APPLICATION FORM FOR HOSTEL ADMISSION

Transcription

1 Bharatiya Vidya Bhavan s Sardar Patel College of Engineering Government Aided Autonomous Institute Under Mumbai University Munshi Nagar, Andheri (West), Mumbai APPLICATION FORM FOR HOSTEL ADMISSION To, The Principal, Sardar Patel College of Engineering Andheri (West), Mumbai Sir, I am desirous of seeking admission to the Hostel. I have read the rules and regulations laid down and I agree to abide by them. I also agree to abide by any other rules as may be enforced from time to time and notified on the notice board. (1) Name :- (In block capitals) Surname Name Father s Name Mobile No id (2) Father s Name & Address :- Mobile No id (3) Local Guardian s Name:- Local Guardian Address:- Mobile No : id : (4) Office Phone No : Residential Phone No : (5) Parent s Annual Income from all sources :- (6) Whether you belong to schedule caste, schedule tribe, backward class? YES / NO If yes, give particulars :

2 (7) Whether you belong to Minority Community? YES / NO If yes, give particulars : (8) Name of the Institute last attended :- Class :- Division :- Roll No. (9) Were you residing in this hostel before? If Yes, give particulars : Period :- Room No. I Card No. (10) Whether you have collected the deposits, if not attach the deposit receipts YES / NO Attached receipt No. Dated :- I declare that the above information is correct, I promise and undertake to vacate the hostel at the end of each term period stipulated or if I discontinue my education or if I violate any of the hostel rules and if I am asked to vacate the hostel by the Hostel Suptd. I further promise that I will do nothing inside or outside the hostel and mess that will in any way interfere with their orderly government and discipline and that I shall use my stay in the hostel solely for the purpose of furthering my studies and normal well being. DATE :- SIGNATURE OF THE APPLICANT ENDORSEMENT OF THE PARENT/GUARDIAN The applicant is my ward. I endorse the application and the declaration made therein. He is seeking admission to the hostel at my desire and I shall be fully responsible for his behavior. DATE :- SIGNATURE OF THE PARENT/GUARDIAN

3 Rules & Regulation of the Hostel 1. Students must pay the fees in advance at the time of room allotment. 2. Students should Keep his/her room, passage and sanitary block clean and neat. For cleaning within the room sweeper will not be provided 3. Guests or Visitors are not allowed in the room 4. Waste paper should be kept in the waste paper baskets provided in each room. All the waste should be put in the basket provided for it in the sanitary block. Nothing should be thrown out of the windows. 5. No one will alter the arrangement of furniture in the room nor carry out any repair to the fixture or furniture in the room. Any repair required shall be reported to the Suptd./Asstt. Suptd. who will take suitable action, if found necessary. 6. Every student must return to his room before 11:00 night every day (as main gate will be closed at 11:00 night & will not be opened before 6:00 a.m.) 7. No student shall remain absent from the hostel without prior permission of the Hostel Suptd / Asstt. Supdt. Students should make entry in the register kept with the security while going on leave and coming back. 8. Only parents are allowed in the room with the prior permission from Hostel Suptd /Asstt. Supdt.. 9. Drinking alcoholic drinks, Smoking or use of intoxicants in any room or hostel premises is strictly prohibited. 10. No eatable i.e., vegetarian as well as non-vegetarian will be cooked in the room and no outside food either vegetarian or non-vegetarian is allowed inside the hostel. 11. Playing of cards or any other games in the rooms or passage is strictly prohibited. 12. Students should not visit any other room without permission of the inmates of that particular room.

4 13. Playing of transistor, radios, tape-recorders, T.V. etc is strictly prohibited. If found, the instrument will be forfeited. 14. Students must try to economise electrical consumption. They must switch off fans, lights etc. when not required, if misused, the supply to the block or room may be discontinued. 15. Students must take care of all the fittings in their rooms as well as of the hostel property such as electrical fittings in passage, bathrooms and lavatories & sanitary fittings i.e., wash basins, shower baths, water taps in the bathrooms & lavatories. Any loss will be recovered from the inmates of the respective blocks. In case no such responsibility can be fixed, it will be collected from all students of hostel. 16. Students are not permitted to keep any vehicle/scooter/car in the hostel surroundings 17. Sticking objectionable posters, writings etc. on the wall, door etc. is strictly prohibited. 18. Students are prohibited from using the electrical appliances in the room. Strict action will be taken against the defaulters, which may include the confiscation of the appliances. 19. The students staying in the hostel are advised not to keep costly things and cash in their rooms. They must also lock their rooms while going out. Hostel authorities will not be responsible for any kind of loss. 20. Repeaters will not be allowed in the hostel. 21. Students should check their friends do not misuse their room for illegal activities 22. Students must maintain silence and discipline in the hostel. 23. Students are not allowed to gather in any room which they are not allotted. 24. Principal/Hostel Superintendent/Asst. Supdt will take a surprise visit to the boys or girls hostel any time of the day or night for checking whether the prevailing rules and regulations are followed by the room inmates. 25. Principal/Hostel Superintendent reserves the right to modify, alter or add to these rules at any time without prior notice.

