Form No

Date

Course --Select-- +2 SCIENCEBHMBTTMCERTIFICATE COURSE IN HOSPITALITY SERVICES

Session --Select--

Branch --Select-- AMS BARIPADA (ODISHA)AMS RESOURCE HUB ROURKELACHANAKYA HIGHER SECONDARY SCHOOL

Student Name

Caste --Select-- General ST SC SEBC OBC MINORITY PH Other

Gender --Select-- Male Female

Payment Mode --Select-- Scholarship Self Payment

Father Name

Mother Name

Date Of Birth(As Per 10th Certificate)

Years

Months

Days

Father Occupation

Regd. Mobile No

Email

Guardian Contact No

Local Guardian Name

Religion

Last educational Institude

Blood Group

Student Residence --Select-- Hosteler Non Hosteler

Photo

Hostel Name --Select-- AMS BOYS HOSTELAMS GIRLS HOSTELBOYS HOSTELGIRLS HOSTEL