NIPGR - Requisition form for hostel guest house accommodation

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1. This form should be filled and submitted by the Supervisor of respective student and NOT by the student.
2. To avoid misuse, please do not disclose the web address of this form to students.
3. Submissions should be made at least 15 days before the start date of accommodation requested.
4. Other rules and regulations pertaining to hostel guest house accommodation can be found at http://tinyurl.com/nipgr-hostelguesthouse
5. Any technical issues related to this may please be reported to nipgrhostel@gmail.com

General information

Name of the Supervisor *

E-mail ID of the Supervisor *

Name of the student *

E-mail ID of the student *

Mobile number of the student *

Details of booking

Type of occupancy requested *

Single

Double

Name(s) of the guest(s) *

Provide the name(s) of all the guest(s) for whom the accommodation is requested

Relationship of guest(s) to the student *

Address of the guest *

Accommodation required from *

YYYY

Time

Accommodation required till *

YYYY

Time

Declaration

Required *

I am aware that hostel guest rooms are allotted to guest(s) having blood relations with the concerned student (viz. father, mother, brother, sister; or spouse), and I have confirmed the relationship of the guest with the student.

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