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Application Form 2011

The second part is the application form which requests personal details of the applicant such as name, date of birth, gender, nationality, religion, parents' names, guardian details, contact details, academic qualifications, and includes a declaration to be signed by the applicant.

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ashok4590
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52 views

Application Form 2011

The second part is the application form which requests personal details of the applicant such as name, date of birth, gender, nationality, religion, parents' names, guardian details, contact details, academic qualifications, and includes a declaration to be signed by the applicant.

Uploaded by

ashok4590
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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INTERNATIONAL INSTITUTE OF HOTEL MANAGEMENT

KOLKATA CAMPUS : International Tower, X-1, 8/3, Block EP, Sector - V Salt Lake Electronics Complex, Kolkata-700 091, Ph: 2357-7663-64, 2357 7550-59, Fax: 2357-7735, [email protected], Web-iihm.ac.in DELHI CAMPUS-B-2/68, Mohan Co-operative Industrial Estate, Mathura Rd,Near Badarpur Metro Station, New Delhi-110044, Ph- 011-43204700/1 PUNE CAMPUS- Kalpataru Arcade S.No.206/3,Plot 16,Viman Nagar,(Nicco Garden & TASMAC),Pune 411014 Maharashtra,Ph:08805982773 BANGALORE CAMPUS- Sri Krishna Temple Road,Indiranagar, 1st Stage,Bangalore 560 038 Karnataka, Ph: 08892864965 JAIPUR CAMPUS- P2,AWADH PURI LAL KOTHI,OPP RAM MANDIR (Near Tonk Road.), Jaipur -302001, Ph: 09871155191
Affix coloured passport size photo

APPLICATION FORM 2011


Courses KOLKATA & DELHI CAMPUS BANGALORE CAMPUS PUNE CAMPUS JAIPUR CAMPUS

(for office use)

e-Chat Reg No...................Form No.................. /2011

# BA in HM from ENU, UK. Degree with Diploma in IHA & # B.Sc. in HMCT, from PTU # BA in HM from ENU, UK. Degree with Diploma in IHA & # BA in HM from Bhartiya University # BA in HM from ENU, UK. Degree with Diploma in IHA & # B.Sc. in HMCO from YCMOU # B.Sc. in HMCT from PTU & Diploma in IHA

ENU- Edinburgh Napier University, Edinburgh-UK, IHA- International Hospitality Administration, PTU- Punjab Technical University, Jalandhar

PERSONAL DETAILS (Block Letters Please)


Name Middle Name Gender Male Nationality Father Female Date of Birth M M D Surname D Y Y Place of Birth

Religion Mother

GUARDIAN DETAILS
Name Surname Address Phone Std Mobile Occupation

CONTACT DETAILS
Permanent Address

Pin Correspondence Address

Phone e - Mail

Std

Mobile

OTHER DETAILS
Academic Qualification Class X Level Class XII Level Any other Adm. Test Centre: Examination (Please Ref IIHM Website for the Centre name & No) ( ) Group Discussion & Personal Interview ( ) School Details Board Year % of Marks

DECLARATION : I declare that the information given above is correct to the best of my knowledge.
PLACE : NAME :

Full Signature & Date

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