Boys Hostel Registration Form - 2023-2024
Personal Details
First Name
Middle Name
Last Name
Date of Birth
Date of Admission
Aadhar No.
Email ID
Mobile No.
PROGRAM ADMITTED IN KIMSDU
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MBBS
BDS
BPTH
NURSING
OTHER
Photo
Family Details
Father Name
Father Mobile No.
Father Email ID
Mother Name
Mother Mobile No.
Mother Email ID
Contact Address
Flat no., House no., Building, Company, Apartment
Area, Street, Sector, Village
Landmark
Town/City
Taluka
District
State
Country
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INDIA
OTHER
Pin Code
I shall obey the rules and regulations of the institute / hostel during my stay.
Submit
