R.G. MODERN INSTITUTE OF HOTEL MANAGEMENT

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Step 1

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Step 4

Admission Form

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Educational Background

Examination Passed	Name of the College/School	Group	Year Passing	Mark Percentage	Remark

10Th Details 12Th Details College Details

Student SSLC Details

S.No.	Subject	Total Mark	Secured Mark
1.	Tamil
2.	English
3.
4.
5.
Total
Percentage/Class

Register No

Year Passing

School Name

Place of School

Board of Examination

Student HSC Details

S.No.	Subject	Total Mark	Secured Mark
1.	Tamil
2.	English
3.
4.
5.
6.
Total
Percentage/Class

Register No

Year Passing

School Name

Place of School

Board of Examination

Student UG/PG Details

S.No.	Semester	Percentage
1.	Ist Semester
2.	IInd Semester
3.	IIIrd Semester
4.	IVth Semester
5.	Vth Semester
6.	VIth Semester
Total
Overall Percentage/Class

Register No

Year Passing

Collage Name

Place of College

Board of Examination

Step 3

Family Background

Relationship	Name	Occupation & Designation	Contact Phone Number
Father *
Mother *
Brother/Sister
Brother/Sister
Brother/Sister

Reference*

Step 4