INDIRA GANDHI NATIONAL OPEN UNIVERSITY

Maidan Garhi, New Delhi-110068 Control Number

In collaboration with
National Council for Hotel Management & Catering Technology

B.Sc. HOSPITALITY AND HOTEL ADMINISTRATION PHOTOGRAPH

ADMISSION FORM
Affix your latest
Session 2013–14 (1st Year)
passport size
photograph
Enrolment No. (to be
given by IGNOU)
(4 cm x 5 cm)
duly attested by you
[All columns to be filled by the candidate in ink.
The form should be submitted in duplicate to IGNOU through the institute.]

1. Name of the IHM______________________________________

(For Name of the IHM, Centre and State Code see reverse page)
Signature of Candidate

2. Centre Code 3. State Code 4. Programme Code B H M

5. Name of Candidate

6. Father/Mother/
Guardian’s Name

7. Permanent
Residential
Address

Pin Code

8. Date of Birth: Date Month Year

(Cross(X) the appropriate box in column Nos. 9 to 19)

9. Nationality: Indian Others 10. Gender: Male Female Others

11. Category: Gen SC ST OBC (CR) 12.Territory Code: Urban Rural Tribal
OBC (NC)

13. Marital Status: Married Unmarried 14. Religion: Hindu Muslim Sikh Christian

Budhist Parsi Jews Others

15. Whether Minority: Yes No 16. Social Status: Ex Service Man War Widow Not Applicable

17. Whether Kashmiri Migrant: Yes No

18. Educational Qualification
Board/ Total Marks
Examination Passed Year Subjects Offered %age
University Obtained

Standard XII
19. (a) Whether a person with disability: Yes No

19. (b). If a person with disability (nature of disability): Speech and Hearing Impairment Locomotor Impairment

Visual Impairment Low Vision Any Other

20. The Fees of Rs.4500/- (Rupees Four Thousand Five Hundred only) should be paid at your institute for onward
transmission to IGNOU, New Delhi through NCHMCT.

21. Email .....................................................................................22. Contact No...........................................................

DECLARATION BY APPLICANT
I hereby declare that I have read and understood the conditions of eligibility for the programme for which I seek
admission. I fulfil the minimum eligibility criteria and I have provided necessary information in this regard. In the
event of any information being found incorrect or misleading, my candidature shall be liable to cancellation by the
University/NCHMCT at any time and I shall not be entitled to refund of any fee paid by me to the University.

Date: / /

Full Signature of Candidate

AUTHENTICATION
This is to certify that the information provided by the student is as per the records of the Institute and NCHMCT.

Date: / /

Signature of the Director/Principal

Institute of Hotel Management
SEAL
INSTITUTE CODES
(For Filling Column 2 and 3)
Name of Institute Centre State Name of Institute Centre State
Code Code Code Code
IHM, Ahmedabad, Gujarat 5001 09 IHM, Meerut 5028 07
IHM, Bangalore, Karnataka 5002 13 SSCHM, Hyderabad 5029 01
IHM, Bhopal, Madhya Pradesh 5003 15 OSHM, Wayanad Kerala 5030 14
IHM, Bhubaneshwar, Orissa 5004 21 CCHMCT, Landran, Chandigarh 5031 06
IHM, Chandigarh (UT) - 1 5005 06 RIHMCT, Bhubaneshwar 5032 21
IHM, Chennai, Tamil Nadu 5006 25 CSH, Rajpura 5033 22
IHM, Lajpat Nagar, Delhi 5007 07 SIHM, Kurukshetra 5034 10
IHM, Pusa, Delhi 5008 07 SIHM, Kozhikode 5035 14
IHM, Gangtok, Sikkim 5009 24 IHM, Nawanshahr, Punjab 5036 22
IHM, Goa 5010 08 IHM, Mandi, Gobindgarh, Punjab 5037 22
IHM, Gurdaspur, Punjab 5011 22 IHM, Pallavaram, Chennai 5038 25
IHM, Guwahati, Assam 5012 04 IHM, Ramjinagar, Trichirapalli 5039 25
IHM, Gwalior, Madhya Pradesh 5013 15 IHM, Valasaravakkam, Chennai 5040 25
IHM, Hyderabad, Adhra Pradesh 5014 01 IHM, Faridabad 5041 07
IHM, Jaipur, Rajasthan 5015 23 SIHM, Dadar & Nagar Haveli 5042 06
IHM, Jodhpur, Rajasthan 5016 23 SIHM, Thuvakkudi, Trichirappalli 5043 43
IHM, Kolkata, West Bengal 5017 28 SIHM, Bhatinda, Punjab 5044 22
IHM, Lucknow, Uttar Pradesh 5018 27 SIHM, Hamirpur,Himachal Pradesh 5045 11
IHM, Mumbai, Maharashtra 5019 16 SCIHM, Jalandhar 5046 22
IHM, Patna, Bihar 5020 05 Munnar Catering College, Kerala 5047 40
IHM, Shillong, Meghalaya 5021 18 SIHM, Mangalore 5048 13
IHM, Shimla, Himachal Pradesh 5022 11 IHM, Asan Memorial, Chennai 5049 25
IHM, Srinagar, Jammu & Kashmir 5023 12 IHM, Gurunanak, Kolkata 5050 28
IHM, Thiruvananthapuram, Kerala 5024 14 CTCIHM, Jalandhar 5051 22
IHM, Chandigarh (UT)-2 5025 06 SIHM Rayat-Bahra-Mohali, Punjab 5052 06
IHM, Dehradun 5026 27 SIHM, Rohtak 5053 10
SRMIHM, Kancheepuram, TN 5027 25 PIHM, Pondicherry 5054 31

Note: Please deposit this form along with your identity card to the Head of your IHM.
The Institutes must send the Forms through NCHMCT, Ministry of Tourism, GOI to The Programme
Coordinator BHM, SOTHSSM, Block – 15 (i), IGNOU, Maidan Garhi, New Delhi