Agrasen Chhatrawas, Nagpur (India)

Welcome To Shree Agrasen Chhatrawas, Nagpur - A Home away from Home - We accomodate the students of all castes, creeds and community from all over India.

ADMISSION FORM

Please fill up the online admission form below and submit it to us. It is only an online admission data collection. You have to complete the formalities by personally visiting the hostel's office and submitting supported documents and the depositing payment. This form submission, does not gurantee your admission.

Admission Form
Questions marked by * are required.
	Email: *
	Name Of Student: *
	Father Name: *
	Occupation: *
	Permanent Address: *
	Date Of Birth: *
	Religion: *
	Caste: *
	Previous Hostel Year:
	Previous Hostel Name:
	Previous College:
	Present College: *
	Semister OR Year: *
	Last Exam Appeared: *
	Last College OR School: *
	Last Exam Result: *
	Last Exam Roll Number: *
	Last Exam Year: *
	Last Exam Pass Divn: *
	Games You Play:
	Extra Curricular Activities:
	Applied To Other Hostel: *
	Local Guardian Name: *
	Local Parent Occupation: *
	Local Parent Address: *
	Local Parent Office Telephone: *
	Local Parent Residence Telephone: *
	Photo Upload: *

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