VISITOR REGISTRATION FORM (VRF)
For Hostel Accommodation Details
Indian Institute of Technology Hyderabad
Kandi, Sangareddy - 502285
Telangana, INDIA
Phone: 040-2301 6131, Email:
[email protected]To Guide:
The Hostel Office
Date - Parent Institute:
Dear Sir,
I wish to register to furnish hostel accommodation details.
Current Address:
Name
(Mr/Ms)__________________________________________________________
One pass Port Size
City_________________________________State_____________________________ Photo to be fixed and
one to be given along
Pin________________ Mob No____________________ Land No________________ with the form
Guardian Name _______________________ Ph No____________________________
Email ID________________________________________ Blood Group ____________
Nationality____________________ Address Proof__________________________(Pan/Voter/Driving License/Insti Id)
Purpose of Visit _________________________________ Duration – From________________ to__________________
(2013-14-15-16)
Permanent Address:
Name (Mr/Ms)_________________________________________________City___________________________
State____________________________ Pin__________________ Mob No________________________________
Ph No_______________________ Email ID________________________________________________________
Conduct Certificate from Parent Institute should be otherwise hostel accommodation will not be provided
________________________ ______________________
Signature of Faculty Adviser Signature of the Student
FOR OFFICE USE ONLY
___________________
Signature of the Warden Caution money deposited ____________________________
Accommodation Charges _______________ Payment receipt copy number with date ____________________________
(Electricity and water charges inclusive)
______________________
Hostel Office Sign & Seal