CHANDIGARH INSTITUTE OF HOTEL MANAGEMENT

SECTOR 42-D, CHANDIGARH

APPLICATION FOR ADMISSION

Application should be neatly filled in by
candidate in ink in their own handwriting.

SELF ATTESTED

Incomplete application will be rejected.

Did you ever apply earlier in any of the courses,
ADMIT CARD
mention.
INTERNETINSTITUTE
DOWNLOADED
FORM
CHANDIGARH
OF HOTEL
MANAGEMENT
SECTOR
036 of
( kindly
attach42-D,
draftCHANDIGARH-160
of Rs 250/- in favor
CIHM payable at Chandigarh)

PHOTOGRAPH
OF
CANDIDATE

Roll No. ........................................................................................

1.

Name ..........................................................................................

Applied for trade diploma

1st Pref...................... 3rd Pref.......................

5th Pref...................
Affix

Father's Name .............................................................................

2nd Pref.......................4th

2.

Photograph

Pref......................................................
(Self attested)

Candidate's Name Mr./Miss/Mrs. .................................................................................................

(in block letters as per Matric Certificate (enclose self attested copy)

3.

Father's Name ..............................................................................................................................

4.

Mother's Name
Signature of.............................................................................................................................
Student (To be signed in front of Checking Officer)
Signature Checking Officer)

5.

Father's Occupation
Note : .....................................................................................................................
Please Carry the Admit Card while appearing for the Interview/Councelling

6.

Mother's Occupation .....................................................................................................................

7.

Address of the candidate ..............................................................................................................

......................................................................................................................................................
To ............................................................................................
Tel. No. .........................................................................................................................................
.............................................................................................

8.

.............................................................................................
Date of Birth ..............................................Age
as on 1st July...........yrs..........mths....... days

(Day)

................................................Pin........................................
(Month)
(Year)

9.

Candidate's place of Birth ............................................................................................................

10.

Candidate's Nationality ................................................................................................................

11.

:
Whether theFROM
applicant
belongs to a Scheduled Cast/S.T. or Handicapped if so, give details............

CHANDIGARH INSTITUTE OF

HOTEL MANAGEMENT
......................................................................................................................................................
SECTOR 42-D, CHANDIGARH-160 036

12.
S.No.

: 0172-2676024
Educational TEL.
Examination
Passed from matriculation onwards :

Examination

Board/University

Year

Aggregate

13.

Identification Certificate to be signed by Gazetted Officer/Municipal Commissioner/ Tehsildar/

Sarpanch (Proforma attached).

14.

Certified copy of Certificate may be attached. (In case of S.C./S.T./Handicapped Candidates)

15.

Candidate is not allowed any part time job or any other course of education alongwith the training,
without the prior permission of the Principal.

16.

Candidate must attach 2pp size photographs similar to the one pasted on the form (without attested).

17.

Candidate must attach copies of certificates/documents alongwith the application form as mentioned
under the head 'How to apply'.
I have gone through the rules & regulations of Admission contained in the Prospectus and agree to
abide by the same. I declare/undertake that the above particulars/informations are correct to the best
of my knowledge and belief. In case any information is found false at a later stage, I shall be liable for
expulsion from the Institute.

Signature of the Father

Signature of Candidate

Signature of the Mother

Date :...........................

RULES
RULES FOR
FOR GIRLS
BOYS
HOSTEL
HOSTEL MANAGEMENT
CHANDIGARH
INSTITUTE
OF HOTEL
Hostel fee will be accepted only after depositing the Hostel form
1.

ADMISSION
FOR
The hostel accommodation
will be given
to theBOYS
studentsHOSTEL
on the merit basis and as per seats allocated
ADMISSION
FOR
GIRLS
HOSTEL
department-wise by the Institute Authority.

1.
2.

Name
in BLOCK
LETTERS
______________________________________
The
students
will have
to continue for full session: who
are allotted seats in the hostel.

2.
3.
1.

Department
______________________________________
The
Institute
will provide
sharing accommodation::and
cots, chairs and tables to the hostellers. However, the
Name
in BLOCK
LETTERS
______________________________________
bedding, linen, tumbler, thermos, bucket etc. will be brought by the student. The students will be responsible
Father's Name
: ______________________________________
for the up keep of the Institute property and the articles
issued for use in the hostel, any type of damage to the
Department
: ______________________________________
property/
articles
the
cost
will
be
recovered
from
the
students.
Occupation
: ______________________________________

3.
2.
4.
3.
4.
5.
4.
6.
5.
5.

6.

