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Application Form For Hostel Re-Admission

1. The document is an application form for re-admission to a hostel after lockdown. 2. It details the applicant's program of study and room number, and requests admission from specified dates, agreeing to pay fees. 3. The applicant must follow strict COVID-19 guidelines including isolation, social distancing, sanitization and reporting any symptoms.

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Rahul Tade
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77 views

Application Form For Hostel Re-Admission

1. The document is an application form for re-admission to a hostel after lockdown. 2. It details the applicant's program of study and room number, and requests admission from specified dates, agreeing to pay fees. 3. The applicant must follow strict COVID-19 guidelines including isolation, social distancing, sanitization and reporting any symptoms.

Uploaded by

Rahul Tade
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM FOR HOSTEL RE-ADMISSION

(This form, together with the declaration, medical fitness certificate and proof of medical insurance,
must be submitted electronically to the Warden and Hostel Office by email.)

I, , am studying in ICT Mumbai for the


program. I belong to the Department
and work under the guidance of . I am a PhD research scholar
/ outgoing post-graduate researcher (2018-2020 batch). I am a hostelite and I was allotted Room No.
in Hostel No. before the lockdown. I wish to apply for re-admission to the
hostel from to . I am willing to pay hostel fees for the period
of my stay. I have permission from my Research Supervisor to resume my research work in the
laboratory. I am aware that limited hostel seats are currently available. I will stay only for the period
specified by the Warden / Hostel Office. I agree to these points stated below:

1. During re-admission, I shall not bring along with me any accompanying person inside the hostel.
If it is found that I have high fever, I may be denied entry. Upon re-admission, I will stay alone
inside a room (specified by the Hostel Office) for two weeks. I will compulsorily practise self-
isolation and not leave the hostel premises during this period.
2. After the completion of my two-week isolation period, I will agree if the Hostel office temporarily
shifts me to another room (if necessary) for accommodating newer students (who, in turn, will now
undergo compulsory two-week isolation). I will commence lab-work only after my two-week
isolation period is over.
3. I will always use mask and sanitizer; ensure social distancing; and practise cleanliness and hygiene.
If I develop any symptoms such as fever, dry cough, runny nose, sore throat, shortness of breath,
or loss of taste and smell, I will immediately report to the Warden / Hostel Office and seek medical
opinion from the hostel doctor.
4. I am aware that Warden / Hostel Office reserves the right to rearrange my hostel-number, room-
type, duration of stay in hostel, in-time (or reporting time in hostel at night) and number of students
per room to meet COVID-19 related safety requirements.
5. I am aware that C-mess will be made functional in the month of August. I will be provided with
morning breakfast, lunch and dinner from C-mess. I will compulsorily pay for the daily coupon
priced at Rs. 100/- until further notice is provided by the Hostel office.
6. I am aware that common areas such as playgrounds, courtyards, pavilion, gymnasium, indoor
sports room, TV room, reading room and study room will be closed till further notice.
7. I am aware that social gatherings / hostel fests / hostel sports / other hostel-related events will not
be permitted until further notice.
8. I am aware that Warden / Hostel Office reserves the right to deny / permit entry of staff, vendors,
visitors and guests inside hostel and mess premises.
9. I am aware that I may be permitted to go outside the campus only once a week (Thursday: 10 am
to 1 pm; only after completion of the self-isolation period).
10. I am aware that the guest room facility will not be available until further notice.
11. I shall avoid crowding inside the mess, hostel and campus.
12. In the unfortunate case of a COVID-positive patient inside the hostel, I will follow necessary
instructions issued by the Warden / Hostel Office.
13. I am aware that defaulters will face appropriate disciplinary action.

Signature: Date:
Name: Mobile:
Emergency Contact Numbers:

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