5 26. The balcony shall not be used for tooth brushing, washing face and teasing/misbehaviour with the students walking on the road. 27. The computer in the room shall be allowed only if the concerned Head of the Department recommends and the Principal gives permission. The computer shall be used for academic purpose only. 28 Students shall not be allowed to participate in activities like E-Bizz, Ramkrishna Mission & any other religious activities. 29. Hostel Mess is Compulsory for all the inmates Leave form is available with the watchman. The filled in leave form should be submitted to the Watchman. Hostel Admission will be made on merit basis. Preference will be begin to the students coming from far distance ( ahead of Palghar, Neral, Asangaon, Panvel etc.) All the boys and girls staying in the hostel shall note that regularly attending lectures/practicals/tutorials right from the first day is compulsory and the defaulting students can be expelled from the hostel. I give undertaking that I will follow all rules and regulations mentioned above and which may be framed from time to time by the authorities. I understand that in case of my involvement in any kind of ragging which is a punishable office under law, I shall be debarred from the Hostel permanently and strict action shall be taken against me as per the law SIGNATURE OF THE STUDENT MOBILE NUMBER RESIDENCE TELEPHONE NUMBER

6 RAGGING CIRCULAR (Applicable First Year to Final Year Students admitted in academic year till the completion of engineering course) Action against ragging, Maharashtra prohibition of ragging Act 1999 which is in effect from15 th May 1999 has the following provisions for Action against Ragging. a) Ragging within or outside of any educational institution is prohibited, b) Whosoever directly or indirectly commits, participates in, abets, or propagates ragging within or outside any educational institution shall, on conviction, be punished with imprisonment for a term up to 2 years and / or penalty which may extend to ten thousand rupees. c) Any student convicted of an offence of ragging shall be dismissed from the educational institution and such student shall not be admitted in any other educational institution for a period of five years from the date of order of such dismissal. d) Whenever any student or, as the case may be, the parent or guardian or a teacher of an educational institution complaints, in writing, of ragging to the head of the educational institution, the head of the educational institution shall, without prejudice to the foregoing provisions, within seven days of the receipt of the complaint, enquire into the matter mentioned in the complaint and if, prima facie, it is found true, suspend the student who is accused of the offence, and shall, immediately forward the complaint to the police station having jurisdiction over the area in which the educational institution is situated, for further action. Where, on enquiry by the hade of the educational institution, it is found that there is no substance, prima facie, in the complaint received, he/she shall intimate the fact, in writing, to the complainant.the decision of the head of the educational institution shall be final. FORMS OF RAGGING Ragging is found to take the following (the list is only indicative and not exhaustive) Crisp orders To address seniors as Sir. 10 perform mass drills, to copy class notes for the senious, to serve various errands, to do menial jobs for the seniors, to ask/answer vulgar questions, to look at pornographic pictures to shock the freshers out of their innocence to force to drink alcohol, scalding tea, etc., to force to do acts with sexual overtones, including homosexual acts, to force to do acts which can lead to physical injury/mental torture or death, to strip, kiss, etc., to do other obscenities.

7 UNDERTAKING FOR RAGGING UNDERTAKING BY THE CANDIDATE / STUDENT 1. I S/O.D/O. OF Mr./Mrs./Ms. Have carefully read, and fully understood the law prohibiting ragging and the directions of the Supreme Court and the Central/State Government in this regard. 2. I have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher Educational Instititions, 2009, and have carefully gone through it. 3. I hereby undertake that I will not indulge in any behavior or act that may come under the definition of ragging, I will not participate in or abet or propagate ragging in any form, I will not hurt anyone physically or psychologically or cause any other harm. 4. I hereby agree that if found guilty of any aspect of ragging, I may be punished as per the provisions of the UGC Regulations mentioned above and/or per the law in force. 5. I hereby affirm that I have not been expelled or debarred from admission by any institute. Singed this on day date (dd/mm/yy) Signature :- Name in full :- Year / Branch :- Address :-

8 UNDERTAKING FOR RAGGING UNDERTAKING BY PARENT / GARDIAN 1. I F/OM/O G/O. Have carefully read, and fully understood the law prohibiting ragging and the directions of the Supreme Court and the Central/State Government in this regard as well as the UGC Regulations on Curbing the Menace of Ragging in Higher Educational Institutions, I assure you that my son / daughter / ward will not indulge in any act of ragging. 3. I hereby agree that if he/she found guilty of any aspect of ragging, he/she may be punished as per the provisions of the UGC Regulations mentioned above and/or as per the law in force. Singed this on day date (dd/mm/yy) Signature :- Name in full :- Address :-

9 Bharatiya Vidya Bhavan s Sardar Patel College of Engineering Munshi Nagar, Andheri (West), Mumbai FORM OF UNDERTAKING FOR GIRLS HOSTEL (To be signed by the Parent/Guardian) I, hereby undertake that I shall check the leave form of my daughter Ms. every 6 months for the period of sanctioned leave taken by her. On the leave application form the address of her stay given will be verified by me and if there is any discrepancy the same will be notified by me to the Hostel Supdt/Asst. Hostel Supdt. immediately. I also undertake that as a parent or guardian I take the total responsibility of my ward for the leave taken by her. Also, I will check the leave application form every 6 months of her stay in hostel from First Year Engineering to Bachelor of Engineering (4 year degree course) I shall also be totally responsible for my ward s behaviour during her period of sanctioned leave from Hostel. Signature of the Parent/Guardian Date Contact No.

10 Bharatiya Vidya Bhavan s Sardar Patel College of Engineering Munshi Nagar, Andheri (West), Mumbai FORM OF UNDERTAKING FOR BOYS HOSTEL (To be signed by the Parent/Guardian) I, hereby undertake that I shall check the leave form of my son Mr. every 6 months for the period of sanctioned leave taken by him. On the leave application form the address of his stay given will be verified by me and if there is any discrepancy the same will be notified by me to the Hostel Supdt/Asst. Hostel Supdt. immediately. I also undertake that as a parent I take the total responsibility of my ward for the leave taken by him. Also, I will check the leave application form every 6 months of his stay in hostel from First Year Engineering to Bachelor of Engineering (4 year degree course) I shall also be totally responsible for my ward s behaviour during his period of sanctioned leave from Hostel. Signature of the Parent/Guardian Date Contact No.