GOLDEN REGENCY INSTITUTE OF
HOSPITALITY MANAGEMENT
Application for admission in :
Bachelor in Hospitality Management (BHSM).
 
Please fill in BLOCK LETTERS
1. *Surname
2. *Name Mr./Ms.
3. *Name of Father /Guardian
4. *Father's /Guardian's Occupation
5. *Name of Mother
6. *Date of Birth Calendar
7. *Nationality
8. *Category (Please Tick) General SC ST OBC
9. *Sex (Please Tick) Male Female
10. *Address for Correspondence
 
*City *P.O.
*Dist *State
*Country *Pin
Phone Mobile
11. *Permanent Address
 
*City *P.O.
*Dist *State
*Country *Pin
Phone Mobile
 
 
12.  E-mail ID
   
13. Local Guardian’ Name (if any)
14. Contact Number
15. Educational Qualification :
Examination Passed / Appeared Board / Council / University Year of passing Subjects % of Marks Division / Class
10th standard          

10+2 standard          

16. Extra Curricular Activities :
17. Payment details : Amount Cash DD No
(Draw the DD in favour of Golden Regency Institute of Hospitality Management, payable at Kolkata)
All fields in * are compulsory
Declaration by the Applicant:
I hereby declare that the information given above are complete and correct to the best of my knowledge. I also confirm that my ward will abide by the rules and regulations as laid by the institute for maintaining proper discipline in the institute.
Declaration by the Guardian:
I hereby declare that the information given above are complete and correct to the best of my knowledge. I also confirm that my ward will abide by the rules and regulations as laid by the institute for maintaining proper discipline in the institute.
Testimonials require:
1. Two copies 25x30 mm stamp size recent colour photographs (one affix and one extra)
2. One duly attested photo copy of age proof certificate.
3. One duly attested photo copy of last examination passed certificate.
4. School/college leaving certificate.
5. One duly attested photo copy of SC/ST/OBC certificate, if the candidate falls in any of these categories.