Student Application Form

Please complete all fields marked with * to ensure your application is processed efficiently.

person

Personal & Contact Details

First Name *

Last Name *

Date of Birth *

Gender *

MaleFemale

Nationality *

Attach ID *

Choose file...upload_file

Max file size: 10MB (PDF, JPG, PNG)

Email *

Mobile Number *

Alternate Number

Permanent Address *

school

Educational Details

Name of Institute *

Programme *

Year/Semester *

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emergency

Emergency Contact Details

Emergency Contact Name *

Relationship *

Emergency Contact Number *

guardian

Guardian Details

Name *

Relationship with Applicant *

Contact Number *

Alternate Number

Who is responsible for rental payments? *

SelfParent / Guardian

account_balance_walletGuardian Payer Details

Full Names *

Address *

Place of work *

credit_card

Payment Plan & Duration

Preferred Payment Plan *

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Duration of Stay *

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Intended Move-in Date *

I am just inquiring (no specific date)

medical_services

Medical Information

Any medical conditions? *

YesNo

Any medication or allergies?

group

References

Please provide two references along with contact details who can vouch for your character.

Reference 1

Full Name *

Contact Details *

Relationship to Applicant *

Reference 2

Full Name *

Contact Details *

Relationship to Applicant *

campaignHow did you hear about us? *

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Virgo Hostels

Student Application Form

Personal & Contact Details

Educational Details

Emergency Contact Details

Guardian Details

account_balance_walletGuardian Payer Details

Payment Plan & Duration

Medical Information

References

Reference 1

Reference 2