Preference

Preferred Year: *	2077 2078 2079 2080 2081 Academic Year must be Selected.	Preferred Intake: *	Admission- 2077 Preferred intake must be selected.
Level *	--Select-- Bachelor Level +2 Level Master Level Level must be selected.	Interested Course *	BBS BBM BA BCA MA Sociology MA JMC MA English BScCSIT BEd Interested Course must be Selected.
Date: *	*	Inquiry No: *	Inquiry No cannot be Empty. *
Form No:		Course Group: *	--Select-- General Course Group must be selected
Enrollment Type: *	Academic Vocational Enrollment type must be selected	Information Source:	--Select-- Exhibition Internet Newspaper Counselor/Principal Relatives/Friends Media Others

Student Info

kumat rank cannot be empty.

First Name: *	First Name must be Entered.	Middle Name:
Last Name: *	Last Name must be Entered.	Date Of Birth (B.S)B
Date Of Birth (A.D)		Mobile: *	Mobile no cannot be empty.
Citizenship No		Gender: *	Male  Female  Other
Religion:	Hinduism Christianity Buddhism Muslim Other	Nationality:	--Select-- Nepalese Indian Chinese Others
Country:	--Select-- Nepal India China Other	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 SOLUKHUMBU UDAYPUR 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:
Permanent Address		Temporary Address:
Home Phone No:		Passport No:
Email: *	* Email no cannot be empty.	KUUMAT/Other RANK: *
Photo:

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Mother Details

Full Name:*	Mother Name cannot be Empty.	Occupation:
Mobile No:		Other Phone No:
Email	*	Current Address

Father Details

Full Name:*	Father Name cannot be Empty.	Occupation:
Mobile No:		Other Phone No:
Email	*	Current Address

Local Guardian Details

Full Name:*	Parent Name cannot be Empty.	Occupation:
Contact No:*	Parent No. cannot be Empty.	Email	*
Current Address*	Parent Address cannot be Empty.	Relation With Student

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Referred By

Name(Referred by):

Contact No.(Referred by):

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