APPLICATION FORM

Select Course*
—Please choose an option—B.Sc (H&HA)CCCFPP

Upload-Photo*

Personal details

Applicant Name* (As Per 10th Marks Memo)

Aadhar Card No.*

Upload Aadhar Card*

Mobile No*

WhatsApp No*

Email Address*

Date Of Birth*

Age*

Blood Group*

Gender*
—Please choose an option—MaleFemale

Mother's Name*

Mother's Email Address

Mother's Mobile No

Mother Occupation*

Father's Name*

Father's Email Address

Father Mobile No*

Father WhatsApp No

Father Occupation*

Annual Income*

Place Of Domicile*

Nationality*

Religion*

Category*
—Please choose an option—GeneralSCSTBCEWSOthers

Address:

H.No.*

Village / Town / City*

State*

Pin Code*

Have Local Guardian*
—Please choose an option—YesNo

Particulars Of The Qualifying Examinations : (Photo Copies Of All Certificates Must Be Enclosed)

Matriculation / SSC

Year of Passing*

Board*

Percentage of Marks*

Division / Grade*

Upload Certificates*

10 + 2 or equivalent

Category
—Please choose an option—IntermediateCBSEICSE10+2 Equivalent

Year of Passing

College Name

Percentage of Marks

Division / Grade

Upload Certificates

How do you know about Telangana State IHM?*
—Please choose an option—WebsiteSocial MediaReferencePrint MediaOther

Reasons for choosing the program at SIHM? (Minimum 300 words)*

Would you need a Hostel Accommodation?*
—Please choose an option—YesNo

Declaration By The Applicant And Parent / Guardian :

I declare that all the foregoing statements made in this application are true. I accept that any statement made in this application, if found incorrect on scrutiny, will render the application liable for rejection and admission, if granted on the basis of such incorrect information will stand cancelled.

I declare that I have not joined or will not join any course of study of any University / Institute during the period of my study at SIHM and will abide by all the rules and regulations of SIHM.

Place*

Date*