Father's
Name
The
hostlers
are not allowed to keep any valuable:: ______________________________________
articles
such as jewelry, heavy cash, expensive
Permanent
Address
______________________________________
electrical/electronic gadgets etc. in their rooms. The Institute under no circumstances will be
___________________Tel.
No.
____________
Occupation
: ______________________________________
responsible for any loss of any valuable articles, however,
any hostlers found to be
violating
of the
above
rules
will
be
liable
for
disciplinary
action.
Name of the Local Guardian
: ______________________________________

Permanent Address
: ______________________________________
Consumption of alcoholic drinks, drugs and gambling are prohibited. Bottles other than plastic are not
Address & Tel. No.
: ______________________________________
allowed to be kept in the room. Objectionable materials
(magazines/cassettes/CDs/Weapons etc.) are not
______________________________________
allowed to be kept in the hostel room.
: Off.________________Resi. _______________
Telephone
: Off.________________Resi.
_______________
All
hostellers
should carry
their
cards
by
the Institute, even while going
out or to the mess.
(Change
of address
must
beidentity
intimated
to issued
Hostel
Supt.)
During
free
times
the
students
are
not
permitted
to
wonder
in
the
other
parts
of
the
Institute
building.
List of authorised visitors alongwith Photographs.

7.
Local Guardian's Address
: ______________________________________
7.
not write anything on Address
the walls, doors or windows
cause any Specimen
damage to the
S.No. Hostel students
Nameshould
& Designation
Tel. or
No.
Sign.
Institute property. Shouting/ demonstration is prohibited.
of visitor
______________________________________
8.
1.

2.

9.

3.

10.

1.

No electrical appliances are permitted to be used in the rooms, in case of default, the students will be liable
for fine
Authority.
Tel
No.or disciplinary action as decided by the Institute
: Off.________________Resi.
_______________
The Hostellers
hostellers will
will submit
submit the
the form/undertaking
form/undertaking in
in duplicate
duplicate duly
duly filled
filled in
in all
all respect
respect alongwith
alongwith photographs,
photographs,
specimen signatures of the visitors who will be authorized to meet the hostellers by their parents or
guardians.Photo
No person other than the authorized
ones will be allowed toPhoto
meet the hostellers.
Photo

Non hostellers and guestsDeclaration

are not allowed(Detailed
to visit/stay inOverleaf)
the boys
girls hostel.
hostel.Incase
Incaseany
anyoutsiders/day
outsiders/dayscholars
scholars
founds
visiting/sitting
in
anyone's
room
will
be
liable
for
fines
or
disciplinary
action
as
decided
by
the
I promise to abide by the Hostel Rules as made applicable to the Institute hostel and such other
Principal.
rules as may be made by the principal/Secretary/Hostel Superintendent from time to time.

11.

Students are required to instruct their friends and relatives not to call them on the office telephone during
I declare that I am applying for admission at the wish of my Parent/guardian and in consideration of
working hours unless in case of emergency.

12.

The
students are
keep
their rooms
locked
while
goingand
outside.
The
students
are further
responsible
for required
the due to
and
prompt
payment
of the
Hostel
mess
dues
and other
duesrequired
and to
Itopromise
to abide
by
the
Hostel Rules
asthe
made
applicable
to the
Institute
hostel
and
such
be
economical
as
far
as
possible
in
using
water
and
electricity
and
keep
their
rooms
clean
andother
indeminfy
Govt.
and
this
Institute
to
which
the
said
application
may
be
admitted,
in
respect
oftidy
allall
rules
as may
made by
Superintendent from
time to time.with
the
times.
The be
hostellers
arethe
not principal/Secretary/Hostel
allowed to use any type of heater/stove/electrical
gadget/meddle
the
loss, damage or expenses, resulting from delay and failure to make any such payment or as the
in their
Ifittings
declare
that rooms.
I am applying for admission at the wish of my Parent/guardian and in consideration of

2.
1.
2.

the said application being

admitted. I, the
said parent
guardian, do agree to be jointly and severally
Declaration
(Detailed
Overleaf)

result of the particulars given above proving incorrect.

