Student Inquiry Form

Date

Preferred Year: * Preferred Intake: *
Level * Interested Course *
Date: * Inquiry No: *
Form No:

Student Details

First Name: * Middle Name:
Last Name: * Date Of Birth (B.S)
Date Of Birth (A.D) Mobile: *
Enrollment Type: * Citizenship No
Information Source: Gender: *      
Religion: Nationality:
Country: District:
Municipality/VDC: Ward No:
Permanent Address Temporary Address:
Home Phone No: Passport No:
Email: * KUUMAT/Other RANK: *

Qualification

SLC Percentage: SLC School:
SLC Division: SLC Completion Date
11 Percentage +2 College
Plus Two Division: Plus Two Completion Date
Expertise (if any): Awards (if any):

Parent's Info

Full Name: Profession:
Contact No: Email
Current Address

Referred By

Name(Referred by): Contact No.(Referred by):
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