VINAYAKA MISSIONS CHENNAI CAMPUS
HOSTEL REQUEST FORM
Date:
Academic Year:
2026-27
2025-26
2024-25
2023-24
I am requesting you to permit me to avail hostel facility for the academic year 2026-27
Student information
Full Name (capital letters)
*
Passport Size photo
*
Accepts only JPG, JPEG and PNG files.(Maximum File Size 2MB)
Father's name
*
Date of birth
*
Institution
*
-- select --
AVIT
SAS
VMLS
DOM
SAHS
Year / Course / Branch
*
Reg. number
*
Contact Details
Communication address
*
Enter Aadhar Address
Upload Student Aadhar Copy
*
Accepts only JPG, JPEG, PNG and PDF files.(Maximum File Size 2MB)
Admission category
*
-- select --
Normal
DRCC
Agram
Medical history (if any)
*
Student phone
*
Parent phone
*
Upload Parent's Aadhar Copy
*
Accepts only JPG, JPEG, PNG and PDF files.(Maximum File Size 2MB)
Upload Parent's Passbook Copy
*
Accepts only JPG, JPEG, PNG and PDF files.(Maximum File Size 2MB)
Hostel Details
Hostel (Boys/Girls)
*
-- select --
BOYS
GIRLS
Occupancy
*
-- select --
1
2
3
4
Occupancy Type
*
AC
NON AC
Gym
*
YES
NO
Laundry
*
YES
NO
Menu Type
*
VEG
NON VEG
Upload Student Signature Copy
*
Accepts only JPG, JPEG, PNG and PDFfiles.(Maximum File Size 2MB)
SUBMIT APPLICATION