GOLDEN REGENCY INSTITUTE OF HOSPITALITY MANAGEMENT

All * fields are compulsory
Application for admission in : Bachelor of Hotel Management (BHM).
Bachelor of Business Administration (BBA).
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.
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 I 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. My ward also confirm that he/she will abide by the rules and regulations as laid by the institute for maintaining proper discipline in the institute.

Testimonials require :
  • Four copies 25x30 mm stamp size recent colour photographs (one affix and three extra)
  • One self attested photo copy of age proof certificate.
  • One self attested photo copy of last examination passed certificate.
  • School/college leaving certificate.
  • One self attested photo copy of SC/ST/OBC certificate, if the candidate falls in any of these categories.