Welcome to Ravenshaw University

Ravenshaw School of Hospitality Management (RSHM) - Online Application Form

1. Applicant Name*

2. Father's Name

3. Mother's Name

4. Occupation of Father/Mother

5. Nationality

6. Sex

Male Female

7. Marital Status

Unmarried Married

8. Religion

Hindu Muslim Christian Other

9. Date of Birth

Day	Month	Year

10. Email-ID*

11. Domicile Of Orissa

Yes No

12a. Select Category

SC ST GENERAL OBC OTHERS

12b. Physically Handicapped(40% and above)

No Yes

12c. Belongs to Ex-Serviceman Family

No Yes

12d.Belongs to family of Serving Defence Personnel

No Yes

13a. Permanent Address

Address

City

Tel. No

13 b. Address for Communication

Address

City

Land Line Phone

Mobile Phone

14. Academic History

H.S.C(Class 10)

Name of Board / University

Name and address of the School / College

Aggregate % of Marks Obtained

Division / Class

Year of Passing

Higher Secondary(+2)

Name of Board / University

Name and address of the School / College

Discipline

Arts Science Commerce Other

Aggregate % of Marks Obtained

Division / Class

Year of Passing

Undergraduate Degree (+3)

Applicable

No Yes

Name of Board / University

Name and address of the School / College

Discipline

Arts Science Commerce Other

Division / Class

Year of Passing

Other Details

15. Password (To be Remembered)

16. Statement of Purpose (Write within 100 words) Please mention how did you get to know about Ravenshaw School of Hospitality Management (RSHM) Programme. If news paper, which one?

Draft Details

17. Draft No.

** While submitting the hard copy attach 2 recent passport size photographs

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