e-School

New Summit College

Shantinagar, Kathmandu

01-4620522, 01-4620523, 01-4620524

Admission Inquiry Form

Admission Info

Admission Year: *

Course/Class *

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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