The Excelsior School

Swoyambhu, Kathmandu 9851274246

Online Registration Form

Student's Name (IN BLOCK LETTERS)

First Name
Middle Name
Last Name
Student's Photo
(Note: Only jpg/jpeg/png. Max size 3 MB, PP size. Photo must be taken within the last six months.)

Date of Birth

Nepali Date (BS)
English Date (AD)
Gender
Male Female

Address
Registration for Grade
Name of the school last attended

Father's Information

Full Name
Mobile Number
Office Name
Phone Number (Office)
Email
Occupation

Mother's Information

Full Name
Mobile Number
Office Name
Phone Number (Office)
Email
Occupation

Local Guardian/Contact Person

Full Name
Relation
Mobile No.
Phone No.(Office)
Email
Occupation

Please tick (✓) the appropriate box if the student needs any/all the following services (optional).

Lunch (Day Scholar)
Yes No

Veg Non-Veg

Any Preferences
Bus
Yes No

Pick Up Point

Any particular disease(s)/illness(es) student is suffering from? If yes, please give details.

Does the student have any allergy? Is he/she under any medication? If yes, please give details.

Has anyone referred you to approach this school? If yes, please specify.

I hereby declare that all the information I have submitted here is correct.