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INDIRA GANDHI NATIONAL OPEN UNIVERSITY Maidan Garhi, New Delhi-110068 Control Number

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INDIRA GANDHI NATIONAL OPEN UNIVERSITY Maidan Garhi, New Delhi-110068 Control Number INDIRA GANDHI NATIONAL OPEN UNIVERSITY Maidan Garhi, New Delhi-110068 Control Number In collaboration with National Council for Hotel Management & Catering Technology Noida, Uttar Pradesh - 201301 B.Sc. in HOSPITALITY AND HOTEL ADMINISTRATION PHOTOGRAPH st ADMISSION FORM (1 Year) Affix your latest Session 2019-20 passport size photograph Enrolment No. (to be (4 cm x 5 cm) given by IGNOU) 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. IHM 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 12700/- (Rupees – Twelve Thousand Seven 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, Gandhinagar, Gujarat 5001 09 SIHM, Kurukshetra 5034 10 IHM, Bangalore, Karnataka 5002 13 SIHM, Kozhikode 5035 14 IHM, Bhopal, Madhya Pradesh 5003 15 KCC Nawanshahr, Punjab 5036 22 IHM, Bhubaneshwar, Orissa 5004 21 Desh Bhagat IHM, Gobindgarh, Punjab 5037 22 IHM, Chandigarh (UT) - 1 5005 06 IHM, Faridabad 5041 10 IHM, Chennai, Tamil Nadu 5006 25 SIHM, Silvassa Dadar & Nagar Haveli 5042 29 IHM, Lajpat Nagar, Delhi 5007 07 SIHM, Thuvakkudi, Trichirappalli 5043 25 IHM, Pusa, Delhi 5008 07 SIHM, Bhatinda, Punjab 5044 22 IHM, Gangtok, Sikkim 5009 24 SIHM, Hamirpur,Himachal Pradesh 5045 11 IHM, Goa 5010 08 St. Soldier IHM, Jalandhar 5046 22 IHM, Gurdaspur, Punjab 5011 22 Munnar Catering College, Kerala 5047 14 IHM, Guwahati, Assam 5012 04 IHM, Gurunanak, Kolkata 5050 28 IHM, Gwalior, Madhya Pradesh 5013 15 CT IHM, Jalandhar 5051 22 IHM, Hyderabad, Adhra Pradesh 5014 01 SIHM, Rohtak 5053 10 IHM, Jaipur, Rajasthan 5015 23 PIHM, Pondicherry 5054 31 IHM, Jodhpur, Rajasthan 5016 23 IHM, Panipat 5055 10 IHM, Kolkata, West Bengal 5017 28 IHM, Dr. YSR, Hyderabad 5056 01 IHM, Lucknow, Uttar Pradesh 5018 27 Ashok Institute of Hospitality , Delhi 5057 07 IHM, Mumbai, Maharashtra 5019 16 SIHM Indore, MP 5058 15 IHM, Hajipur, Bihar 5020 05 SIHM Tirupati 5059 01 IHM, Shillong, Meghalaya 5021 18 The Lalit School of Hospitality, Faridabad 5060 10 IHM, Shimla, Himachal Pradesh 5022 11 SIHM Yamunanagar, Haryana 5061 10 IHM, Srinagar, Jammu & Kashmir 5023 12 NCHMCT, Noida 5062 27 IHM, Thiruvananthapuram, Kerala 5024 14 IHM, Medak, Telengana 5063 37 IHM, Chandigarh (UT)-2 5025 06 SIHM, Durgapur, WB 5064 28 IHM, Dehradun 5036 27 IHM, Mogra, Jodhpur 5065 23 SRMIHM, Kancheepuram, TN 5027 25 Sunder Deep, IHM, Dasna, Ghaziabad 5066 27 IHM, Meerut 5028 27 SRM, IHM, Modinagar, Ghaziabad 5067 27 SSCHM, Hyderabad 5029 01 IHM, Gharuan, Chandigarh 5068 06 OSHM, Wayanad Kerala 5030 14 IHM, Dewan, Meerut 5069 27 CCHMCT, Landran, Chandigarh 5031 06 IHM, Heritage, Agra 5070 27 Ranjita IHMCT, Bhubaneshwar 5032 21 IHM, RIG, Greater Noida 5071 27 Chitkara School of Hospitality, Rajpura 5033 22 Note: Please deposit this form along with your identity card to the Head of your IHM. The Institutes must send the Forms to The Programme Coordinator - BHM, SOTHSM, Room No. 10, Block – 15 (i), IGNOU, Maidan Garhi, New Delhi - 110068 .
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