Professional Documents
Culture Documents
SELF ATTESTED
PHOTOGRAPH
OF
CANDIDATE
1.
Name ..........................................................................................
2.
Photograph
Pref......................................................
(Self attested)
3.
4.
Mother's Name
Signature of.............................................................................................................................
Student (To be signed in front of Checking Officer)
Signature Checking Officer)
5.
Father's Occupation
Note : .....................................................................................................................
Please Carry the Admit Card while appearing for the Interview/Councelling
6.
7.
8.
.............................................................................................
Date of Birth ..............................................Age
as on 1st July...........yrs..........mths....... days
(Day)
................................................Pin........................................
(Month)
(Year)
9.
10.
11.
:
Whether theFROM
applicant
belongs to a Scheduled Cast/S.T. or Handicapped if so, give details............
CHANDIGARH INSTITUTE OF
HOTEL MANAGEMENT
......................................................................................................................................................
SECTOR 42-D, CHANDIGARH-160 036
12.
S.No.
: 0172-2676024
Educational TEL.
Examination
Passed from matriculation onwards :
Examination
Board/University
Year
Aggregate
13.
14.
15.
Candidate is not allowed any part time job or any other course of education alongwith the training,
without the prior permission of the Principal.
16.
Candidate must attach 2pp size photographs similar to the one pasted on the form (without attested).
17.
Candidate must attach copies of certificates/documents alongwith the application form as mentioned
under the head 'How to apply'.
I have gone through the rules & regulations of Admission contained in the Prospectus and agree to
abide by the same. I declare/undertake that the above particulars/informations are correct to the best
of my knowledge and belief. In case any information is found false at a later stage, I shall be liable for
expulsion from the Institute.
Signature of Candidate
Date :...........................
RULES
RULES FOR
FOR GIRLS
BOYS
HOSTEL
HOSTEL MANAGEMENT
CHANDIGARH
INSTITUTE
OF HOTEL
Hostel fee will be accepted only after depositing the Hostel form
1.
ADMISSION
FOR
The hostel accommodation
will be given
to theBOYS
studentsHOSTEL
on the merit basis and as per seats allocated
ADMISSION
FOR
GIRLS
HOSTEL
department-wise by the Institute Authority.
1.
2.
Name
in BLOCK
LETTERS
______________________________________
The
students
will have
to continue for full session: who
are allotted seats in the hostel.
2.
3.
1.
Department
______________________________________
The
Institute
will provide
sharing accommodation::and
cots, chairs and tables to the hostellers. However, the
Name
in BLOCK
LETTERS
______________________________________
bedding, linen, tumbler, thermos, bucket etc. will be brought by the student. The students will be responsible
Father's Name
: ______________________________________
for the up keep of the Institute property and the articles
issued for use in the hostel, any type of damage to the
Department
: ______________________________________
property/
articles
the
cost
will
be
recovered
from
the
students.
Occupation
: ______________________________________
3.
2.
4.
3.
4.
5.
4.
6.
5.
5.
6.
Father's
Name
The
hostlers
are not allowed to keep any valuable:: ______________________________________
articles
such as jewelry, heavy cash, expensive
Permanent
Address
______________________________________
electrical/electronic gadgets etc. in their rooms. The Institute under no circumstances will be
___________________Tel.
No.
____________
Occupation
: ______________________________________
responsible for any loss of any valuable articles, however,
any hostlers found to be
violating
of the
above
rules
will
be
liable
for
disciplinary
action.
Name of the Local Guardian
: ______________________________________
Permanent Address
: ______________________________________
Consumption of alcoholic drinks, drugs and gambling are prohibited. Bottles other than plastic are not
Address & Tel. No.
: ______________________________________
allowed to be kept in the room. Objectionable materials
(magazines/cassettes/CDs/Weapons etc.) are not
______________________________________
allowed to be kept in the hostel room.
: Off.________________Resi. _______________
Telephone
: Off.________________Resi.
_______________
All
hostellers
should carry
their
cards
by
the Institute, even while going
out or to the mess.
(Change
of address
must
beidentity
intimated
to issued
Hostel
Supt.)
During
free
times
the
students
are
not
permitted
to
wonder
in
the
other
parts
of
the
Institute
building.
