(Government Engineering College) Kottayam- 686 001

RAJIV GANDHI INSTITUTE OF TECHNOLOGY

(Government Engineering College) Kottayam- 686 001

APPLICATION FOR THE ADMISSION OF MENS/NEW/OLD/AICTE LADIES HOSTELS

FOR THE PERIOD OF 201 - 201

1. / Name of applicant (in capital letters)
2. / Semester, Branch of study and Admission No.
3. / Permanent address of the applicant
(in capital letters)
Phone No. / Name and address of parent/guardian for correspondence (in capital letters)
Phone No. Mobile:
4. / Details of present residential address / Phone No.
5. / Whether belongs to SC/ST/OEC/PH (If so attach the copy of certificate) / Religion / Category (Please tick)
General
SC
ST
OEC
PH
Central Govt. quota
6. / Family annual income
7. / Whether an inmate during last year (If yes; specify Room No.)
8. / Distance from residence to college in KM (Place with district)
9. / CGPA up to last semester (as per results declared University exam) / 1. / 4.
2. / 5.
3. / 6
10. / First year rank in entrance exam
11. / Any disciplinary action from the college level

DECLARATION

1. I hereby declare that all the information’s given above are true to the best of knowledge and belief.

2. If admitted, I agree to abide by the rules and regulations of the Hostel as stipulated by the authority.

3. If any of the information given are found to be incorrect. I understand that hostel admission will be cancelled and disciplinary action will be taken.

Signature of student Name and signature of parent

Date:

CERTIFICATE OF PERCENTAGE OF MARKS

Certified that the above particulars of the applicant were verified and found correct.

Signature of Staff Advisor Recommendation of HOD

For Office Use Only
Room No. allotted.
Date: Warden

Enclosures:

1. Two passport size photograph. (One pasted in application form and another one for Hostel ID card)

2. Category/Caste certificate (SC/ST/OEC/ PH / Central Govt. quota).

3. Copy of mark list or entrance rank.

4. Adhar card or Voters ID card

Fees details:

1. Mess deposit (Refundable) Rs 4000/-

2. Hostel Development Fund Rs 1000/-

3. Advance Room rent (For 6 months) Rs 1200/-

4. Admission fee Rs 100/-

5. Caution Deposit Rs 500/-

Notice

Applications are invited for admission to RIT hostels. Admission to RIT hostels will be strictly as per Government order No. HEDN-G1/92/2016-Higher Education (G) Department, Thiruvananthapuram, dated 28-02-2016 (Copy available in web-site).

Hard copy of the application (Available in hostel office/ print of copy in web site), duly filled, along with copies of requisite certificates shall be submitted to hostel office on or before 27-07-2016, 4.00 pm.

S3 students alone are allowed to apply online for hostel admission. Selection of these students will be purely provisional; but their admission will be confirmed only after submitting hard copy of application with copies of certificates. For S3 students, filled-in applications can be submitted to hostel office on or before 04-08-2016, 4.00 pm.

Enclosures:

1. Two passport size photograph. (One pasted in application form and another one for Hostel ID card)

2. Category/Caste certificate (SC/ST/OEC/ PH/Central Govt. quota)

3. Copy of mark lists of results declared by University. (For S1 students - Copy of data sheet with entrance rank)

4. Adhar card or Voter ID card

RIT, Kottayam

13/07/2016