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Office of Dean Student Affairs

Indian Institute of Technology Delhi


Application for seeking extension of Hostel stay by PhD students

1. Name (In Block Letters): Entry No.: _______________________

2. Department: _________Name of Program___________________________

3. Hostel/Apartment name:

4. Contact No.: E mail id:

5. Have you submitted your Thesis (Yes/No) _______ If Yes, Date of submission____________________

6.Period for which hostel extension is required: From to

Purpose of extension

Supervisor remarks

Signature: Date:

Remarks by caretaker

……………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………
There are no dues outstanding against Entry No

Caretaker signature Date

Undertaking by student
I hereby confirm that-
1. I shall pay all charges and dues as applicable for the extension period.
2. I understand that this allotment is only till the specified period.
3. If I submit my PhD thesis during the extension period, I shall inform the ADHM & Caretaker office
about the date of submission immediately.
4. I will vacate the room/apartment within 7 days after the date of submission of my PhD thesis.
5. In case I wish to stay longer, I shall apply for guest stay.

Student Signature: Date:

ADHM Signature Date:

Updated 2nd August 2021

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