List of authorised visitors alongwith Photographs.
7.
Local Guardian's Address
: ______________________________________
7.
not write anything on Address
the walls, doors or windows
cause any Specimen
damage to the
S.No. Hostel students
Nameshould
& Designation
Tel. or
No.
Sign.
Institute property. Shouting/ demonstration is prohibited.
of visitor
______________________________________
8.
1.
2.
9.
3.
10.
1.
No electrical appliances are permitted to be used in the rooms, in case of default, the students will be liable
for fine
Authority.
Tel
No.or disciplinary action as decided by the Institute
: Off.________________Resi.
_______________
The Hostellers
hostellers will
will submit
submit the
the form/undertaking
form/undertaking in
in duplicate
duplicate duly
duly filled
filled in
in all
all respect
respect alongwith
alongwith photographs,
photographs,
specimen signatures of the visitors who will be authorized to meet the hostellers by their parents or
guardians.Photo
No person other than the authorized
ones will be allowed toPhoto
meet the hostellers.
Photo
11.
Students are required to instruct their friends and relatives not to call them on the office telephone during
I declare that I am applying for admission at the wish of my Parent/guardian and in consideration of
working hours unless in case of emergency.
12.
The
students are
keep
their rooms
locked
while
goingand
outside.
The
students
are further
responsible
for required
the due to
and
prompt
payment
of the
Hostel
mess
dues
and other
duesrequired
and to
Itopromise
to abide
by
the
Hostel Rules
asthe
made
applicable
to the
Institute
hostel
and
such
be
economical
as
far
as
possible
in
using
water
and
electricity
and
keep
their
rooms
clean
andother
indeminfy
Govt.
and
this
Institute
to
which
the
said
application
may
be
admitted,
in
respect
oftidy
allall
rules
as may
made by
Superintendent from
time to time.with
the
times.
The be
hostellers
arethe
not principal/Secretary/Hostel
allowed to use any type of heater/stove/electrical
gadget/meddle
the
loss, damage or expenses, resulting from delay and failure to make any such payment or as the
in their
Ifittings
declare
that rooms.
I am applying for admission at the wish of my Parent/guardian and in consideration of
2.
1.
2.
Hostel Supdt.
Signature of student
Admitted
Signature
of student
Principal/Secretary
DECLARATION
(To be filled by the candidate and attached with the Application Form)
I ...............................................................................................................................................................
Son/daughter of Shri ................................................................................................................................
seeking admission in the Trade Diploma Food Production/Bakery and Confectionery/Food & Beverage
Service/Front Office Operation/ House Keeping in the Chandigarh Institute of Hotel Management.
Chandigarh do hereby undertake to arrange for 'On the job Training' in Hotel and Catering establishment
of repute, duly approved by the principal of the institute for the period of six months, of my own, after the
final examination.
I promise to submit the proposed name of the hotel/establishment for undergoing on the job Training upto
31st December in all circumstances for the approval of the Principal.
Trade _________________
Dated _________________
Signature of Applicant
Phone : 2676024
MEDICAL CERTIFICATE
(To be filled in by Student's Medical Practitioner)
Name of the Student
: ................................................................................................................
Address
: ................................................................................................................
: ................................................................................................................
I certify that the above student is not suffering from any of the following diseases :(a) Infectious skin diseases
(b)Psoriasis Follicle
(c) Tuberculosis
(d)Trachoma
(e) Typhoid
(g) Epilepsy
(h)Leucoderma
(j) Hepatitis
MEDICAL HISTORY
....................................................has not suffered from the above disease or any other major disorder
during the past. He/She has been vaccinated for Typhoid.
Signature of the Medical Practitioner
Name and Address ........................................................
........................................................
(Attach in original with application)
IDENTIFICATION CERTIFICATE
SUBJECT : ADMISSION
Sir,
I certify that Mr./Miss/Mrs. ............................................................................................................
Son/Daughter/Wife of .......................................................................................................is known to me
since.................................................year and he/she bears good moral Character. I undertake his/her
full responsibility for the period of his/her study in your institute.
Yours faithfully,
Signature
Dated .........................
Name ........................................................
Designation ...............................................
Office .........................................................