Students Hostel Form

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NATIONAL CENTRE OF EXCELLENCE IN GEOLOGY
UNIVERSITY OF PESHAWAR
Peshawar-25120, KPK, Pakistan
Phone: +92-91-9216427; 9216429 Fax: +92-91-9218183
Web: http://nceg.upesh.edu.pk/
RESIDENCE IN HOSTELS IS A PRIVILEGE NOT A RIGHT
Session:
2
0
Program:
(Geology/Geophysics/Environmental/Geospatial/any other):
Degree:
(MS/M.Phil/PhD)
Name:
(Block Letters)
Father Name:
(Block Letters)
Date of Birth:
C.N.I.C No:
-
-
(Attach copy)
Gender: Male / Female
ADDRESS
Residential:
Phone (Home):
Mobile #
Permanent:
Emergency 1:
Father/Guardian
Name:
Mobile No.
Telephone No.
Address:
Emergency 2:
Next of Kin/Family Member/Friend
Name:
Mobile No.
Telephone No.
Address:
FOR HOSTEL USE ONLY
Allotted Hostel Name:
Warden’s Remarks:
Telephone Verification from Guardian:
D:\106750561.doc
Allotted Room No.
GRADUATE ADVISOR OFFICE
It is verified that the information given by the applicant is correct. He/ She is a regular student and is
recommended for hostel accommodation on the condition that he/she shall abide by all the hostel rules
and regulations.
1.
Date of Admission _________________
2.
Extension if any: ______________________
3.
Progress: _________________________
4.
Date of Completion: ___________________
Superintendent (Academics)
Graduate Student Advisor
UNDERTAKING
I, Mr. ___________________________________ S/D/W of __________________________ student of
________________________________ National Centre of Excellence in Geology, University of Peshawar, affirm
that the information given above is correct and, solemnly, undertake that I, to the best of my ability during stay in
the hostel, shall abide by the NCEG hostel rules and regulation.
1. I shall strictly follow hostel rules as prescribed by NCEG.
2. I Shall not allow outsiders to stay in my place or with me.
3. NCEG authorities may place lock/open and transfer my belongings to store in case found breaking the rules or
required for any purpose.
4. I shall pay all the utility bills of my room and other charges of hostel.
5. No outsider is allowed except next of kin/Guardian; who can only stay for one night on payment of Rs.200/I further undertake and affirm on oath that I shall neither indulge in any sort of activity prejudicial to the good
order and discipline of the NCEG nor any politics whatsoever, failing which I shall not object to any disciplinary
action taken against me.
__________________
Signature of Applicant
PARENT’S GUARDIAN CERTIFICATE
I, Mr./Ms. ____________________________________ certify that my son/ daughter/ ward is applying for hostel
accommodation on the Campus of NCEG with my permission and undertake that I will be responsible for his/ her
good behavior during his/her stay in the NCEG and will accept all decision of the NCEG authorities in matters of
hostel admission and discipline. I further undertake that he/ she who has furnished the above undertaking shall
comply with it in case he/ she violates the same, he/ she shall face punishment under the NCEG Regulations.
_________________________
Signature of Parent’s Guardian
C.N.I.C No:
-
-
(Attach copy)
FOR OFFICE USE ONLY
Accounts Section
Authority
Warden/Hostel Incharge
Received Rs. _________________ Hostel Accommodation
Verified that all necessary
vide Bank DS No. ____________ Recommended /
documents completed.
date __________ (attached).
Not recommended.
Allotted Room No. _____________
Supdt (A/Cs)
_____________________
A/Cs Officer Graduate Student Advisor
______________
Warden/Incharge
Approved: ____________
Director
D:\106750561.doc
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