the said isapplication

being
admitted.
I,indulging
the said
guardian,
do
agree
tosevere
be jointly
and severally
Ragging
not permitted
permitted,
anyone
anyone
found
foundindulging
ininparent
such
suchactivities
activities
will
willbe
beliable
liablefor
for
severe
disciplinary
disciplinary
action.
responsible
for to
thestay
dueinand
payment
of the
Hostel and
mess dues and other dues and to
3.
Iaction.
shall continue
the prompt
hostel for
the entire
academic
session.
14.
The
hostellers
areand
not allowed
to keep
typethe
of vehicle
in the Institute.
anybody
to keep/use
indeminfy
Govt.
this Institute
toany
which
said application
mayInbecase
admitted,
in wants
respect
of all
14.
The
the
vehicle
hostellers
he will
are
not allowed
to takeresulting
to
the
keep
priorany
permission
typedelay
of vehicle
from
in the
Principal
Institute.
for the
Inany
case
same.
anybody
wantsortoas
keep/use
loss,
damage
or have
expenses,
from
andthe
failure
to make
such
payment
the
the
vehicle
she
will have togiven
take the
priorproving
permission
from the Principal for the same.
result
of
the
particulars
above
incorrect.
Signature
of the
Parent
of student
15.
The
dining in
Mess is compulsory for all the students residing in the Hostel andSignature
Accommodation.
The
15.
The
other
dining
rules
in
dining
the
Mess
in
the
is
Mess
compulsory
and
timings
for
all
will
the
be
students
intimated
residing
by
the
in
Mess
the
Hostel
Incharge
and
separately.
Accommodation.
3.
I will allow my ward to travel to hometown at her own responsibility as and when required. The
other rules of dining in the Mess and timings will be intimated by the Mess Incharge separately.
16.
The
Hostellers
must
leaveinthe
8.45
AM
on working
days session.
to attend the Assembly.
4.
I shall
continue
to stay
theHostel
hostelatfor
the
entire
academic
FOR
USE
ONLY
16.
The Hostellers must leave the Hostel
at OFFICE
8.45 AM on
working
days to attend the Assembly.
17.
Any changeofinParent
the rule and regulationSignature
will be intimated
from
time to time.
Signature
of Local
Guardian
Signature of student
Checked
and
allotted
Room
No. regulation
___________
Admitted
17.
Any
change
in the
rule and
will be intimated from time to time.
13.

Signature of ParentsFOR OFFICE USE ONLY

Checked
and allotted
Room No.
___________
Signature
of Parents
Hostel Supdt.

Hostel Supdt.

Signature of student
Admitted
Signature
of student
Principal/Secretary

Chandigarh Institute of Hotel Management

Principal/Secretary
Chandigarh.
Chandigarh Institute of Hotel Management
Chandigarh.

DECLARATION

(To be filled by the candidate and attached with the Application Form)

I ...............................................................................................................................................................
Son/daughter of Shri ................................................................................................................................
seeking admission in the Trade Diploma Food Production/Bakery and Confectionery/Food & Beverage
Service/Front Office Operation/ House Keeping in the Chandigarh Institute of Hotel Management.
Chandigarh do hereby undertake to arrange for 'On the job Training' in Hotel and Catering establishment
of repute, duly approved by the principal of the institute for the period of six months, of my own, after the
final examination.
I promise to submit the proposed name of the hotel/establishment for undergoing on the job Training upto
31st December in all circumstances for the approval of the Principal.
Trade _________________
Dated _________________
Signature of Applicant

(Attach in original with application)

Phone : 2676024

CHANDIGARH INSTITUTE OF HOTEL MANAGEMENT

CHANDIGARH .

MEDICAL CERTIFICATE
(To be filled in by Student's Medical Practitioner)
Name of the Student

: ................................................................................................................

Address

: ................................................................................................................

Signature of the Student

: ................................................................................................................

I certify that the above student is not suffering from any of the following diseases :(a) Infectious skin diseases

(b)Psoriasis Follicle

(c) Tuberculosis

(d)Trachoma

(e) Typhoid

(f) Venereal Disease

(g) Epilepsy

(h)Leucoderma

(i) Convulsions due to any cause

(j) Hepatitis

MEDICAL HISTORY
....................................................has not suffered from the above disease or any other major disorder
during the past. He/She has been vaccinated for Typhoid.
Signature of the Medical Practitioner
Name and Address ........................................................
........................................................
(Attach in original with application)

Registration Number ........................................................

IDENTIFICATION CERTIFICATE

(To be Signed by Gazetted Officer/Municipal Commissioner/Tehsildar/Sarpanch)

To
The Principal
Chandigarh Institute of Hotel Management
Sector 42-D, Chandigarh.

SUBJECT : ADMISSION
Sir,
I certify that Mr./Miss/Mrs. ............................................................................................................
Son/Daughter/Wife of .......................................................................................................is known to me
since.................................................year and he/she bears good moral Character. I undertake his/her
full responsibility for the period of his/her study in your institute.
Yours faithfully,
Signature
Dated .........................

Name ........................................................
Designation ...............................................

(Attach in original with application)

Office .........................................................