POST GRADUATE BOYS/GIRLS HOSTEL

B.R.A. BIHAR UNIVERSITY,MUZAFFARPUR

ADMISSION FORM

SESSION 2019-20
Name of the applicant:  
Select Hostel:  
Gender:  

Course:  
Subject:  
Roll Number:  

Mobile No:  
Email-Id:    

Home Address:
Village:  
Post Office:  
Dist.:  
Year:  
Sate:  
Challan No:  
Old Challan No:  
Police Station.:  

Father'Name( or the name of natural Guardian if the father is dead):  

Father Or Guardian Address:
Village:
Post Office:
Dist.:

Name Of Local Guardian:
Address of Local Guardian :

For Honors Candidate Only:
Subject Of Hons.:
Marks of Hons subject:
Aggregate Marks.:

Wheather you had been a boarder of the college or University Hostel?:
Wheather boarder is Scheduled caste or Tribe mention caste:

Any Other Claim for a seat:
Wheather Married or Single:

Recomendation of the Head of the Department:
Recomendation of any Teacher of University Department who willk be responsible for the good conduct of the student in the hostel:

Declaration: