Dear All ,

 
Attached is the Hostel request form for those students who want to avail hostel facility in IIHMR
University campus and are not resident of Jaipur City.
All are requested to download the attached hostel form and fill it mentioning the preference of hostel.
The filled in application form should reach us latest by 20 th May, 2020 through e-mail on
achal@iihmr.edu.in.
The list of the students who are allotted hostel accommodation will be uploaded on IIHMR University
Website on 22th May 2020
The students who are allotted hostel accommodation will be required to deposit hostel fee as
mentioned in form before 31st May 2020
The hostel facility is limited; hence, allotment will be done on first come first served basis.
 
Thanks
 
Achal
(Manger Guest Relation & Hostels)
9314422020.
 
 Hostel Request Form for the Year 2020-
2021

Dean Administration
IIHMR University
“Affix Your Recent
1, Prabhu Dayal Marg, Passport size
Sanganer Airport Photograph”
Jaipur - 302029

Dear Sir,
I have been selected for the course -___MBA in Hospital And Health
Management___ I wish to apply for hostel facility from July 2020 to April 2021 for which I
am giving my personal necessary information: -

1. Name of the Student (in block letters) __Richa Singh

2. Date of Birth __02/10/1994
3. Father’s/Guardian’s name _Nawal Kishore Singh
4. Permanent Address __Flat Number 203, U.C. Apartment, Vijaynagar, Rukanpura, Patna -800014, BIHAR

5. Telephone No. _ 8677090667

6. Identification Marks ____A Til on the upper lip
7. Date of interview__24th of April 2020
8. Copy of ID proof (DL/PP/Voter ID)
 9. Accommodation Request (please tick the Preference)
For Girls
Sr Hostel Type of accommodation Air condition Charges Electric PL tick as per
/ Air Cooled Per charges your preference
n type
academic
o year

✓ 
1 Hostel 2 Twin Sharing (Air condition Room Air condition 70000/- Electric
with 2 beds and attached bath charges extra
shared by 2 persons) By prepaid
meter
2 Hostel 3 Cubicles (Individual Air cooled room Air Cooled 80000/- Electric
with bed, wardrobe, table & chair , charges
common lobby and Washroom) inclusive

3 Hostel 4 Cubicles (Individual Air condition room Air condition 88000/- Electric
with bed , wardrobe,table & chair , common charges extra
pantry and Washroom) By prepaid
meter

For Boys
Hostel 1 Cubicles (Individual Air condition room Air condition 80000/- Electric charges PL tick as per
with bed , wardrobe,table & chair , common extra By your preference
lobby and Washroom) prepaid meter

______ _________________
(Signature of the Applicant)
Application Date:_20th May 2020

Important Instructions:
• The filled in application form should reach us latest by 20 th MAY, 2020 through e-mail on achal@iihmr.edu.in
• The list of the students who are allotted hostel accommodation will be uploaded on IIHMR University
Website on 22th MAY 2020
• The students who are allotted hostel accommodation will be required to deposit hostel fee as indicated below.
• If they fail to deposit hostel fee by 31st MAY 2020, their allotment will be cancelled.
• The hostel facility is limited; hence, allotment will be done on first come first served basis.