Hostel Booking

First Name^*

Last Name^*

Date of Birth^*

Age

Nationality^*

Course^*

Passport No.^*

IMEI Membership Number (If Member) ^*

Mobile No.^*

Email Id^*

Permanent Address^*- (Landmark, City, PIN code)

Name of Next of Kin^*

Contact number of Next of Kin^*

Next of Kin Address^*- (Landmark, City, PIN code)

Hostel from^*

Hostel to^*

Number of Days

a) Member ID (Adhar Card/Passport / Pan Card (Any One) ^*Allowed File Extensions(pdf,jpg,jpeg,png) (Maximum file size is 200KB)

Select Hostel	Hostel Type	Hostel	Room Category	Occupied Beds	Available Beds	Hostel Fee (INR)(Per Day)
	Boys	IMEI HOSTEL	AC rooms Single	0	3
	Boys	IMEI HOSTEL	Normal Sharing room	2	35

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