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The Pioneers in Culinary Arts Education in India

The document is an application form for a 6-month diploma in cruise galley operations. It requests information such as name, address, education history, and a medical certificate from the applicant.

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40 views3 pages

The Pioneers in Culinary Arts Education in India

The document is an application form for a 6-month diploma in cruise galley operations. It requests information such as name, address, education history, and a medical certificate from the applicant.

Uploaded by

DASARATHI_PRAVEEN
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIAN ACADEMY OF

CATERING TECHNOLOGY & CULINARY ARTS


6-3-1219/6A, Umanagar, Begumpet, Hyderabad - 500016.
Ph:040-23418064 Fax:91-040-23403440
Website: www.iactchefacademy.com
E-mail: info@iactchefacademy.com

THE PIONEERS IN CULINARY ARTS EDUCATION IN INDIA

APPLICATION FOR 6 - MONTHS DIPLOMA IN CRUISE GALLEY OPERATIONS

S. No.

Reference: (For Official Use Only)

Affix Pass Port


Size Photograph
Here (Colour)
No Poloroid Photograph

Name
(Last, First, Middle)
Leave a box blank between each

Father’s Name

Permanent Address:

City: State: Pin Code:


Telephone Number: (Res) (Office)
(with STD Code)
Mobile No. E-Mail:

Date of Birth (DD/MM/YY) Age Gender


(M/F)
Passport Details
Passport No/Place of Issue Issue / Expiry Date Any Foreign Travel ECNR Details
Mailing Address:

City: State: Pin Code:


Telephone Number: (Res) (Office)
(with STD code)
Educational Qualification:
Course/Degree/Diploma Name of the Institution Marks Secured %/ Division Core Subjects
completed

Industry / Hotel Exposure or Experience

Optional Data Highlighting Personal Achievements / Hobbies

Declaration
Declaration:

I have read the terms and conditions of acceptance of the 6-months Diploma in Cruise Galley
Operations. I agree that if accepted and registered. I will abide by them. I hereby declare that
all the information provided in this application form is true to the best of my knowledge.

Date:_______________
Place:_______________
Signature of the Applicant
Educational Qualification
Optional Data Highlighting Personal Achievements / Hobbies
INDIAN ACADEMY OF CATERING TECHNOLOGY & CULINARY ARTS
6-3-1219/6A, Umanagar, Begumpet, Hyderabad - 500016.
Ph: 040-23418064 Fax: (91) (040) 23403440
Website : www.iactchefacademy.com
E-mail : info@iactchefacademy.com

THE PIONEERS IN CULINARY ARTS EDUCATION IN INDIA AS A SPECIALIZATION IN HOTEL MANAGEMENT

Sl.No.
CERTIFICATE OF
PHYSICAL FITNESS (To be filled in by a Registered Medical Practitioner)

Name:

Address:

I Dr. Regn. No.

certify that the above named applicant is not suffering from any of the diseases
mentioned below, nor from any other disease which may be contagious, infectious or
harmful to others.

1.Infectious skin diseases 4.Venereal Diseases


2.Tuberculosis 5.Trachoma
3.Epilepsy or any type of convulsions 6.Any physical or mental disability that
May hinder his Education

Date Place Signature of the


Registered Medical Practitioner

Full Address of the Medical Practitioner

Note: The above certificate is necessary as the training in the institute involves a large amount
of food handling and is required to safeguard the students and guests.

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