SCM Sophia | Mumbai | Social Communications Media

Application for Hostel Accommodation (For Female Students only)

Full Name

Name of Parent

Occupation

Permenant Address

Phone Number

Date of Birth

Place of Birth

Citizenship

Religion

Name & Address of School Last Attended

Name and Address of College/Institute last attended

Name & Date of Last Examination appeared for

Result of last examintion

What are your major hobbies and extra curricular interests

Have you done any social service?

Yes

Are you interested in doing any social service?

Yes

Have you suffered from any chronic ailments?

Name of Guardian in Mumbai

Phone Number

Address of Guardian in Mumbai

Relationship

Occupation

Two recommendations from responsible person who are not relations

Upload Passport size photo

Upload Photo

Please upload JPG/PNG

Medical certificate of fitness and freedom from any chronic ailment

Upload File

Please upload pdf/doc. file only

Today's Date

I have read the rules and regulations of hostel and agree to observe them