Admission Info

Admission Year: *

Course *

Student Info

First Name: *		Middle Name:
Last Name: *		Date Of Birth: *	BS
Gender: *	Male  Female  Other	Nationality:
Student's Mobile: *		Student's Email:

Permanent Address

Province:		District:
Municipality/VDC:		Ward No:

Temporary Address

Address :

Family Details

Father's Name:*		Father's Phone No:
Mother's Name:*		Mother's Phone No:
Local Guardian's Name:*		Local Guardian's Mobile No:*

Highest Academic Detail

Level *		School/College Name:*
School Address:*		Passed Year:*	BS
Percentage/GPA/CGPA:

Referred By

Name(Referred by):

Contact No.(Referred by):

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