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Ph:033 8981050105,033 40019495.Fax: 2357-7735
manager@edusol.co.in, www.edusol.co.in

APPLICATION FORM FOR VOCATIONAL TRAINING

COURSE APPLIED FOR : Bar & Beverage Services Level 1/Food & Beverage Services
Level 2

For The Month Of : June 2020 - 2021 Center : EDUSOL, IIHM Bangalore

PERSONAL DETAILS (IN BLOCK LETTERS ONLY)

FIRST NAME
N I T A N T
MIDDLE NAME LAST NAME
J O S H I
OCCUPATION OF THE APPLICANT
S T U D E N T

MALE * FEMALE DATE OF BIRTH 0 8 0 8 2 0 0 1

GENDER

NATIONALITY I N D I A

CASTE S RELIGION HINDU

SC OBC GEN *
T
FATHER’S NAME R A J I V J O S H I

MOTHER’S NAME A R C H A N A J O S H I

CONTACT DETAILS
PERMANENT ADDRESS
C 2 2 1 - S E C T O R C M A H A N A G A R
L U C K N O W U T T A R P R A D E S H

PIN 2 2 6 0 0 6
MOBILE 9 4 7 3 9 5 9 4 1 5
NO.
LANDLINE NO.
WITH STD CODE
EMAIL ID IIHM20BLR112@IIHMBANGALORE.COM

ACADEMIC DETAILS
HIGHEST QUALIFICATION YEAR OF PASSING % OF MARKS
12 TH 2019 59%

DATE
For Office use 20-06-2021
only SIGNATURE OF THE STUDENT
Student Code: ____________________________________ Ref. Code__________________________

Official’s Signature______________________________ Date of Application _____________________