SIP Notice 2015
SIP Notice 2015
SIP Notice 2015
Tezpur University
Please affix
Name of exam.
HSLC
10+2
Degree
Date of Birth :
Name of the Institute
here recent
photograph
% marks obtained
H/NoVill/Ward..........................................................
P.O.- Pin
Dist ..State.
Email
Mobile no ..
Mob. No.
TEZPUR UNIVERSITY
(A central University established by an Act of Parliament)
OFFICE OF THE DEAN, STUDENTS WELFARE
NAPAAM , TEZPUR
Application for Hostel Accommodation during Summer/Winter recess.
1. Name of the student (in block letters)
2. Roll Number
3. Programme of studies
b) Room number
7. Recommendation by
a) Head of the Department
b) Supervisor (optional)
c) Dean of School (optional)
8. Details of fee paid
a) Amount Rs.________________
b) Receipt number ____________
I undertake that I shall abide by all the rules and regulations of Tezpur University Hostels and also
take food available in the Hostel Mess run by fellow students paying required mess dues. I shall fully
cooperate with Wardens during my stay.