Passport Sized Photo*

Select Course
Choose your optionThree Year B.Sc. in H & HADiploma In Food & Beverage ServiceDiploma in Food ProductionDiploma in Front OfficeDiploma in House Keeping

Medium of Instruction*Choose your optionEnglishHindi

Name (in CAPITAL LETTERS as per Matriculation Certificate)

Gender*
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Email

Contact

Aadhar No.

PAN No.

Blood GroupChoose your optionO+O-A+A-B+B-AB+AB-

Bank A/c No.

Bank Name & Branch

IFSC No.

Date of Birth*

Nationality

Category
Choose your optionGenOBCSCSTPD

Father’s Name :(in CAPITAL LETTERS)*

Father’s Contact No:*

Mother’s Name :(in CAPITAL LETTERS)*

Mother’s Contact No:*

1. Name

1. Relation

1. Contact No.

2. Name

2. Relation

2. Contact No.

Present Address*

Present Address State*

Present Address Pincode*

Correspondence Address

Correspondence Address State

Correspondence Address Pincode

10th Exam*

10th Board/University*

10th Year*

10th Marks Obtained*

10th Max. Marks*

10th %*

12th Exam*
Choose your optionAppearedPassed

12th Board/University*

12th Year*

Name of Exam Passed

Board/University

Year

Marks Obtained

Max. Marks

%

CHECK LIST : (KINDLY BRING BELOW SELF ATTESTED HARDCOPY TO INSTITUTE)**
10th Mark Sheets (as desired by the course)12th Mark Sheets (as desired by the course)SC/ST/OBC/PWD Certificate (if applicable)Transfer CertificateCharacter CertificateProof of Age (Issued by Competent Authority)Aadhar CardBlood Group ReportMedical Fitness CertificateGap Certificate (if applicable)Latest two passport size photograph (to be submitted with form)

Admission in Hostel*
Choose your optionYesNo

Signature of the applicant*

Date & Place

PARENT DECLARATION

I have permitted my ward to join the Institute and I shall be responsible for his / her conduct and according to conduct rule of the Institute and any changes made from time to time. I also state that I will be responsible for payment of all fees and dues in the scheduled time.

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