MIME-Version: 1.0 Content-Location: file:///C:/E52721D2/FnBAPPLFM2.htm Content-Transfer-Encoding: quoted-printable Content-Type: text/html; charset="us-ascii" APPLICATION FORM

APPLICATION FORM<= /o:p>

CRAFTSMANSHIP COURSE IN FOOD & BEVERAGE SERVICE

 

 

 

Affix R= ecent Passport Size Photograph
 
 

 

 

 

 

 


1. Name of the Candidate :

    (as per SSC records in   : &n= bsp;       ___________________________= _______

     Block let= ters)

 

2. Date of Birth & Age    <= /span>  &n= bsp;       :         = __________________________________

    (a= s on 1-7-20  )=

 

3. Father’s Name       &n= bsp;            = ;  :         = __________________________________

    (i= n Block letters)

 

    a) Occupation        &= nbsp;           &nbs= p;  :         = __________________________________

 

    b) Annual Income        &= nbsp;        :         = __________________________________

 

4. Nationality     &n= bsp;            = ;          :         = __________________________________

 

5. Community (whether SC/ST

    (a= ttested copy of certificate   :         = __________________________________

     from competent authority to

     be enclosed)

 

6. Prescribed qualifying examination passed with total marks and percentage of marks (attested copies of marks list of SSC / /10t= h  of +2 of pattern):

Name of the Examination

Max. Marks

(all subjects)

Marks

Obtained

 Percentage

(all subjects)

SSC /

10th standard

 

 

 

 

 

 

 

 

7. Whether the qualifying exam

     Passed in one at= tempt?         = :         = Yes / No

 

8. Other academic qualifications

     Passed if any        &= nbsp;           &nbs= p;  :         = __________________________________

 

 

 

 

 

9. Medium of Instruction   &nbs= p;       :         = __________________________________

    (SSC level)

 

10.(= a) Participation in sports if any:  =    __________________________________

           i) State le= vel        &= nbsp;          :         = __________________________________

          ii) National level     = ;          :         = __________________________________

     (b) Hobbies & interests     &nbs= p;  :         = __________________________________

     (c) Languages kn= own        &= nbsp;  :         = __________________________________

11.Craft Course passed/completed :      ___________= ______________________

      (if any)

12.Permanent Address&nbs= p;             = :         = __________________________________

     (Block letters)<= o:p>

            &n= bsp;            = ;            &n= bsp;          :         = __________________________________

13. Address for communication:         =  __________________________________

      (with Telephone No. if any)

            &n= bsp;            = ;            &n= bsp;          :         = __________________________________

14.Particul= ars of Bank Draft of Rs. _______________ drawn in favour of “The

     Principal, IHMCT&AN”, towards Registration Fee (non-refundable)

     (In case of SC / ST Rs.250/- only).

     a) No. ________________________ b) Date _______________________<= /p>

     c) Drawn on (Nam= e of the Bank):_________________________________

 

I wish to do this course because _____________________________________

_______________________________= ________________________________.

I hereby declare the particulars furnished in the application are true and correct to the best of my knowled= ge.

 &nb= sp;            =             &nb= sp;            =             &nb= sp;      Signature of Applicant: _______________

Date: _______________        &= nbsp;           &nbs= p;        (Name in Block letters):_______________

Enclosures:

1. Copy of th= e date of birth certificate (SSC/ TC)

2. S.S.C/10th of +2 Pass Certificate and Marks Memo.&nbs= p;

3. Self Addre= ssed envelope (11 cms. X 26 cms)

4. Demand Dra= ft for Rs. 400/- (Rs. 250/- for SC / ST)

5. Mention ot= her certificates (if any in support):-

    (c= opy of sports, caste, craft course etc.)

    a) ________________________ 

    b) ________________________             =             &nb= sp;            =             &nb= sp;            =