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Application Form For Admission Into 1 Year Certificate Courses in Hotel Management Name of The Course Applied For

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GOVERNMENT OF ANDHRA PRADESH DEPARTMENT OF TECHNICAL EDUCATION FOOD CRAFT INTITUTE, VISAKHAPATNAM APPLICATION FORM FOR ADMISSION INTO

1 YEAR CERTIFICATE COURSES IN HOTEL MANAGEMENT (To be filled by the candidate) Name of the Course Applied for : 1. Name of the Candidate : (As in SSC Mark list in Block Letters) 2. Fathers Name : 3. Date of Birth : 4. Sex : Male / Female 5. Address for Communication : a. Door No : b. Street : c. Village : d. Town / City / PO : e. District : PIN g. Phone / Mobile No : 6. Reservation Category : OC / SC / ST / BC-A / BC-B / BC-C / BC-D 7. Reservation under Special Category : NCC / Sports / CAP / PH 8. Name of the qualifying Examination passed : SSC or its Equivalent / Intermediate 9. Marks Obtained : In SSC out of 600 : In SSC without Hindi : In Intermediate : 10. Passed in : Single Attempt /Compartmental 11. a. b. c. d. e. Declaration: Registration fee details Demand Draft No Dated Bank Name Branch Name Amount : : : : : :

I declare that I fulfill the eligibility criteria laid down for applying for Certificate course in _______________________________________________ and I shall submit all the original documents in proof at the time of admission into institution for the academic year 2013 2014. The information furnished above is true to the best of my knowledge and belief. In case, any false information is furnished by me, I shall be made ineligible for admission and I have no right or claim.

Signature of the Parent / Guardian Signature of the Candidate Enclosures: Photo copies of all certificates in support of the claim for admission.

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