The Nagpur Pallottine Society Boys Hostel

"Home Away From Home"

Step 1 of 4

Personal Details

Mess Preference

Declarations

Signatures & Submit

All fields marked * are required.

Full Name in Block Letters *

Father's Name *

Father's Occupation *

Mother's Name *

Mother's Occupation *

Permanent / Postal Address *

Parent Phone No. *

Student Mobile Number *

Student Personal Email *

Year of Admission *

Branch / Department *

Date of Birth *

Religion *

Caste Category *

Passport Size Photograph * Accepted: JPEG, PNG, WebP | Max size: 500 KB

Please read all three declarations carefully. You must accept each to continue.

I have received and read the Hostel rule book, and I will abide by it.
I undertake to promote harmony and well being of the country and shall not perform any public or private ceremonies in the Hostel which might cause friction and harmony.
I will pay the fine if any, incurred on me due to my behaviour in the hostel and incase of grievous reason I shall leave the Hostel of my own account.
I will not engage in any kind of Ragging activity.

I have read and accept Declaration - 1