH farg HE (d) hT

Name Batch Room No


1. Rahul thakur 2017 81
2.. Ritwik siloniya 2016 82
3. Harshad soni 2019 84
4. Harsh parmar 2018 85
5. Suryapratap singh 2018 92
6. abhishek 2019 96
7. Rahul kumar 2019 97
8. Siddarth kailasiya 2019 98

Hte- Hostel Admission form

TH0G a/2023/ S 33 faEJD /07/2023


sfafaft:
JABALPUR
NETAJISUBHASH CHANDRA BOSE MEDICAL COLLEGE
HOSTELADMISSION FORM
To,
The Dean
NSCB MedicalCollege
Jabalpur
Respected Sir,
Son/Daughter of
I, Dr.
Shri.... through
Selected for Postgraduate course (MS/MD/Diploma in
AllIndia/State Pre-PG quota 2022 under SC/ST/OBC/General category.
IUndertake ThatIwill:
to me.
a) Accept any initial dormitory /Room allotment made
b) Change hostel/room whenever instructed by authorities to do so. I will not change/exchange
room without written permission of the authorities.
hostel matters and my
c) Obey instructions of warden/assistant warden/perfect regarding
conduct.
the hostel register
d) While leaving hostel for a place other than the college make an entry in hostel.(Normally a
regarding time of leaving, destination, and expected time of return to the without written
hostler should be back by 10PM.Stay overnight outside is not permitted
permission of the warden/assistant warden/perfect. The same is expected when leaving for
home. Failing to follow this rule will invoke disciplinary action).
e) Pay all hostel dues in time.
) Vacate hostel within 7 days of completion of course.
IUnderstand that
a) Possession /use of narcotic drugs, alcohol, weapons of any kind is prohibited.
b) Inviting members of the opposite sex to the hostel is prohibited.
c) My room is my use only. Allowing unauthorized use is prohibited.
d) Use of electricity inthe room is allowed only for lighting and fan. Other uses are prohibited.
e) Use of musical instruments is allowed only with an car phone
n Writen permission of warden/assistant warden/perfect is needed for acelebration party in the
hostel. This party must not cause disturbance to other members of the hostel.
) Allmaters of dispute between the inmates of the hostel are to be referred to the prefect who
willtake necessary step for the settlement of the issue seeking help of authorities if needed.
b) Any act leading to the damage/loss of hostel property or that of an inmate will lead to
expulsion
i) No pets are allowed in the hostel.
j) An actof participation in the ragging will lead to immediate exxpulsion from the hostel or even
institution.
k) Cessation of studentship will automatically mean termination of hostel accommodation.
Signature of applicant
ENDORSEMENT BY THE PARENT/GUARDIAN
Ihave studied and understood the conditions for admission to hostel applicable to my ward and
endorse his agreement to the conditions. Iundertake to ensure his abiding by these conditions.
(Signature)
Name in full:
Relationship:

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