Admission Info

Admission Year: *

2075 2076 2077 2078 2079

Course *

--Select-- BBS BBM BA BCA +2 Management +2 Science +2 Humanities MA Sociology MA JMC MA English BScCSIT BEd +2 Education

Student Info

First Name: *		Middle Name:
Last Name: *		Date Of Birth: *	BS
Gender: *	Male  Female  Other	Nationality:	--Select-- Nepalese Indian Chinese Others
Student's Mobile: *		Student's Email:

Permanent Address

Province:	--Select-- Province No 1 Province No 2 Bagmati Pradesh Gandaki Pradesh Province No 5 Karnali Pradesh Sudurpashchim Pradesh	District:	--Select-- Kathmandu Nuwakot Kavrepalanchok Sindhupalchok Bhaktapur Lalitpur Rasuwa Dhading Chitwan Bara Rautahat Makwanpur Parsa Dhanusa Dolakha Ramechhap Mahottari Sarlahi Sindhuli Ilam Jhapa Panchthar Taplejung Khotang Okhaldhunga Saptari Siraha Solukhumbhu Udayapur Bhojpur Dhankuta Morang Sankhuwasabha Sunsari Terhathum Arghakhanchi Gulmi Palpa Kapilvastu Nawalpur Rupandehi Gorkha Kaski Lamjung Manang Syangja Tanahun Baglung Parbat Mustang Myagdi Dang Pyuthan Rolpa Rukum East Salyan Dolpa Humla Jumla Kalikot Mugu Banke Bardiya Dailekh Jajarkot Surkhet Achham Bajhang Bajura Doti Kailali Baitadi Dadeldhura Darchula Kanchanpur Parasi Rukum West
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 *	--Select-- Bachelor Level +2 Level Master Level SLC/SEE	School/College Name:*
School Address:*		Passed Year:*	BS
Percentage/GPA/CGPA:

Referred By

Name(Referred by):

Contact No.(Referred by):

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