biitm school of hotel management · hotel management with no refund of any fee. application form...
TRANSCRIPT
1. Course Name :
2. Applicant's Name ( In Block Letter) :
3. Father's / Guardian's Name :
4. Mother's Name :
5. Contact no. of Applicant : 6. Date of Birth:
7. Sex : Male Female
8. E-Mail id:
9. Nationality : 10. Mother Tongue :
11. (a) Category : General SC ST OBC Other (b) Blood Group :
12. Aadhar Card No :
13. Bank Name with Account no of Applicant :
14. (a) Occupation of Father / Guardian : (b) Average Monthly Income Rs.
15. Address:
Permanent Present
16. Details of Educational Qualification :-
17. Whether hostel facility is required? Yes No
(Affiliated to Utkal University of Culture, Govt. of Odisha)
BIITM SCHOOL OF HOTEL MANAGEMENT
Place:
Date: Applicant's Signature Father's / Guardian's Signature
Name of Board / Council/UniversityName of the Examination
Total MarksAppeared for
MarkSecured
% of Marks
Year ofPassing
tha) 10 or HSC
b) +2 Arts/Sc/ Com., others
c) +3 Arts/Sc/ Com., others
I declare that to be best of my knowledge, the information supplied in this application and the
documents supporting is correct and complete. I acknowledge that the misrepresentation of any
information or documents may result in the cancellation of my application for admission in BIITM School of
Hotel Management with no refund of any fee.
Application Form for Admission
University Roll No.:
Regd. No.: Personal Information
Father / Guardian Phone No.
For office use
ADMISSION DETAILS
Eligibility-
Following documents to be attached:-
CHECK LIST
Applicant must have passed +2 or equivalent for BHM and +3 or equivalent for MHM in any stream from
recognized Board / Council / University.
Please put a '√' mark in the Box alongside.
1. Colour Passport photographs 6 nos.
2. Colour Stamp size photograph 2 nos.
th3. Xerox copy of 10 Mark sheet & Certificate (2 copies each).
4. Xerox copy of +2 Mark sheet & Certificate (2 copies each).
5. Xerox copy of +3 / Graduation Mark sheet & Certificate (2 copies each).
6. College Leaving Certificate (CLC) in original.
7. Conduct Certificate in original.
8. Migration / Transfer Certificate in original.
9. For SC, ST, and OBC candidate:- (a) Aadhar Card (b)Caste Certificate (c) Residential Certificate
(d) Income certificate of Father/Guardian
(e) Xerox copy of Bank Passbook Front page
10. Rs. 300/- towards cost of Prospectus with Application Form or Rs. 350/- in shape of DD drawn in favour of
BIITM, payable at BBSR, if the prospectus with Application Form required to be sent through post or
Courier.
11. Rs. 30,000/- in Cash/ Bank Draft as Admission fee which will be adjusted in Course fees. Bank Draft to be
made in favour of “BIITM, payable at Bhubaneswar”.
Plot no. 216/A, Zone-B, Mancheswar Industrial Estate, Bhubaneswar- 751010Ph.- (0674) 2586573, Mob.:- 9040009292, E-mail:- [email protected]
Website :- biitmhm.ac.in