e-School

Admission Info

Admission Year: *	Course *

Student Info

First Name: *	Middle Name:	Last Name: *

Date Of Birth(BS): *	Date Of Birth(AD): *	Gender: *
		Male Female Other
Nationality:	Ethnicty:	Religion:

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 *	Passed Year:*	Percentage/GPA/CGPA:

School/College Name:*	School Address:*

Referral Info

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

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