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Hostel Application Form
Welcome!
This form allows you to apply for hostel accommodation or submit an exit application. Please fill out all required fields carefully. You will receive a confirmation email once your application is submitted.
Application Type
Entry Application
Exit Application
Personal Information
Full Name
NRIC/Passport Number
Email Address
Gender
Select Gender
Male
Female
Mobile Number
Home Phone
Date of Birth
Nationality
Current Address
Academic Information
Course Applying For
Academic Level
Select Academic Level
Foundation
Diploma
Degree
Masters
PhD
Intended Check-in Date
Duration (Months)
Exit Information
Current Room Number
Check-out Date
Reason for Exit
Forwarding Address
Guardian Information
Guardian Name
Relationship to Guardian
Guardian Home Phone
Guardian Mobile
Guardian Email
Guardian Address
Additional Information
Emergency Contact Name
Emergency Contact Number
Medical Conditions
Special Requirements
Previous Hostel Experience
Declaration
Please read carefully:
I declare that all information provided in this application is true and accurate to the best of my knowledge.
I understand that providing false information may result in rejection of my application.
I agree to abide by all hostel rules and regulations.
I understand that this application does not guarantee accommodation.
I have read and agree to the terms and conditions above
*
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