A pplication N umber : Programme Interview Date Interview Time

Affix Self attested Coloured Photograph

PERSONAL DETAILS
First N ame : Surname : M iddle N ame (s) : Gender : M ale Female

CORRESPONDENCE ADDRESS
Line 1 : Line 2 : Line 2 : City : State : Pin N o. : Telephone (R) : Telephone (M ) : E-mail A ddress :

PERMANENT ADDRESS (IF DIFFERENT FROM ABOVE)

Line 1 : Line 2 : City : State : Pin N o. : Telephone :

OTHER INFORMATION (BIRTH)

Place of Birth : Date of Birth :

PARENTS / GUARDIAN'S
Fa the r's/ Gua rdia n's Na m e Occupation : E-mail A ddress : M other's N ame O ccupation : E-mail A ddress : Residence / Business Telephone N umbers : Father : M other :

HOWDID YOU GET TO KNOWABOUT INDIAN HOTEL ACADEMY LANGUAGES (Na tiona l or Inte rna tiona l)
Read Slight H indi English Fair Fluent Slight Write Fair Fluent Slight Speak Fair Fluent

EDUCATION
Class Class 10 Class 12
th

Y ear of Passing

Board

School & A ddress

M ain Subjects

% M arks

th

EXTRA-CURRICULAR ACTIVITIES

DECLARATION
We hereby declare that the information provided in this application is exact and complete. We ackno wledge having read and understood this document, thecurrent academic catalogue, as well as thepayment terms and conditio ns. If at any stageit is found that we do not satisfy the admission criteria or the information furnished by us in this application is incorrect, our application for admission to thecoursewill stand cancelled, in this event of securing admission for our ward. We agreeto abid eby all relevant Rules & Regulations of theInstitute.

Date :

Parent's / Guardian'sSignature

R ule sa n dR e g u la tio n s
Rules and Regulations
1. Conduct of the students in the classes as well as in the institute premises and elsewhere, should be strictly in accordance with the academic pursuit. 2. Student should take proper care of the academy properties and keep the premises nea t & clean . Cost of dam age done to any of the properties would be duly recovered from the concern student(s). 3. The student shall be responsible for all personal property carried or brought to the academy of which, no liability whatever would arise for any loss or damage thereto will be borne by the academy. 4. Smoking, gambling and drinking of alcoholic beverages are strictly prohibited in the premises. St udent indulging in them would be subject to disciplinary action. 5. Students need to have a minimum of 75% attendance throughout the course. 6. In the event of illness, medical certificates should be forward to the office at the earliest. 7. Change of address should be intimated in written, only by the concerned parent / guardians to the office immediately. N o verbal instructions are accepted. 8. Non compliance with any of the rules of the institute may be dealt with punishment like warning f ines or in extreme case, suspension or dismissals of the students. 9. The academy has the right to change any existing ruleand when found necessary. 10. The institute will not be liable for any loss/ damage due to closure or disruption caused by any industrial action, government action, fire, flood, act of God, force or for any other reason not in the control of the institute. 11. All fees/ fines must be paid on time and receipt should be obtained. Fee once paid will not be refund ed under any circumstances. 12. N on-payments will lead to names being struck off the institute besides the students being debarred from a ttending classes. 13. Fe eif paid in later then duedateshould bepaid with finewithin seven days fromeach duedate. On coursewithoutinformation. 14. Students can be shifted to any classroom / branch of institute without prior notice. 15. Student who wish to discontinue the course or who are dismissed on disciplinary ground, have to pay the complete fee prescribed for the res t of the period till the end of the course. 16. All payments should be made by cash, cheque or demand draft. Outstation cheques will not be accepted. theeighth day, it is assumed that thestudents has discontinued the

Students Signature