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INSTITUTE OF HOTEL MANAGEMENT, CATERING
TECHNOLOGY & APPLIED NUTRITION
S V S MARG, DADAR (W), MUMBAI – 400 028
(AN AUTONOMOUS BODY UNDER THE MINISTRY OF TOURISM, GOVERNMENT OF INDIA)
Ph- 022-45284100 e-mail: info@ihmctan.edu Website: www.ihmctan.edu
ADMISSION FORM 2025 FOR B.Sc in H&H.A.
JEE Roll No. ___________________ JEE Centre:____________________ AIR: ______________
Category: GEN / SC / ST / OBC / PH / KM / EWS
1. Applicant’s Name: Mr./Ms._____________________________________________________
(AS PER 12TH MARKSHEET)
2. Academic Bank of Credits No. __________________________________________________
3. Present Residential Address:
__________________________________________________________________________
_________________________________________________________________________
___________________________ Pin Code: _____________________
Tel No. with STD Code: __________________ Mobile No. _________________________
E-mail ID : ________________________________________________________________
Permanent Address
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
___________________________________________ Pin Code: _____________________
(Nearest Railway Station for outstation students – for Railway concession purpose)
4. Age as on July 1, 2025 _______ Years _______ Months _______ Days
Date of Birth _______ Day ________ Month ________ Year
5. Details of qualifying exam i.e. 10+2 or equivalent:
a. Name of Board : __________________________________________
b. Total Marks secured: ______ Out of ______ (______%) Year of Passing: _______
c. Name and address of college/school from which qualifying exam was passed as a regular
Student:_____________________________________________________________________
____________________________________________________________________________
d. Number of attempts to pass qualifying exam : ____________________________________
6. Certificate details (in case of OBC/SC/ST/PH/KM/EWS candidates):
a. Category : OBC/SC/ST/PH/KM/EWS
b. Issued by (Name and designation of issuing authority): ____________________________
__________________________________________________________________________
________________________________________________________________________
c. Date & Place of issue : ______________________________________________________
7. Whether belong to Religious minority : YES / NO. Please specify : Parsi / Jain / Sikh / Buddhist /
Muslim / Christian
8. Particulars of work experience, if any :_____________________________________________
____________________________________________________________________________
9. Particulars of Craft Course/s passed from IHM/FCI, if any (Attach proof):
_____________________________________________________________________________
___________________________________________________________________________
10. Father’s name:______________________________________________________________
Occupation: __________________________________________________________________
Office Address:_______________________________________________________________
_____________________________________________________________________________
___________________________________________________________________________
Office Tel. No. With STD Code: _____________________ Mobile No. _________________
E-mail ID: ___________________________________________________________________
(E-mail Id is highly desirable for communicating important/urgent/fees related
Information/confidential messages)
Father’s annual income from all sources:__________________________________________
11. Mother’s name: _______________________________________________________________
Occupation: _________________________________________________________________
Office Address: _______________________________________________________________
_____________________________________________________________________________
___________________________________________________________________________
Office Tel. No. With STD Code: _____________________ Mobile No. __________________
E-mail ID: ___________________________________________________________________
(E-mail Id is highly desirable for communicating important/urgent/fees related
Information/confidential messages)
Mother’s annual income from all sources:___________________________________________
12. For out-station applicants only-Local Guardian means a relative/family friend staying in Mumbai
Local guardian’s name: ______________________________________________________________
Address: ___________________________________________________________________
Tel. no. (Residence): __________________________ Mobile No. ______________________
E-mail ID: __________________________________________________________________
DECLARATION
1. We hereby declare that to the best of our knowledge the information given above is true and factual.
In case, any information is proved to be inaccurate, we shall be liable for suitable action.
2. We have read and understood the examination rules which are displayed on the website of the
Institute.
3. We have especially gone through the rules regarding eligibility, attendance requirements, carryovers,
promotion etc.
Signature of Student Signature of Father/Mother/Guardian
Date:
Place: Mumbai
FOR OFFICE USE (Not to be filled by applicant)
Qualifying exam details checked & found in order: By ______________________________________
Date of birth checked & found in order: By _______________________________________________
Category GEN/SC/ST/OBC/PH/KM/EWS details checked & found in order: By __________________
Date : ________________
ADMIT / DO NOT ADMIT ________________
Principal
(PLEASE ATTACH COPIES OF MARKS SHEETS, CASTE CERTIFICATE- IN CASE OF
OBC/SC/ST, RELEVANT CERTIFICATE- IN CASE OF KM/PH/EWS & ORIGINAL SCHOOL
LEAVING CERTIFICATE/TRANSFER CERTIFICATE/MIGRATION CERTIFICATE)
