Sau Hostels Night Out Form

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SAU HOSTELS
FORM FOR NIGHT OUT
Name of resident:____________________ ___________________
1.
Department:________________________ ___________________
2.
Semester:__________________________ ____________________
3.
Room No.:____________________ __________________________
4.
Reason for night out:___________ ___________________________
5.
_____________________________________________________________________
_____________________________________________________________________
Address for the night:_________________ __________________________________
6.
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Contact no. of resident:____________________ _________________
7.
Date of previous night out availed:__________ ___________________
8.
Signature of resident:
Date:
FOR WARDEN OFFICE
Approval granted: Yes / No
Signature of Warden
Name and signature of guard on duty:
Sign out time of resident:
Name and signature of guard on duty:
Sign in time of resident:

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