Orchid Residency Application Form

ORCHID RESIDENCY

Official Student & Professional Residency Registration

Verified Official Portal

Personal Details

Contacts & Work

Stay & Food

ID & Declaration

Personal Information

Please enter your exact details as printed on your official Government ID proof.

Full Name (as per ID) *

Date of Birth *

Age *

Blood Group *

Nationality *

Marital Status (optional)

Mobile Number *

Email Address *

Permanent Address *

Current Address (if different) Same as Permanent Address

Family, Emergency & Occupation

Help us maintain resident safety and verification details.

Parent / Guardian Name *

Parent / Guardian Phone Number *

Emergency Contact Name *

Emergency Contact Number *

Relationship with Emergency Contact *

Are you currently a Student or Working Professional? *

Student

Attending College / University

Working Professional

Employed at Company / Business

Student Details

College / University Name *

Course / Department *

Year / Semester *

College ID Number *

Employment Details

Company Name *

Job Title / Position *

Office Address *

Office Contact Number *

Employee ID (optional)

Stay & Food Preferences

Customize your stay duration, room choice, and meal requirements.

Stay Type *

Preferred Check-in Date *

Duration *

Duration Unit *

Room Preference *

Food Preferences *

Medical Dietary Restrictions (optional)

Visitor & Safety Details

Local Guardian Name (if applicable)

Local Guardian Contact Number

Allowed Visitors (optional)

Vehicle Number (if bringing a vehicle)

Identity Verification & Declaration

Upload official identity verification proof and sign digitally.

Aadhaar Number *

ID Proof Type *

ID Proof Number *

Upload ID Proof (PDF/JPG/PNG) *

Passport-sized Photograph *

Digital Signature * Not Signed Yet

Draw your signature using mouse or finger on the box below, or type your name.

Or Type Signature Name

Application Registration Fee Payment

Scan UPI QR Code to pay the registration fee to complete your booking.

Amount: ₹2,000 (Non-Refundable)

Scan with GPay / PhonePe / Paytm / BHIM

UPI ID: yespay.ypbsm000011441@yesbankltd

Payment Mode *

UPI UTR / Ref Transaction ID (12 Digits) * Must be exact 12-digit UTR number from receipt (e.g., 420918736125).

Upload Payment Receipt Screenshot * Mandatory: Attach GPay / PhonePe / Paytm receipt screenshot.

Date

I hereby declare that all information provided in this application is true and correct to the best of my knowledge. I confirm that I have paid the non-refundable registration fee of ₹2,000, and I agree to strictly abide by all Hostel Rules & Regulations, payment schedules, and code of conduct.