Contact Form

A. J. Institute of Hospital Management

(A Unit of Laxmi Memorial Education Trust ®)

A. J. Hospital & Research Centre Campus

Kuntikana, Mangaluru - 575 004.

Application for Admission to
Master of Hospital Administration (MHA)
Part 1 Personal Details

Part 2 Academic Particulars
Exam Passed Name & Address of the School / College Name of the Board / University Class Obtained Percentage of Marks Year of Passing

Part 3 Documents Required

Part 4 Student Declaration
  • I agree to abide rule and regulations of the A. J. Institute of Hospital Management
  • I acknowledge that if I am accepted for a course of study I am liable to pay the fees for the full term and it will not be refunded under any circumstances.
  • I am aware that 75% attendance is mandatory in all subjects for a student to be eligible to appear for the university Examinations.
  • I am aware that consumption of alcohol and smoking is prohibited in the college and I agree to abide by this condition failing which necessary disciplinary action can be taken against me.
  • I hereby agree that I will not cause any damage to the college property; I accept that failure on my part to abide by this policy may lead to necessary disciplinary action and any related costs incurred by my actions will be recovered from me.
  • I am aware that delay in payment of the fees attracts a late fee (fine) until such time I have paid the same.
  • I agree that it is an essential term of my agreement with AJIHM that information I have given in this form and any attached documents is true and complete and I acknowledged that AJIHM may suspend my enrolment if false information has been given.
Please Return filled up application form to
Admission Section
A. J. Institute of Hospital Management
A. J. Hospital & Research Centre Campus, NH-17, Kuntikana, Mangaluru - 575 004. D.K. Karnataka, India
Tel: 0824-6613246 Cell: 9964470708 E-Mail: