BHARATHI - Institute of Hotel Management & Paramedical

Application No: 459-2023

Center

Course Applied for

Name Of the Applicant

Name Of the Parent/Guardian

Door No

Street Name / Area Name:

City

Country

Pincode

Contact Number

Whatsapp Number

Aadhaar Number

Date of Birth (as Found in SSLC/HSC or its Equivalent Certificate )

Gender Male Female

Educational Qualification

Medium English Tamil

Month & Year of Passing

Name & Address of the
School Last Studied

10th/ +2 / Equivalent Govt. Examination Register Number

Total Marks Obtained in 10th/+2

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