Admission Info

Admission Year: * Course *

Student Info

First Name: * Middle Name: Last Name: *

Date Of Birth(BS): * Date Of Birth(AD): * Gender: *
BS AD      
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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