INSTITUTE OF HOTEL MANAGEMENT CATERING TECHNOLOGY & APPLIED NUTRITION, PANIPAT (An autonomous body under Department of Tourism,

Govt. of Haryana)
APPLICATION FORM To be submitted to the Principal, Institute Of Hotel Management Catering Technology & Applied Nutrition, Panipat Telephone no. 0180-2650222 Email: ihmcpanipat@gmail.com Website : www.ihmpanipat .com

APPLICATION FORM ( Lecturer cum Instructor / Assistant Lecturer cum Assistant Instructor) Post Applied for: . 1. 2. 3. 4. 5. 6. 7. Name of Candidate (in Capital Letters) Date of Birth Fathers Name/ Husbands Name Nationality Gender (Male / Female) Marital Status Category (Please tick in appropriate box) 8. Address with Pin Code Correspondence Permanent Gen SC BC A Day Month Year Age as on (12.06.2013) Passport Size Photograph

9. 10. 11.

Tel. no. Mobile no. Email id

12. Sr. no. a) b) c) d)

Education Qualification Name of the Exam passed 10

th

Name of the Board / Year of passing NCHMCT / IGNOU / SBTE

% of Marks up to two decimals/ Division

12th 3 year Diploma in Hotel Management Degree in Hotel Management/ Degree in Hotel

e)

Masters in Hotel Administratio Management / Master Degree in Hotel

f)

Any other relevant Administration qualification

13

Work Experience(In chronological order beginning from the present job) Organization Period of service From To Total experience Industry Teaching

SR. Designation& pay NO scale .

Total Years of Experience

14. Present post with scale of pay & pay drawn: 15. Disclosure about disciplinary proceedings, if any .. .. (Add additional sheets if required) 16. Details regarding legal detention / conviction if any .. (Add additional sheets if required). 17. Any other information desired to be furnished (Add Additional sheets if required)

Date: (Signature of the applicant) Place: Declaration I hereby declare that all the particulars furnished by me in this application are true to the best of my knowledge and belief. If any of the information / particulars furnished by me is found to be false at any stage, I am aware that my candidate / selection is liable to be rejected / cancelled by the appropriate authority without assigning any reason.

(Signature of the applicant) Place: .. Date: Note: Attach copies of documents. Please use additional sheets for item 12 and 13, if required. Name: