VISWAJYOTHI

Application Form

Name of the candidate (in English) (as in Matriculation Certificate)

Father's Name (Shri)

Mother's Name (Smt)

Father's Occupation

mother's Occupation

Mobile No. (Parents)

Mob No .Of Student

Permanent Address

Pincode

Present address is same as Permanent address

Present Address

Pincode

Phone Number with STD Code

E-mail ID

Nationality

Place of birth

Religion

Caste

General information (P) Mark only the relevant column

Category

GENERAL

OBC

Sex

Male

Female

Blood group

Date of birth

Affix your latest passport size photo

Aadhar No

Mother Tonque

Educational Qualifications

SSLC or its Equivalent

Plus Two or its Equivalent

Education Details

School Address

No:of Attempt

Total Mark

English

Part -II

Part -III(optional)

KHMT/Equivalent Exam Details

Score

Facility required

Bus

Hostel

DECLARATION BY THE APPLICANT

I hereby declare that I have understood the conditions of eligibility for the course, for which I seek admission. I fulfill the minimum eligibility criteria and I have provided necessary information in this regard. In case if any information is found incorrect or misleading, my candidature shall be liable to cancellation by the authority at any time and I shall not be entitled to get refund of any fee paid by me.

UNDERTAKING

(Only for those candidates who have appeared for the qualifying examination and result has not been declared as yet)

I S/o or D/o hereby undertake that I have appeared for the examination conducted by the Board/University held in I am seeking admission to this programme at my own risk and responsibility and I will submit the proof of my having cleared the qualifying exam, which is required for admission to the above course as per the University and AICTE stipulations, failing which my candidature shall stand automatically cancelled and I will not make any claim in any court of law on this account.

Signature of the candidate

admission for Hotel Management & Caterering Technology